- Prime Therapeutics (Salem, OR)
- …and drives every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President ... Government Programs - Medicare & Managed Medicaid is...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
- RELX INC (Annapolis, MD)
- …The candidate will possess prior work history in senior roles across CMS or Medicaid programs as well as thought leadership experience across the federal ... essential partner in the assessment of risk. Within our Government vertical, our solutions assist government agencies...in the Baltimore/ Washington DC area as well as state Medicaid offices up to 50% of… more
- Idaho Division of Human Resources (Boise, ID)
- … program Additional information related to benefits and/or State programs can be found here: https://dhr.idaho.gov/StateEmployees/Benefits.html.* EXAMPLE ... coverage. They may also assist with federal reporting, making amendments to the Idaho Medicaid state plan and waivers, drafting changes to Idaho rules and… more
- Louisiana Department of State Civil Service (Shreveport, LA)
- …with high call volumes. Medicaid eligibility is fundamental to the overall Medicaid program , and mastery of eligibility policy and procedure may be the ... most often by telephone. + Medicaid eligibility is fundamental to the overall Medicaid program , and the mastery of eligibility policy and procedure may be… more
- State of Colorado (Denver, CO)
- …Department of Personnel & Administration (DPA) is the foundation for dependable state government , leading with responsiveness, integrity, and teamwork. We ... with public service. Our professionals strive to support the state government and the residents of Colorado....OF COLORADO: Per the requirements of the Step Pay Program , any State employee must be paid… more
- MyFlorida (West Palm Beach, FL)
- …service programs for persons with developmental disabilities served through the Medicaid Waiver program . Assists in the identification and resolution of ... medical necessity reviews for all individuals served through the Medicaid waiver program for the Region. Verifies...work in the US APD participates in the US government 's employment eligibility verification program (E-Verify), which… more
- CareFirst (Baltimore, MD)
- …performance under the Medicaid contract and regulatory requirements and the overall state of compliance for Medicaid and Medicaid products. Reporting to ... to the law that may impact training and education and require updates to Medicaid Compliance training programs . + Directs all activities related to contractual… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …programs . Communicate to manager for key findings and changes to state programs . + Provide backup for Medicaid team members in any necessary functions and ... includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates. Analyst is… more
- General Dynamics Information Technology (Fairfax, VA)
- …**Job Family:** Software Engineering **Skills:** Medicaid , Medicaid Claims, Medicaid Management Information System (MMIS), Medicaid Programs ... growing team and contribute to the success of large-scale Medicaid programs . **Job Summary** The Technical Professional...and services. + Previous experience in a healthcare or government services environment at the state and… more
- State of Georgia (Fulton County, GA)
- …policies & procedures; (2) state laws and rules governing the Georgia Medicaid program ; and (3) criminal laws and other enforcement processes relating to ... representation of the highest quality to the agencies, officers, and employees of state government and by honorably and vigorously carrying out the… more
- Humana (Albany, NY)
- …+ Experience in Medicaid managed care or government programs (MCOs), with working knowledge of state -specific marketing rules and review/approval ... will craft the product value proposition, align messaging to state program objectives, and lead cross-functional teams...improve member experiences and outcomes. + Partner closely with Government Business, Compliance, Legal, and State Plan… more
- State of Georgia (Fulton County, GA)
- …representation of the highest quality to the agencies, officers and employees of state government and by honorably and vigorously carrying out the constitutional ... new knowledge to the performance of assigned responsibilities. Interacts with all levels of state and local government in a way that promotes respect, encourages… more
- HCA Healthcare (Middleburg, OH)
- …+ Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Re-verifies benefits ... join an organization that invests in you as a Medicaid Eligibility Advocate? At Southwest General Health Center, you...HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the… more
- HCA Healthcare (Fort Pierce, FL)
- …+ Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Re-verifies benefits ... individual is recognized. Submit your application for the opportunity below: Medicaid Eligibility AdvocateHCA Florida Lawnwood Hospital **Benefits** Parallon offers a… more
- HCA Healthcare (San Antonio, TX)
- …+ Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Re-verifies benefits ... and integrity. We care like family! Jump-start your career as a Medicaid Eligibility Advocate today with Parallon at Methodist Hospital. **Benefits** Parallon offers… more
- HCA Healthcare (Savannah, GA)
- …+ Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Re-verifies benefits ... colleagues invested over 156,000 hours volunteering in our communities. As a Medicaid Eligibility Advocate with Parallon at Memorial University Medical Center you… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Management Information Systems (MMIS) Supervisor** **Job Class: Systems Supervisor** **Agency: Minnesota IT Services** + **Job ID** : 90925 ... : Exempt - Executive + Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes **The… more
- Highmark Health (Pittsburgh, PA)
- …health engagement team activities through case management, disease management, and programs targeted at behavioral health, pharmacy, wellness and social work ... seamless omni-channel handoffs. As a key leader of the Medicaid Clinical organization, role is responsible for maximizing and...is responsible for maximizing and optimizing value of the programs through delivery and as such, is accountable for… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... and verbal. Builds Relationships/contributes to team performance Adhere to all DOI, State , and Federal guidelines **_Pay Range Disclosure:_** _In accordance with the… 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 ... GOVERNMENT ANALYST II Date: Dec 8, 2025 The State Personnel System is an E-Verify employer. For more...and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals… more