• Medicaid and State Government

    Public Consulting Group (Providence, RI)
    …. Employee will be responsible for Medicaid , SNAP, WIC and other state government programs . They will be analyzing business requests, making ... + Experience with CMS, Medicaid , SNAP, WICK, and other state government programs **Supervisory Responsibility** + None **Working Conditions** + Remote… more
    Public Consulting Group (11/04/25)
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  • VP Government Programs - Medicare…

    Prime Therapeutics (Providence, RI)
    …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
    Prime Therapeutics (10/08/25)
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  • North Carolina Medicaid Account Manager…

    Prime Therapeutics (Providence, RI)
    …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... is responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and … more
    Prime Therapeutics (09/23/25)
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  • Audit & Reimbursement Senior - Appeals

    Elevance Health (Providence, RI)
    … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs ._ The **Audit and Reimbursement ... Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of… more
    Elevance Health (10/31/25)
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  • Program Management Lead, Offshore Coding…

    CenterWell (Providence, RI)
    …to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on ... caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance...inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state more
    CenterWell (10/23/25)
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  • Health Aide Supervisor - Great Manager Role in…

    Fallon Health (Worcester, MA)
    …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short....well as Life Enrichment staff with individual and group programs by helping to plan individual treatment programs more
    Fallon Health (10/21/25)
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  • Senior Program Delivery Professional HOS…

    Humana (Providence, RI)
    …the HOS program in all aspects of Humana's Medicare Advantage government business segment. + Lead and manage strategic initiatives, including the development of ... caring community and help us put health first** The Senior Program Delivery Professional HOS Strategic Initiatives strategically identifies enterprise partners to… more
    Humana (11/01/25)
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  • Social Worker ll - Competitive salary - no nights…

    Fallon Health (Worcester, MA)
    …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an… more
    Fallon Health (10/02/25)
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  • Navigator - Gujarati or Spanish Preferred - Hybrid

    Fallon Health (Framingham, MA)
    …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... through the EBT system, fuel assistance and other community programs and services such as WIC + Screens members...delivery of items as part of the 'Oh Baby' program and work with Nurse Case Managers to coordinate… more
    Fallon Health (10/02/25)
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  • NaviCare Medicare Outside Sales - Norfolk…

    Fallon Health (Foxborough, MA)
    …and inspiring hope_ , we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... plans for member experience, service, and clinical quality. Fallon Health's NaviCare is a program for people age 65 and older, who live in our service area, and… more
    Fallon Health (10/03/25)
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  • Senior Legal Counsel - Pharmacy Benefit Manager…

    CVS Health (Woonsocket, RI)
    …network issues, pharmacy and/or mental health parity. + Experience working with state and federal government agencies, healthcare laws and regulations. + ... for action to internal stakeholders and senior/executive management regarding federal/ state regulations in the healthcare industry. Serves as a subject… more
    CVS Health (10/10/25)
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  • OCM Consultant

    Public Consulting Group (Providence, RI)
    …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
    Public Consulting Group (10/04/25)
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  • Child Welfare Financial Consultant

    Public Consulting Group (Providence, RI)
    …better serve populations in need by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and ... and other tools. + Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid ,...strategies. + Ability to interpret and apply federal and state policy to financial planning and program more
    Public Consulting Group (09/13/25)
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  • Nurse Case Manager - Senior Care Options…

    Fallon Health (Foxborough, MA)
    …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... determine the number of hours' members require for MassHealth programs such as the personal care attendant program...rating category to ensure members are in the correct State defined rating category o Maintains up to date… more
    Fallon Health (10/28/25)
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  • Associate Director, Market Access Engagement…

    Sumitomo Pharma (Providence, RI)
    …Disease products to ensure access for patients through various payers (commercial and government payers to include FFS and Managed Medicaid ) and remove ... escalations as needed to ensure timely access for patients + Engage with government stakeholders, including state and federal health agencies, to ensure… more
    Sumitomo Pharma (10/31/25)
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  • Home Health Aide / CNA - Worcester - Great hours,…

    Fallon Health (Worcester, MA)
    …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... and more!! **+ *$20/hr to start and far exceeds state pay average! You can also make extra depending...and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short.… more
    Fallon Health (10/02/25)
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  • Registered Dietitian- Working with Seniors-…

    Fallon Health (Worcester, MA)
    …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... growth and self-development through participation in professional activities, educational programs , current literature review, in-service program , and workshops.… more
    Fallon Health (10/29/25)
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  • Registered Dietitian - Per Diem-…

    Fallon Health (Worcester, MA)
    …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... growth and self-development through participation in professional activities, educational programs , current literature review, in-service program , and workshops.… more
    Fallon Health (09/18/25)
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  • Vendor Manager, Business Consultant (Aetna Dental)

    CVS Health (Woonsocket, RI)
    …vendor management experience (preferably benefit administrators)** **5+ years of experience in government programs ( Medicaid , Medicare)** **Adept at problem ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation… more
    CVS Health (11/03/25)
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  • Occupational Therapist

    Fallon Health (Webster, MA)
    …health and inspiring hope, we strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE- in ... experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an… more
    Fallon Health (10/25/25)
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