- MVP Health Care (Rochester, NY)
- …innovative thinking and continuous improvement. To achieve this, we're looking for a **Case Manager , Medicaid Long Term Support Program ** to join #TeamMVP. ... clinical and Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or...Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of… more
- CVS Health (Boise, ID)
- …and every day. **May reside anywhere in the US** **Position Summary** The Health Service Manager -Policy Writer for Medicaid is a key member of the Medical ... Policy & Program Solutions Team. The Medicaid Medical Coding...Medicaid policy, Medicare policy writing a plus. + 3 years of experience in medical policy development and/or… more
- CVS Health (Columbus, OH)
- …every day. **Position Summary** Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health ... resolve claims and other service issues. **Required Qualifications** + A minimum of 3 years work experience in a provider contracting or provider relations role, … more
- NTT America, Inc. (Little Rock, AR)
- …will work as part of a team providing Business Operations Support (BOS) for a state Medicaid Program . Working under the direction of the team manager , they ... inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid / EVV Business Analyst to join our team in Little Rock,… 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
- Service Source (Springfield, VA)
- …change, and strengthen communities . Join Our Team! ServiceSource is proudly hiring a Program Manager to oversee the daily services of our Oakton, VA Community ... diploma (higher with more education) + PTO: Over three ( 3 ) weeks of paid time-off during first year, and...Upward Mobility: Established promotion opportunities and clear career pathways ({ Program Manager >> Sr. Program … more
- Molina Healthcare (Carson City, NV)
- …QUALIFICATIONS:** + At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... combination of relevant education and experience. + At least 3 years of Experience with Medicaid and/or...At least 3 years of Experience with Medicaid and/or Medicare. + Proven experience owning operational projects… more
- Service Source (Oakton, VA)
- …. Lead the Way in Building Bright Futures! Join our team as a Division Manager and make a lasting impact on adults with disabilities. This is your chance to ... + full benefits ✅ Locations: Oakton, VA (PIERS Day Program ) & Arlington, VA (Access Employment Program )...compliance with all State and Federal regulatory guidelines, including Medicaid , Licensure, and CARF as well as other funding… 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
- Service Source (Lorton, VA)
- …. Join Our Team! ServiceSource is proudly hiring a compassionate and skilled Assistant Program Manager for our Lorton Day Support Program for adults ... + NO Evenings, weekends, or on-call! + Over three ( 3 ) weeks of paid time-off during first year, seven...Job Summary Serve in an assistant capacity to the Program Manager . Serve in an acting capacity… 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
- 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
- Stanford Health Care (Palo Alto, CA)
- …Stark Law, Conflicts of Interest, Gifts and Entertainment, and Medicare and Medicaid program requirements. + Develop written policies, procedures, and programs ... to, HIPAA, Anti-Kickback Statute, EMTALA, the Stark Law, and Medicare and Medicaid program requirements. + Knowledge of general computer applications, such… more
- CVS Health (Springfield, IL)
- …with heart, each and every day. **Position Summary** must live in Illinois The Health Equity Program Manager is a key role to the heath plan and will oversee the ... (FIDE) membership. The key responsibilities of the Health Equity Program Manager will include: + Oversee the...health, health care, education, community development, or justice. + 3 years' program management experience. + … more
- Capgemini (Cincinnati, OH)
- **About the job:** Job role responsibilities of ** Program Manager / Sr Project Manager ** - Markets and Growth portfolio Medicare Advantage/ DSNP/ Medicaid ... controls Maintain project documentation Escalate issues to Business Owner/ Program Manager / Leadership Promote cross-functional communication between...Life Insurance + 100% Company-Paid Mobile Phone Plan + 3 Weeks PTO + 7 Paid Holidays + Paid… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** Overview We are seeking a highly strategic and results-oriented Program Manager to lead the coordination and execution of our AI ... + Minimum of 7 years of experience in technical program management, with at least 3 years...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- New York State Civil Service (Albany, NY)
- …team members they supervise. This position reports to the Director of EISG.The Medicaid program provides health coverage to millions of New Yorkers, including ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- Molina Healthcare (Las Cruces, NM)
- …business development, community relations or health care related activities. + 3 years Managed-Care, Medicaid experience; knowledge of advertising requirements ... is an Equal Opportunity Employer (EOE) M/F/D/V. \#PJHPO Key Words: Medicare, Medicaid , Managed Care, Manager , Leader, Marketing, Duals, Enroll, Enrollees,… more
- Devereux Advanced Behavioral Health (Viera, FL)
- …make a positive impact on the lives of children and Families?** **Then being a Program Manager at Devereux is for YOU! You belong here.** Devereux Advanced ... Located in **Viera, FL** ,. This position is responsible for oversight of the program and staff, certifying proper service delivery to all clients in a safe and… more
- Centene Corporation (Harrisburg, PA)
- …of PA Health & Wellness, a subsidiary of Centene Corporation and will oversee program initiatives for the Medicaid product line of business encompassing HEDIS, ... related reference materials, and policy and procedure documentation. + Communicate program status to management and key stakeholders. + Identify resources, resolve… more
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