- The Computer Merchant, LTD. (West Mclean, VA)
- JOB TITLE: Project Manager JOB LOCATION: Remote WAGE RANGE*: $47.61 - 59.52 JOB NUMBER: REMT000101 REQUIRED EXPERIENCE: Bachelor's degree required; Master's degree ... toward certification. Preferred Qualifications Experience with healthcare delivery systems, Medicaid /Medicare programs, or government contracts strongly preferred. Developing strong… more
- NHS Management (Prattville, AL)
- …as well as associated experience, then apply with your CV below. Regional Case Manager - Covers Luverne, Georgiana, Ozark, Opp, Florala, Mobile $15k Sign on Bonus ... experience required NHS is seeking an experienced Regional Case Manager /MDS Consultant to add to our team of leaders....skills and a comprehensive understanding of the MDS software program Must have significant experience in nursing assessment and… more
- Unknown (Shrewsbury, MA)
- …Consulting Type Educational Institution Founded 1999 Employees 501-1000 Specialties Medicaid Real Property Asset Verification Public Retirement System Medical Board ... Reviews Managed & Accountable Care Technical Assistance Eligibility Determination Program Integrity Pharmacy Pipeline Impact Analysis Third Party Liability &… more
- Unknown (Gages Lake, IL)
- …Additionally, the CSBO will serve as the district's treasurer, manage the district's Medicaid reimbursement program , and be a key member of the district's ... and fulfill other duties as assigned by the district Superintendent. Hiring Manager Title Superintendent Travel Percent Less than 10% Functions Finance Operations more
- Unknown (CA)
- …and grants. Experience in healthcare finance, particularly in the areas of Medicaid , Medicare, and private insurance billing, is essential. Applicants for the CFO ... will also be involved in the oversight of the 340B pharmacy program , ensuring compliance with regulations and managing financial relationships. Strong leadership,… more
- Unknown (Madison, WI)
- …for the development, implementation, and oversight of a robust compliance and privacy program , with a focus on ensuring adherence to federal and state regulatory ... compliance and privacy, including experience in areas such as Medicare and Medicaid billing, anti-kickback, fraud and abuse, and managed care compliance. The ideal… more
- Unknown (Rancho Cucamonga, CA)
- …Health Care Health Diagnostics Hospital Specialties hmo healthcare insurance managed care medicaid medi-cal and medicare About the Role The Company is seeking a ... revenue, managing financial risk, enhancing provider engagement, and overseeing audits and program integrity. The role demands a visible, influential leader with the… more
- Insight Global (Woonsocket, RI)
- Job Description Insight Global is seeking a Project Delivery Program Manager for a large health insurance client of ours. This resource will be responsible for ... leading a migration related to a Medicaid member portal. We are a company committed to...migrations/integrations * Rally + JIRA experience * Experience in Medicaid or Medicare * Risk Management, Budget Management, Clarity… more
- CVS Health (Annapolis, MD)
- … Manager of Claims Management is responsible for overseeing Medicaid claims operations, inventory management, quality assurance, and compliance monitoring. This ... role ensures timely and accurate processing of Medicaid claims in accordance with state and federal regulations, contractual requirements, and organizational… more
- NTT DATA North America (Montgomery, AL)
- …The Project Manager will work under the direct leadership of the PMO Program Manager . + Primary point of contact for vendor/cohort + Responsible for the ... forward-thinking organization, apply now. We are currently seeking a Medicaid Project Manager - PMP Certified to...Assist with the development, maintenance, and execution of the Program Management Plan and Integrated Project Plans + Monitor… more
- CVS Health (Hartford, CT)
- …and every day. **Position Summary** Aetna is recruiting for a Manger on the Medicaid VBC Analytics team to support VBC partnerships throughout Aetna's Medicaid ... growth and operationalization of effective value based contracts across Aetna's Medicaid plans. Responsibilities may include: Querying and analysis of complex… more
- CVS Health (Annapolis, MD)
- …and regulatory requirements. + Medicaid Network Management experience, preferably Maryland Medicaid program . + Residing within the state of Maryland highly ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- CVS Health (Frankfort, KY)
- …every day. **Position Summary** Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health ... experience in a provider contracting or provider relations role, Medicaid and/or behavioral health experience preferred. + Proven working...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Prime Therapeutics (Trenton, NJ)
- …Come build the future of pharmacy with us. **Job Posting Title** Georgia Medicaid Clinical Account Manager - Remote **Job Description** Innovative business ... with pharmacy department or designated customer contacts. + Directs operations account manager in resolving customer service issues and actions supportive of the… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 2, 2026 Location: Parsippany, United States, 07054 Company: Teva Pharmaceuticals Job Id: 64915 **Who we are** Together, we're on a ... people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid ... analyzes and documentation on assigned states/programs. Communicate to manager for key findings and changes to state programs.… more
- New York State Civil Service (Syracuse, NY)
- …legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers, ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- CVS Health (Lansing, MI)
- …completes State/HSAG PIP templates for submission. + Assists Senior Quality Manager and Director with coordination and implementation of interventions to increase ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our… more
- CVS Health (Baton Rouge, LA)
- …with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical professionals to ensure ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our… more
- NTT DATA North America (Montgomery, AL)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery, Alabama (US-AL), United ... cycle of assigned projects. The focus will be the Medicaid Claims Processing System. The Senior BA will support...the future CPMS takeover project working with the Project Manager , client and vendor development team to build out… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... and provides outreach services to patients requiring public benefits including Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
