• MetroPlusHealth (New York, NY)
    …a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in ... committed to building strong relationships with its members and providers.Position OverviewThe Director of State Product Compliance, reporting to the Vice… more
    Talent (10/07/25)
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  • Aveanna Healthcare (Brainerd, MN)
    …has a 15% incentive bonus plan ** Position Overview: The Executive Director is directly responsible for the administrative and leadership functions associated with ... all operations of an Aveanna branch. Additionally, this individual is...for initiating and maintaining compliance with all Federal and State regulations governing Home Health Care Agencies, and ensuring… more
    Upward (08/02/25)
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  • Aveanna Healthcare (Huntsville, AL)
    Position Overview: The RN or PT Executive Director is directly responsible for the administrative and leadership functions associated with all operations of an ... is responsible for initiating and maintaining compliance with all Federal and State regulations governing Home Health Care Agencies, and ensuring compliance with… more
    Upward (08/02/25)
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  • Knox Community Hospital (Mount Vernon, OH)
    …needs to support quality assurance performance improvement; Communicates and Informs Operations Manager, Director , and Community Medicine Officer of regarding ... MIPS ) and alternative payment models offered by Centers for Medicare and Medicaid Services (CMS) and patient centered medical home models. Ability to collect,… more
    Upward (07/31/25)
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  • Director Medicaid Markets Solutions

    AmeriHealth Caritas (Newtown Square, PA)
    …market and/or Medicaid product in cross functional implementation meetings and state partners. + Provides regular reporting on projects, key metrics, open issues ... to the Vice President Health Markets Strategy and Planning, the Dir Medicaid Markets Solutions monitors and contributes to special/strategic projects as designated… more
    AmeriHealth Caritas (10/03/25)
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  • Utilization Management Medical Director

    Elevance Health (Wallingford, CT)
    **Utilization Management Medical Director - NC Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required ... of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role… more
    Elevance Health (09/26/25)
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  • Medicare- Medicaid Pharmacy Director

    Humana (Lansing, MI)
    …diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors ... Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual leverages a broad understanding of managed care… more
    Humana (10/07/25)
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  • Behavioral Health Medical Director

    Elevance Health (Woodbridge, NJ)
    **Behavioral Health Medical Director - Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a board-certified psychiatrist licensed and residing ... of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role… more
    Elevance Health (09/04/25)
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  • Medicare/ Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …this time._** **Position Summary:** Working under the direction of the Sr. Director , TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. ... that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and… more
    Commonwealth Care Alliance (08/26/25)
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  • Senior Medicaid Solution Architect

    NTT DATA North America (Albany, NY)
    Operations & Systems The Senior Solution Architect will report to the Technology Director for the Division of Operations and Systems and have responsibility ... to the cloud while ensuring minimal disruption to ongoing operations + Designs, implements, and manages containerized solutions, involving...or local level as well as experience working with Medicaid programs in New York State +… more
    NTT DATA North America (08/13/25)
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  • Division of Operations and Systems…

    New York State Civil Service (Albany, NY)
    …of systems related to the New York State of Health (NYSOH) and the Medicaid . The Division Director will ensure that OHIP systems comply with Center for ... HELP No Agency Health, Department of Title Division of Operations and Systems Director , Chief Information Officer...and coordination with other divisions to identify issues impacting Medicaid and NYSOH as a result of State more
    New York State Civil Service (10/08/25)
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  • Medicare/ Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays ... the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible… more
    Commonwealth Care Alliance (08/31/25)
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  • Executive Director Of Fields…

    City of New York (New York, NY)
    …oversight for Home Attendant and Housekeeping services for active cases. The Executive Director of Field Operations plans and manages the activities of the ... of independent judgment, initiative and decision making, the Executive Director of Field Operations will oversee, direct,...Medicaid . Manage the review and analysis of staff operations to ensure uniformity in the application of mandated… more
    City of New York (10/07/25)
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  • Developmental Disabilities Operations

    New York State Civil Service (Albany, NY)
    …Agency People With Developmental Disabilities, Office for Title Developmental Disabilities Operations Director 1 Occupational Category Administrative or General ... County Albany Street Address 44 Holland Ave. City Albany State NY Zip Code 12208 Duties Description The Developmental...NY Zip Code 12208 Duties Description The Developmental Disabilities Operations Director 1 ( Director of… more
    New York State Civil Service (10/07/25)
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  • Associate Director State Relations

    The Joint Commission (Washington, DC)
    …offices and agencies. + Under direction of Director , builds relationships with Medicaid offices and state public health programs and assists Director ... the state policy-related strategy for Joint Commission. Under direction of Director , manages the state relations, including the collection, monitoring, and… more
    The Joint Commission (08/09/25)
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  • Director , Market Access Contract…

    Ascendis Pharma (Princeton, NJ)
    …and develop their skills. Ascendis Pharma is looking to hire an experienced Director , Market Access Contract Operations to join our team. Responsibilities will ... tactical, demonstrating strong leadership, project management, and communication skills. As the Director , Market Access Contract Operations , you will oversee all… more
    Ascendis Pharma (09/09/25)
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  • Director of Operations (BCBA) ABA…

    Highlights Healthcare (Acworth, GA)
    …skills, growth mentality, and strong business acumen to join us as BCBA - Director of Operations for our Learning Centers. Who is Highlights Healthcare? ... We specialize in serving young learners and families with Medicaid benefits. We believe every child can achieve great...team of expert leaders. Why should you consider a Director of Operations (BCBA) position with Highlights?… more
    Highlights Healthcare (10/01/25)
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  • Senior Director of Clinical…

    Truecare Homecare Agency (Brooklyn, NY)
    …compassion, and operational excellence as we serve diverse communities. The Senior Director of Clinical Operations will be responsible for the day-to-day ... regulations. Key Responsibilities + Oversee all core LHCSA operations in New York and Colorado, including patient and...+ Audits + Coordinate and prepare all documentation for state DOH, Medicaid , Managed Care Organizations, or… more
    Truecare Homecare Agency (10/09/25)
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  • Casa Director

    City of New York (New York, NY)
    …Services Program and/or the Executive Director , Home Care Services Field Operations that impact the CASA field offices, Medicaid procedures, or training. ... CHANGE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to...request of the Deputy Commissioner, HCSP and/or the Executive Director of HCSP Field Operations in order… more
    City of New York (09/16/25)
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  • The Executive Director , Business…

    CVS Health (Providence, RI)
    …it all with heart, each and every day. **Position Summary:** The Executive Director , Business Operations - Clinical Nursing provides strategic leadership and ... ensure consistent, high-quality nursing care across the enterprise. The Executive Director is responsible for developing the nursing strategy, designing and… more
    CVS Health (10/05/25)
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