• Marion County (Salem, OR)
    …regular opportunities to identify existing strengths and gaps in existing service delivery system.Budget, Contract and Grant Management Provide expertise, ... care programs ( Medicaid , Medicare and other federally funded programs that provide health benefits); AND must not be excluded from participating in federal… more
    JobGet (04/29/24)
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  • Marion County (Salem, OR)
    …care programs ( Medicaid , Medicare and other federally funded programs that provide health benefits); AND must not be excluded from participating in federal ... The Marion County Health and Human Services Department is in search of an experienced...judgments, effective communication, promote team work and excellent customer service . You will serve as a back-office support and… more
    JobGet (04/29/24)
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  • Marion County (Bellvue, CO)
    …Consultation Determine individual service needs, eligibility, and appropriateness of services . Provide case management to include making referrals and ... a one-time payment upon proof of Oregon residency.GENERAL STATEMENT OF DUTIES Provide assessment and treatment services ; crisis intervention, including intensive… more
    JobGet (04/29/24)
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  • Marion County (Bellvue, CO)
    Provide assessments and treatment of individuals and families, including groups; provide crisis assessment and intervention services and related duties as ... required. The primary responsibility of this class is to provide assessment and treatment services , crisis intervention,...Medicaid , Medicare and other federally funded programs that provide health benefits); AND must not be excluded from… more
    JobGet (04/29/24)
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  • Marion County (Salem, OR)
    …Interviewing. Provide case management to include determining individual service needs, eligibility, and appropriateness of services ; making referrals ... Provide assessments and treatment of individuals and families, including groups; provide crisis assessment and intervention services and related duties as… more
    JobGet (04/29/24)
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  • Marion County (Bellvue, CO)
    …interested in being part of a positive and strength-based team working together to provide quality behavioral health services to our community? If so, we have ... will be included in employee's first paycheck.GENERAL STATEMENT OF DUTIES Provide assessment and treatment services ; crisis intervention, including intensive… more
    JobGet (04/29/24)
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  • Marion County (Salem, OR)
    …interested in being part of a positive and strength-based team working together to provide quality behavioral health services to our community? If so, we have ... a one-time payment upon proof of Oregon residency.GENERAL STATEMENT OF DUTIES Provide assessment and treatment services ; crisis intervention, including intensive… more
    JobGet (04/29/24)
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  • Medicaid Lead , Technology Solutions

    Humana (Richmond, VA)
    …of diverse scope and complexity ranging from moderate to substantial. The Medicaid Lead , Technology Solutions builds strategic partnerships and manages ... Lead drives solutions at an organizational level to provide maximum value and align to the overarching IT...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (04/13/24)
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  • Senior Medical Director - Medicaid Ltss…

    CVS Health (Hartford, CT)
    …term Care. In addition, this position will serve as a SME to all Medicaid LTSS RFP submissions and provide strategic guidance supporting initiatives across the ... sends a personal message that how we deliver our services is just as important as what we deliver....determined by the plan leadership for NCQA and audits.* Lead the Medicaid markets national SAI ideation,… more
    CVS Health (04/04/24)
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  • Medicaid Compliance Business Intelligence…

    Humana (Columbus, OH)
    …and help us put health first** Humana Healthy Horizons is seeking a Medicaid Compliance Business Intelligence Lead who describes the tools, technologies, ... off current and historical compliance information in their Market and others. The Medicaid Compliance Business Intelligence Lead will support the Medicaid more
    Humana (04/25/24)
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  • Lead Actuary - Medicaid Trend…

    Humana (Columbus, OH)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (03/27/24)
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  • Provider Engagement Manager,…

    CVS Health (Northbrook, IL)
    …Position SummaryWe have an outstanding opportunity for an enthusiastic team player to lead local market Medicaid Provider Engagement risk adjustment ... sends a personal message that how we deliver our services is just as important as what we deliver....across the Aetna Better Health Plans. Reporting to the Provider Engagement Lead Director of Medicaid more
    CVS Health (04/06/24)
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  • Workforce Management Lead (Care Management)…

    Humana (Richmond, VA)
    …Humana's provider network has: + Sufficient qualified workforce capacity to provide services . + The required level of workforce that is interpersonally, ... culturally, and technically competent in the skills needed to provide services . + Connected workplaces with an...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (04/04/24)
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  • Community Health Engagement Specialist…

    Wider Circle (Taylor, MI)
    …other national service alumni are encouraged to apply!* Responsibilities + You will lead the Wider Circle Medicaid program in your assigned area, using the ... members. + You will create partnerships with local community-based organizations that provide resources for members. + You will enroll prospective members in the… more
    Wider Circle (04/25/24)
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  • Lead Director, VBC (IC)(Texas…

    CVS Health (Irving, TX)
    …others, in accordance with company standards in order to maintain and enhance Medicaid provider networks, while working cross functionally to ensure consistency ... sends a personal message that how we deliver our services is just as important as what we deliver....Medicaid contracting & setup experience. . Experienced in provider /vendor contract set up in core Aetna Medicaid more
    CVS Health (04/24/24)
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  • Lead Director, Network Management (Texas…

    CVS Health (Austin, TX)
    …that improve total medical cost and quality. . Health Plan/Payer or Provider Systems experience Preferred Qualifications . Medicaid regulatory experience . ... sends a personal message that how we deliver our services is just as important as what we deliver....thinking, problem resolution and interpersonal skills - Experienced in provider /vendor contract set up in core Aetna Medicaid more
    CVS Health (04/24/24)
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  • Medicaid Senior Researcher (Senior…

    Abt Global Inc. (Atlanta, GA)
    …to play a leadership role in our work with the Centers for Medicare and Medicaid Services (CMS). As a member of the Research, Monitoring, and Evaluation ... claims and administrative data to meet project needs. + Lead the adaptation or development of Medicaid ...partners to develop and implement quality improvement strategies and/or provide technical support to participants in CMMI models. +… more
    Abt Global Inc. (04/05/24)
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  • Medicaid Certification Consultant

    Public Consulting Group (Columbus, OH)
    …is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and ... Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience...outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction… more
    Public Consulting Group (03/21/24)
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  • Medicaid Provider Data Compliance…

    CVS Health (Hartford, CT)
    …collaborate cross functionally with Compliance, Legal, local Medicaid Health Plans, Medicaid Network Contracting and Medicaid Provider Relations, and ... other departments to maintain compliance of provider related tasks. The Lead Director may...understanding of business interpretation of Compliance requirements. + Ensure Medicaid Provider Operations and Support and network… more
    CVS Health (04/02/24)
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  • Lead Director of Strategic Programs

    CVS Health (Hartford, CT)
    …national consulting contracts, as well as other related and ad hoc responsibilities. Lead the Aetna Medicaid National Advisory Council, developing strategic plans ... at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM)… more
    CVS Health (03/27/24)
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