- CVS Health (Springfield, IL)
- …we do it all with heart, each and every day. **Position Summary** The Medicaid Network Provider Relations Manager oversees our Medicaid Provider Experience ... problem-solving skills * Strong communication and presentation skills * 3 + years' experience in Medicaid Managed Care...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Humana (Lansing, MI)
- …you will be required to be screened for TB. **Preferred Qualifications** + Certified Care Manager (CCM). + Three ( 3 ) or more years of managed care experience in ... help us put health first** Humana is seeking a Manager , Quality Assurance (External LTSS Oversight Team Manager...or LMSW) in the state of Michigan. + Three ( 3 ) or more years of professional experience working with… more
- New York State Civil Service (Syracuse, NY)
- …legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers, ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- New York State Civil Service (New York, NY)
- …legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers, ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- State of Colorado (Denver, CO)
- Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud Investigator ... is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse & Neglect Unit ("MFANU"). The MFANU...establish an eligible list for referral to the hiring manager for final consideration. Appeal Rights: If you receive… more
- City of New York (New York, NY)
- … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... enrolling in Medicaid public health insurance. The agency's Medical Assistance Program helps New Yorkers who qualify enroll in public health insurance programs… more
- City of New York (New York, NY)
- … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... by providing information, including but not limited to eligibility criteria, phone numbers, program description and Medicaid status. - Screen calls and perform a… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... and provides outreach services to patients requiring public benefits including Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- Elevance Health (Burlington, NC)
- …_We are partnering with_ **_North Carolina DHHS_** _to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, ... stable, and nurturing homes._ **North Carolina residency is required!** **$ 3 ,500 SIGN ON BONUS** **LOCATION** **: We are seeking...an accommodation is granted as required by law._ The Manager Care Management, Foster Care ( Manager I… more
- Elevance Health (Burlington, NC)
- …_We are partnering with_ **_North Carolina DHHS_** _to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, ... thrive in safe, stable, and nurturing homes._ **North Carolina residency is required!** **$ 3 ,500 SIGN ON BONUS** **LOCATION** **: This position supports DSS Region … more
- CareFirst (Washington, DC)
- **Resp & Qualifications** **PURPOSE:** The Sr. Program Manager , DC Market Operations provides leadership for the operation of a single jurisdiction Medicaid ... profitability, growth, and stability of the business. The Sr Program Manager will have responsibility for business...deliver the overall strategic plan for a single jurisdiction Medicaid program . Through collaboration with matrix leaders… more
- MyFlorida (Tallahassee, FL)
- …policy and planning entity. The Agency is responsible for administering the Florida Medicaid program , the licensure and regulation of nearly 50,000 health care ... 68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER Date: Sep 30, 2025 The State Personnel...and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals… more
- Service Source (Springfield, VA)
- Assistant Program Manager - Adult Day Program Burke, VA | Serving up to 20 individuals Monday-Friday, 8:30am-4:30pm No evenings, weekends, or on-call! ... Program in Burke, VA, and we're looking for a compassionate and organized Assistant Program Manager to help lead the way. This role supports individuals with… more
- NTT America, Inc. (Baltimore, MD)
- …work as part of a team providing Business Operations Support (BOS) for a state Medicaid Program . Working under the CIO, they will actively lead the delivery of ... of software systems and services that support the Customer's Medicaid Program . The ideal candidate will possess...analyst with, or consultant to, State Health Programs (eg Medicaid ) + Minimum 3 years of experience… more
- Idaho Division of Human Resources (ID)
- Program Manager - MED Posting Begin Date: 2025/10/01 Posting End Date: 2025/10/29 Category: Program Management Work Type: Full Time Remote: Flexible Hybrid ... The Bureau of Population Health in the Division of Medicaid is seeking aProgram Managerto manage quality and value-based...to relocate. If you have previously applied for a Program Manager position and wish to be… more
- Albany Medical Center (Albany, NY)
- …$134,309.04 Salary range: $86,650.99 - $134,309.04 We have an exciting opportunity for a Program Manager to join our multidisciplinary Team at the Albany Med ... Medical College, Department of Neurology and Director of Alzheimer's Program , the Program Manager will...needed. + Counsel and refer families regarding SSD, Medicare, Medicaid , Managed Long Term Care Programs, TBI programs, etc.… more
- Molina Healthcare (GA)
- …business development, community relations or health care related activities. + 3 years Managed-Care, Medicaid experience; knowledge of advertising requirements ... Georgia Gateway **, Georgia Department of Community Health (DCH) Medica** re, Medicaid , Managed Care, Manager , Leader, Marketing, Duals, Enroll, Enrollees,… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply MENTAL ... HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Salary $122,088.00...administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery costs… more
- State of Indiana (Indianapolis, IN)
- Utilization Management Manager Date Posted: Sep 26, 2025 Requisition ID: 462259 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with ... care and their communities. Role Overview: The role of Utilization Management Manager oversees the integration of utilization review, clinically appropriate care and… more
- Leidos (Baltimore, MD)
- …Sector at Leidos currently has an opening for an HHS (Health and Human Services) Program Manager to work in our Baltimore, Maryland office. This is an exciting ... use your experience helping the Center for Medicare and Medicaid (CMS) program operate, maintain, modernize and...its current highly visible legacy system. **Primary Responsibilities:** The Program Manager (PM) is responsible for managing… more
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