- UnitedHealth Group (Los Angeles, CA)
- …simply do not exist in any other organization, anywhere. The Account Manager Pharmacist / Clinical Consultant will lead and manage ongoing contract relationships ... a licensed pharmacist Clinical account management experience Experience working with Medicaid plans Experience working with complex Health Plan clients with complex… more
- DEVELOPMENTAL PATHWAYS (Aurora, CO)
- … Manager - Active will complete assessments to determine eligibility for services/supports and identify individual strengths, needs, concerns, and preferences ... Developmental Pathways (DP) has an opportunity for a Case Manager - Active in our Case Management Department. The...time off and holiday pay Flexible work schedule Monthly remote work stipend 401(k) investment plan, with an employer… more
- ADVANCE CARE ALLIANCE OF NY INC (Brooklyn, NY)
- …Job Shift Day Job Category Nonprofit - Social Services Description The Care Manager provides services within the Care Management programs, including Health Home Care ... position may support Willowbrook Class Members. The core responsibility of the Care Manager is to oversee and coordinate access to services for people with… more
- CareStar, Inc. (Wapakoneta, OH)
- Case Manager - Auglaize & Surrounding Counties Company: CareStar, Inc. Location: Auglaize County, OH (and surrounding areas) Job Type: Full-Time | Remote with ... about helping others live healthier, more independent lives. As a Case Manager , you'll work directly with individuals to assess their needs, develop personalized… more
- DFR (Indianapolis, IN)
- …responsible for completing and coaching TPRs for the Knowledge Services Local Office Eligibility Specialist (ES) Staff. The TPR Analyst will be accountable to the ... Knowledge Services DFR Program QA Manager in ensuring accurate and consistent TPRs. This position...ensuring accurate and consistent TPRs. This position is a remote position requiring the ability to work independently and… more
- Kitsap County, WA (Port Orchard, WA)
- …Location : Port Orchard, WA Job Type: Full Time (40 hrs/wk) Remote Employment: Flexible/Hybrid Department: Human Services Opening Date: 06/27/2025 Closing Date: ... Services has an exciting opportunity for a Children's Care Manager and Systems Coordinator to join our team. Our...million, including State Funding, Federal Grants and Apple Health Medicaid . Find out more about us at: QUALIFICATIONS FOR… more
- The Villages Health (The Villages, FL)
- Please note this is not a remote position. About The Villages Health The Villages Health is a patient-centered primary care driven, multi-specialty medical group ... PTO & Paid Holidays | The Villages Charter School Eligibility | & much more! Hiring Event Please bring...The Credentialing Coordinator works closely with the Revenue Cycle Manager and Clinician Recruiter in maintaining network integrity and… more
- Northern Rivers Family of Services (Albany, NY)
- …Travel Percentage Over 50% Description As a Children's Health Home Care Manager , you will engage youth and families through outreach activities until enrollment ... a hybrid model. Work will involve a combination of remote , office, and community-based settings. Local travel and personal...services to children with low and medium acuities. Care Manager will provide the required one or two services… more
- Centene Corporation (Cheyenne, WY)
- …to competitive benefits including a fresh perspective on workplace flexibility. ** Eligibility Requirement:** To qualify for the Manager , Actuarial Services ... Medicaid health plan in Washington State** . The Manager , Actuarial Services is responsible for leading actuarial functions...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Idaho Division of Human Resources (Boise, ID)
- Medicaid Deputy Administrator - MED Posting Begin Date: 2025/07/10 Posting End Date: 2025/07/31 Category: Administration Work Type: Full Time Remote : Flexible ... of Human Resources and the Idaho Personnel Commission. The Division of Medicaid has an exciting career opportunity or a dynamic forward-thinking, innovative… more
- University of Rochester (Rochester, NY)
- …Work or Business Administration and 1 - 2 years related experience such as a Medicaid Eligibility Examiner or Medicaid Eligibility Supervisor; + or ... Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States...This role may have the option to work a Hybrid- remote schedule and communicates daily through virtual meetings. **ESSENTIONAL… more
- CVS Health (Oklahoma City, OK)
- …clinical quality and effective use of health care resources. **This is a remote -based (work from home) role.** In this role as Medical Director (Behavioral Health), ... as a psychiatrist. * Experience with managed care, as a provider and manager of care utilization review or physician advisor experience. * Child/Adolescent Board… more
- Molina Healthcare (Everett, WA)
- …collaborator responsible for operation projects and programs involving enrollment and eligibility + Works with cross-functional teams and IT and business subject ... needs, support to other business units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends and provides… more
- CVS Health (Albany, NY)
- …Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you will collaborate with members, the ... coordinating care for our members through close collaboration with the Care Manager , Social Worker, and other interdisciplinary team members. This role involves… more
- Cognizant (Phoenix, AZ)
- …have expertise in Adobe Analytics Engineering Adobe Analytics Reporting Adobe Audience Manager and Adobe Target. The candidate should also have domain experience in ... Medicare & Medicaid Claims Claims and Payer. This is a hybrid...using Adobe Analytics Engineering Adobe Analytics Reporting Adobe Audience Manager and Adobe Target. + Oversee the development and… more
- Robert Half Management Resources (Burbank, CA)
- …healthcare organization, is seeking an experienced Medicaid Enrollment & Eligibility Consultant for a fully remote , contract-based opportunity. This role ... will play a key part in evaluating and optimizing Medicaid enrollment and eligibility operations, ensuring compliance,...+ Ability to work independently in a fast-paced, fully remote environment. Robert Half is the world's first and… more
- Humana (Hallandale Beach, FL)
- …needs and requirements to achieve and/or maintain optimal wellness state in a remote telephonic environment. The Behavioral Health Care Manager guides members ... in this position, you will be required to confirm eligibility to participate in the DoD SkillBridge Internship and/or...up to 11 weeks. The Telephonic Behavioral Health Care Manager Intern will utilize Humana's Medicaid training… more
- Idaho Division of Human Resources (ID)
- …in a government, policy, compliance or regulatory affairs role. + Expertise in Medicaid eligibility or other major health and human service program development ... Program Manager - MED Posting Begin Date: 2025/07/16 Posting...Date: 2025/08/13 Category: Program Management Work Type: Full Time Remote : Flexible Hybrid Location: Statewide, ID, United States Minimum… more
- American Heart Association (Dallas, TX)
- …through Medicaid Section 1115 demonstration waivers. The Program Implementation Manager will serve as the implementation lead providing logistical support for ... American Heart Association has an excellent opportunity for a **Program Implementation Manager , Public Health** for the **Health Care by Food Initiative** with our… more
- Amgen (New York, NY)
- …us and transform the lives of patients while transforming your career. **Field Reimbursement Manager - New York** **What you will do** Let's do this. Let's change ... the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified...products are covered under the benefit design (Commercial, Medicare, Medicaid ) + Serve as a payer expert for defined… more
