• Medical Director - West…

    CVS Health (Charleston, WV)
    …do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout ... and the Southeast Region (FL, KY and LA). This Medical Director will be a "Work from...and Health Care Industry. - Active and current West Virginia state medical license without encumbrances as… more
    CVS Health (06/26/25)
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  • Medical Director - Medicaid

    CVS Health (Springfield, IL)
    …do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California,...Better Health Plan of Illinois. This UM (Utilization Management) Medical Director will be a "Work from… more
    CVS Health (06/27/25)
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  • Utilization Review Medical Director

    Integra Partners (Troy, MI)
    Position Summary + Integra Partners is seeking a full-time Utilization Review Medical Director to support our Utilization Management team. This is a salaried, ... Job Responsibilities: + Conducting timely clinical review of Durable Medical Equipment (DME) requests in alignment with Medicare/ Medicaid...Management Nurse will route the case to the UR Medical Director . The UR Medical more
    Integra Partners (06/07/25)
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  • Medical Director - Dsnp/MMP

    CVS Health (Tallahassee, FL)
    …resistant illnesses through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical ... oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare- Medicaid Plan) * Develop and lead clinical strategy and objectives for… more
    CVS Health (07/18/25)
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  • System Director Compliance

    Bon Secours Mercy Health (Cincinnati, OH)
    …and clinicians are recognized for clinical and operational excellence. **SYSTEM DIRECTOR , COMPLIANCE** **| Work From Home/Remote** **WFH/Remote anywhere in the US ... agency guidance including OCR, CMS, TJC, NIST, OIG, FTC, FDA, ONC, State Medicaid and/or other relevant state/federal agencies + Conduct audits and monitoring of… more
    Bon Secours Mercy Health (07/18/25)
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  • Child and Youth Intensive Behavioral Health…

    State of Colorado (Denver, CO)
    …07/22/2025 Department Department of Health Care Policy and Financing Division Medicaid & Behavioral Health Initiative & Coverage Office Opening Date 07/23/2025 ... Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health… more
    State of Colorado (07/24/25)
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  • CMS-64 Waiver Reporting Accountant

    State of Colorado (Denver, CO)
    …Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health ... Defined Contribution Plan, plus 401K and 457 plans + Medical (https://dhr.colorado.gov/state-employees/state-employee-benefits/ medical -benefits) , Dental (https://dhr.colorado.gov/state-employees/state-employee-benefits/dental-insurance) , and… more
    State of Colorado (07/15/25)
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  • County Administration Policy and Program Manager

    State of Colorado (Denver, CO)
    …Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health ... leaders, and other government officials and their representatives on issues concerning Medicaid , the Child Health Plan Plus, other state health programs and health… more
    State of Colorado (07/12/25)
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  • Case Management Training Specialist

    State of Colorado (Denver, CO)
    …Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health ... Defined Contribution Plan, plus 401K and 457 plans + Medical (https://dhr.colorado.gov/state-employees/state-employee-benefits/ medical -benefits) , Dental (https://dhr.colorado.gov/state-employees/state-employee-benefits/dental-insurance) , and… more
    State of Colorado (07/23/25)
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  • Provider Field Representative Work Lead

    State of Colorado (Denver, CO)
    …UHA04587_07.2025 Department Department of Health Care Policy and Financing Division Medicaid Operations Office Opening Date 07/23/2025 Closing Date 7/31/2025 11:59 ... Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health… more
    State of Colorado (07/24/25)
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  • Member Contact Center Call Agent

    State of Colorado (Denver, CO)
    …UHA04543_07.2025 Department Department of Health Care Policy and Financing Division Medicaid Operations Office Opening Date 07/22/2025 Closing Date 7/30/2025 11:59 ... Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health… more
    State of Colorado (07/23/25)
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  • Social Worker (Full-Time)

    Goodwin Living (Bailey's Crossroads, VA)
    …annually recognized as one of the top 100 employers for interns by the Top Virginia Employers for Intern Awards. These honors are based entirely on feedback from our ... social and emotional needs which may be related to medical conditions. The position will also provide back up...meeting and other meetings at the direction of the Director of Social Work. + Coordinates services and referrals… more
    Goodwin Living (07/11/25)
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  • Program Manager - Day Support Services for Adults…

    Service Source (Lorton, VA)
    …active engagement, recreation, and vocational training, as well as a variety of medical and behavioral supports at all levels of intensity. ServiceSource has been ... career pathways ({Program Manager >> Sr. Program Manager/ Division Manager >> Director )) + Tuition reimbursement and professional development funds available. + $500… more
    Service Source (06/06/25)
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  • Family Safety Practitioner II -Adult Services

    Fairfax County Sheriff's Office (Fairfax, VA)
    …older adults and adults with disabilities. + Assesses functional eligibility for Medicaid long term care services, conducts assessments and monitors the provision of ... the agency's responsibilities related to advocacy, protection, and wellbeing, the division director may move or reassign this position's related work duties and… more
    Fairfax County Sheriff's Office (07/23/25)
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  • Manager, Enterprise PB Coding - Coder and Provider…

    University of Virginia (Charlottesville, VA)
    …PB Coding education team supporting physicians, other healthcare providers, and medical coders employed by UVA Health on coding practices, documentation guidelines, ... support the overall operational goals of the department and institution. + Assist Director with development of annual budget. + Design, develop and execute standard… more
    University of Virginia (05/31/25)
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