- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor 1 in Albany, NY** **Strategic Operations and Planning ... other MS Office applications, and an understanding of governmental operations and the Medicaid program would be preferred. **Basic Qualifications:** + 8 years of… more
- Centers for Independence (Milwaukee, WI)
- **IRIS Consultant/ Case Manager - Lacrosse, WI** **Job Details** **Job Location** CFI Main Campus - Milwaukee, WI **Position Type** Part Time **Education Level** High ... support and assistance to participants enrolled in the IRIS program . The role of the IRIS Consultant (IC) is...in maintaining financial eligibility by keeping record of when Medicaid reviews are due and by assisting participants in… more
- CDPHP (Latham, NY)
- …requests for prior authorization received via the telephone line, fax machine and mail. The Medicaid Special Programs Case Manager typically works in the ... invites you to be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating… more
- MVP Health Care (Schenectady, NY)
- …and continuous improvement. To achieve this, we're looking for a ** Case Manager, Medicaid Long Term Support Program ** to join #TeamMVP. If you have a passion ... years of recent clinical and Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home required. + Must… more
- MyFlorida (Miami, FL)
- …(https://compcalculator.myflorida.com/) AGENCY FOR PERSONS WITH DISABILITIES POSITION: Human Services Program Specialist - Career Service WORKING TITLE: MEDICAID ... responsibility for conducting medical necessity reviews for individuals served through the Medicaid waiver program , processing cost plan amendment requests for… more
- New York State Civil Service (Hauppauge, NY)
- …juries, and conduct evidentiary hearings and trials in New York state courts.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
- Louisiana Department of State Civil Service (Lake Charles, LA)
- Medicaid Analyst Supervisor Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5142790) Apply Medicaid Analyst Supervisor Salary $3,904.00 - ... of Health (https://ldh.la.gov/) The Louisiana Department of Health is seeking a motivated Medicaid Analyst Supervisorto lead a team of Medicaid Analysts and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... Medicaid & Medicare Services (CMS), Federal Employee ...Level I + Handles physical health member clinical management programs . + Maintains knowledge of current Case … more
- CVS Health (San Antonio, TX)
- …3+ years of leadership experience A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / ... and Fraud, Waste and Abuse activities related to TX Medicaid and CHIP programs . Oversees activities related...to take in a timely and effective manner. Conducts case reviews and provides feedback to investigators on completeness… more
- CVS Health (Charleston, WV)
- …years of leadership experience + A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare ... comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred. Leads a team in the...to take in a timely and effective manner. Conducts case reviews and provides feedback to investigators on completeness… more
- University of Utah (Salt Lake City, UT)
- …interns to plan, organize, and schedule signature programs . 11. Prepare special and periodic reports, including fiscal reports, program plans, progress ... Date** 10/24/2025 **Requisition Number** PRN43412B **Job Title** Coordinator, Administrative Program **Working Title** Basic Needs Case Coordinator **Career… more
- GMHC (New York, NY)
- …proficiency in Microsoft Excel, including: + . Data tracking and analysis for case management and program reporting. + . Creating and managing spreadsheets ... Intake Case Manager WFH Flexible * New York, NY...accurately recorded. Familiarity with government benefit systems and entitlement programs , including: + . Social Security, Medicaid ,… more
- GMHC (New York, NY)
- …in-office duties, and remote work as determined by the manager and based on program needs. Essential Job Functions The Housing Case Manager will be responsible ... records, including case notes and progress reports, to comply with program requirements. + Use spreadsheets to track progress towards housing goals and generate… more
- CVS Health (Oak Forest, IL)
- …consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at ... do it all with heart, each and every day. ** Program Overview:** Help us elevate our patient care to...on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex… more
- Louisiana Department of State Civil Service (LA)
- …is to investigate and prosecute health care providers who have defrauded the Medicaid program . The MFCU also investigates and prosecutes allegations of abuse, ... and regulations related to health care and the facilities, particularly in the Medicaid program ; + Experience in criminal investigations; + Experience in… more
- GMHC (New York, NY)
- …proficiency in Microsoft Excel, including: + Data tracking and analysis for case management and program reporting. + Creating and managing spreadsheets ... Housing Substance Use Case Manager WFH Flexible * New York, NY...accurately recorded. Familiarity with government benefit systems and entitlement programs , including: + Social Security, Medicaid , SNAP,… more
- Fallon Health (Worcester, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive ... Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an...determine the number of hours' members require for MassHealth programs such as the personal care attendant program… more
- CVS Health (Chicago, IL)
- …compassionate. And we do it all with heart, each and every day. **Position** **Summary** Program Overview Help us elevate our patient care to a whole new level! Join ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...Develops, implements, and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to… more
- New York State Civil Service (Brooklyn, NY)
- …for hire under the Hiring for Emergency Limited Placement - Statewide (NY HELPS) program as an Intensive Case Manager if they have:* Bachelor's degree in ... HELP Yes Agency Mental Health, Office of Title Intensive Case Manager (NY HELPS), New York City Children's Center,...maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs . If you receive… more
- Highmark Health (Dover, DE)
- …a fully integrated care coordination approach including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral ... working directly with members in their homes and also requires providing case management services within nursing facility settings. The incumbent will travel to… more
