• Medicaid Eligibility Manager

    Cognizant (Boston, MA)
    …acting as a liaison among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of ... will lead employees who are working on-site at client locations throughout the USA and remote WFH associates. This position is WFH and requires some travel to be on… more
    Cognizant (05/29/25)
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  • Medicare Behavioral Health Case Manager

    Fallon Health (Worcester, MA)
    …for our members with a special focus on those who qualify for Medicare and Medicaid . We also serve as a provider of care through our Program of All-Inclusive Care ... and clinical quality. **Brief Summary of Purpose:** The Behavioral Health Case Manager (BHCM) is responsible for assessing a member's behavioral and social care… more
    Fallon Health (04/16/25)
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  • Senior Functional Business Consultant/ Regulatory…

    Prime Therapeutics (Boston, MA)
    …Posting Title** Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE **Job Description** The Functional Business Consultant serves as a ... flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance… more
    Prime Therapeutics (04/25/25)
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  • Field Reimbursement Manager

    Amgen (Boston, MA)
    …us and transform the lives of patients while transforming your career. **Field Reimbursement Manager - Boston, MA** **What you will do** Let's do this. Let's change ... the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified...products are covered under the benefit design (Commercial, Medicare, Medicaid ) + Serve as a payer expert for defined… more
    Amgen (05/22/25)
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  • Vendor Management Analyst

    Pearson (Boston, MA)
    …path through this shifting environment to achieve continued success.** _Purpose Summary_ _The Medicaid and Vendor Implementation Manager will act as the main ... **Job Title: Vendor Management Analyst** **Location: Remote ** **At Pearson, we're committed to a world...+ Develop policies and procedures to guarantee compliance with Medicaid billing guidelines and eligibility criteria. *… more
    Pearson (06/03/25)
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  • Senior Case Manager

    Cardinal Health (Boston, MA)
    …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... long and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial medical and pharmacy plans while planning… more
    Cardinal Health (04/29/25)
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  • Senior Provider Relations Consultant, BH Network…

    WellSense (Boston, MA)
    …across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, ... enhance their relationships with WellSense Health Plan across Medicare, Medicaid and Commercial products. The Snr PRC serves as...and report trends.** Our Investment in You: . Full-time remote work . Competitive salaries . Excellent benefits **Key… more
    WellSense (05/04/25)
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