• Elevance Health (Indianapolis, IN)
    …Position Title: Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid Job Description: Behavioral Health Medical Director - Psychiatrist - Indiana ... Medicaid Location: This role enables associates to work virtually...outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of… more
    Upward (07/18/25)
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  • ISNP (Lake Oswego, OR)
    …mentoring, coaching and support for APCs and RNs in the field. The Clinical Advisor partners with their Clinical Services Manager (CSM), Clinical Team Lead (CTL) or ... or more patients and acquire patients according to team needs in conjunction with clinical advisor duties Job Duties The CA reports to and is supported by the CSM,… more
    Upward (07/03/25)
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  • Jonathan's Place (Dallas, TX)
    …delivery of case management services to residents in the Wesley Inn Program . *Responsible for gathering information for potential intake for approval with a ... LCCA. *Coordinate placement of each client with CPS Caseworker, Resident Advisor , and Parent or Guardian. *Responsible for detailed completion of initial intake… more
    Upward (07/19/25)
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  • State of Georgia (Atlanta, GA)
    …fraud; May investigate and prosecute fraud and abuse by providers in the Georgia Medicaid program ; Travel, as required by the position; Performs other related ... Criminal Justice General Litigation Government Services & Employment Prosecutions Medicaid Fraud Consumer Protection Solicitor General's Unit *To move forward… more
    Upward (07/01/25)
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  • WeEvolve (West Palm Beach, FL)
    …opportunities are available to those who are currently enrolled in a Master's program or ABA course sequence. Supervision and unrestricted hours are provided by our ... Student Analyst Advisor . Our graduates are thoroughly prepared to transition from...transportation Access to a smart phone and computer Active Medicaid provider ID (optional) Ability to drive to multiple… more
    Upward (07/13/25)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor : Behavioral Health in Albany, NY** **Division of ... development and implementation. **Primary responsibilities include:** + Assisting Bureau Director, Medicaid Program Manager, and Integrated Care Team in… more
    Staffing Solutions Organization (07/16/25)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor , Albany NY** **DPDM - 1422** **50% Onsite / ... a wide range of services and programs for children provided under the Medicaid program including the Children's Health Home program , the voluntary foster… more
    Staffing Solutions Organization (06/11/25)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) - Albany, NY** **Division of ... processes, and systems, while applying knowledge and experience of Medicaid regulations and program policies to system design and related business processes. +… more
    Staffing Solutions Organization (07/18/25)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) - Albany, NY** **Division of ... system requirements related to eligibility and enrollment in New York's Medicaid program . The incumbent will be responsible for identifying planning and policy… more
    Staffing Solutions Organization (07/24/25)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Levels 2 & 3) - Albany, NY** **Division of ... Bureau of Exchange Application Support, performing activities related to Medicaid expansion and eligibility initiatives, including consumer complaint processing and… more
    Staffing Solutions Organization (07/18/25)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) - Albany, NY** **Division of ... Eligibility & Marketplace Integration (DEMI)** **Bureau of Program Compliance and Audit** **50% Onsite 50% Remote** **Duties:** The Bureau of Program Compliance… more
    Staffing Solutions Organization (07/18/25)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …to a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor in Albany, NY** Item 1148 50% Onsite / 50% ... Community Supports works to integrate health and human services within the Medicaid program . The bureau is composed of two units, Housing and Social Determinants… more
    Staffing Solutions Organization (06/27/25)
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  • National Medicaid Revenue Cycle…

    Genesis Healthcare (Philadelphia, PA)
    …measure learning progress *Serve as the liaison between Business Office Managers, Market Medicaid Advisor , Market Floating Medicaid Specialists, and the ... making a meaningful impact in the communities we serve. Responsibilities The National Medicaid Eligibility Advisor is the subject matter expert on Revenue Cycle… more
    Genesis Healthcare (06/25/25)
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  • Medical Director- Medicare and Medicaid

    Elevance Health (Costa Mesa, CA)
    **Medical Director- Medicare and Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... Director** will be responsible for utilization review case management for Medicare and Medicaid in the California market while also assisting in the Washington … more
    Elevance Health (07/18/25)
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  • Medical Director - Medicaid (IL)

    CVS Health (Springfield, IL)
    …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California, Florida, Illinois, ... "Work from Home" position primarily supporting the Aetna Illinois Medicaid plan and the UM team; but part of...Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a… more
    CVS Health (06/27/25)
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  • Medical Director - Kentucky Medicaid

    CVS Health (Frankfort, KY)
    …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, California, Florida, Illinois, ... working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred Qualifications:**… more
    CVS Health (07/18/25)
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  • Departmental Specialist 13 - Medicaid

    State of Michigan (Lansing, MI)
    Departmental Specialist 13 - Medicaid and Aging Supports Section Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4996557) Apply  Departmental ... Specialist 13 - Medicaid and Aging Supports Section Salary $2,484.80 - $3,708.80...Grant, and Accounting offices; and serving as the technical advisor of financial/contractual operations for the Health Services Administration.… more
    State of Michigan (07/21/25)
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  • Behavioral Health Medical Director - Psychiatrist…

    Elevance Health (Indianapolis, IN)
    **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception ... The **Behavioral Health Medical Director** is responsible for reviewing cases for IN Medicaid members including child and substance use disorders, and all levels of… more
    Elevance Health (07/12/25)
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  • Strategy Advancement Advisor (Hide-SNP)

    Humana (Troy, MI)
    …role will report to the Plan Chief Executive Officer (CEO). The Strategy Advancement Advisor (HIDE-SNP Program Medicaid Liaison) will support Humana's Highly ... will act as a link between Humana, MDHHS, and Centers for Medicare & Medicaid Services (CMS). + Supports all priority health plan and care delivery integration… more
    Humana (07/12/25)
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  • Director Physician Advisor

    Catholic Health Services (Melville, NY)
    …the implementation of CM processes and policies, as well as the Physician Advisor role, activities and expectations. Collaborates with CM and CDI departments at the ... to Physician Advisors through annual performance evaluation. Monitors Physician Advisor performance dashboard with Key Performance Indicators (KPIs). Responsible for… more
    Catholic Health Services (06/27/25)
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