- Humana (Baton Rouge, LA)
- …a part of our caring community and help us put health first** The Medicaid Regional VP, Health Services relies on medical background to create and oversee clinical ... strategy for the region. The Medicaid Regional VP, Health Services requires an in-depth understanding...quality of care complaints, complete peer-to-peer written and verbal communications . *Oversee administrative budget for regional HSO & Quality… more
- MyFlorida (Tallahassee, FL)
- …following federal regulations, guidelines, and templates. Research, analyze, and write Operational Work Plans (OWPs) for Florida Medicaid projects following ... 68064926 - SENIOR INFO TECH BUSINESS CONSULTANT / GRANT WRITER & COMMUNICATIONS Date: Nov 20, 2025 The State Personnel System is an E-Verify employer. For more… more
- Humana (Olympia, WA)
- …of our caring community and help us put health first** The Associate Director, HEDIS Operations of Non-Standard Supplemental for business operations supports all ... aspects of configuration control, data management, and deficiency reporting. The Associate Director, Data Management requires a solid understanding of how… more
- Banner Health (AZ)
- …an innovative leader in health care, Banner Plans & Networks (BPN) integrates Medicaid and private health plans to reduce healthcare costs while keeping our members ... by offering remote and hybrid work settings. The Government Programs Project Associate Advisor will be responsible for assisting with the management, tracking, and… more
- CenterWell (Las Vegas, NV)
- …Decisions are typically related to identifying and resolving complex technical and operational problems within clinics/centers. The Associate Medical Director is ... the lives of our patients, and the healthcare industry as a whole. The Associate Medical Director serves as a health-care professional and capable of handling a… more
- University of Colorado (Aurora, CO)
- **Clinical Director of Transplant Medicine - Open Rank- Associate Professor - Professor** **Description** **University of Colorado Anschutz Medical Campus** ... **Job Title:** **Clinical Director of Transplant Medicine -** **Open Rank- Associate Professor - Professor** **Position #00836756 - Requisition #37229** **Job… more
- Humana (Frankfort, KY)
- …members throughout their healthcare journey. We are hiring a Senior Associate to support strategic marketing initiatives by integrating marketing campaigns with ... to improve member health outcomes and satisfaction through personalized, data-driven communications . The position is ideal for marketers who thrive in collaborative,… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …the Medicaid Fraud and Recovery Investigative Unit's ongoing, statewide operational activities relative to restitution and fraud recoveries. + Pursues the ... send responses to escalated matters. + Maintains an advanced working knowledge of Medicaid and Eligibility policy to interpret Medicaid claims. + Participates in… more
- CareFirst (Washington, DC)
- …Market Operations provides leadership for the operation of a single jurisdiction Medicaid program including the strategic direction for the development and expansion ... to deliver the overall strategic plan for a single jurisdiction Medicaid program. Through collaboration with matrix leaders in marketing, finance, government… more
- New York State Civil Service (Albany, NY)
- …application support, mobile technology deployment, GIS platforms, MDM solutions, and operational communications tools. The Unit Manager ensures secure user ... Systems Analyst 2 Health) coordinates the integration, deployment, and operational use of EMS business, field, and communications...employer, or with the New York State Medical Assistance ( Medicaid ) Program in a New York State agency or… more
- Johns Hopkins University (Baltimore, MD)
- …audit staff. Partners with department leadership: Chief Audit Officer, Executive Director Operational Audits, and Associate Director to manage the day-to-day ... a portion of the annual internal audit plan, working with Executive Director Operational Audits and/or Associate Directors and in collaboration with other… more
- Humana (Frankfort, KY)
- …and Improvement organization (HQRI). This support includes submission of encounter data to Medicaid , Medicare, and DSNP states and will require the ability to manage ... analyze new regulatory requirements, and support the development of compliance and operational processes. The Lead, Encounter Data Management Lead will identify and… more
- Humana (Indianapolis, IN)
- …as a Clinical Pharmacy Lead, plans, directs, and monitors all financial, operational , professional, and clinical activities for the purposes of pharmacy program ... Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Michigan Medicare - Medicaid health plan. The individual leverages a broad understanding of managed care… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built on values of succeeding ... your knowledge of risk adjustment and healthcare data (primarily Medicare Advantage, Medicaid , and ACA Commercial), looking for trends within data and communicating… more
- Humana (Arlington, VA)
- …caring community and help us put health first** Supports the strategic and operational execution of the Intern Program in partnership with the junior talent ... in the Intern Program. Assists the program lead with reporting and communications and manages inquiries through the Intern Program mailbox. **Job Description:**… more
- CenterWell (Anderson, SC)
- …professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their ... for + Administrative oversight and outcomes determined by the Clinical / Operational Leadership of the Market + Spend a portion of time clinically-focused… more
- CVS Health (Springfield, IL)
- … operational excellence across all Lines of Business-Commercial, Medicare, Medicaid , and affiliated clients-by acting as a strategic liaison between Technology, ... highly escalated member and client issues to ensure consistent, data-driven communications and sustainable resolutions. **Technology & Operations Support** + Lead… more
- Humana (Louisville, KY)
- …officials, and other organizations to ensure that Humana's facilities are operational during times of emergencies like inclement weather, severe weather, regional ... policies, procedures, standards and operating processes that ensure the highest operational effectiveness + Provide consultation and manage disaster preparedness and… more
- Humana (Trenton, NJ)
- …with the delivery and timelines of the same. + Manage internal communications with Interoperability Principal Product Managers, Lead Product Managers, IT Directors ... and drive delivery of the technical solution for product initiatives. + Lead communications and drive discussions with other Humana teams to achieve product team… more
- Elara Caring (Broken Arrow, OK)
- …critical role in maintaining exceptional client satisfaction, compliance, and operational efficiency while supporting organizational goals for service excellence. ... preferred + _OR_ equivalent experience in home care/healthcare operations: + Associate degree and/or 60+ hours from an accredited college/university **Experience** +… more