- Pair Team (Lathrop, CA)
- …Team At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled ... Those Who Need It The Most TechCrunch: Building for Medicaid 's regulatory moment with Neil Batlivala from Pair Team...are looking for a highly motivated full-time Lead Care Manager who is willing to think creatively and empathically… more
- CareStar, Inc. (Canton, OH)
- Case Manager - Stark & Surrounding Counties Company: CareStar, Inc. Location: Stark County, OH (and surrounding areas) Job Type: Full-Time | Remote with Field ... 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
- ADVANCE CARE ALLIANCE OF NY INC (Hauppauge, NY)
- …Job Category Nonprofit - Social Services Description Position Summary The Care Manager provides services within the Care Management programs, including Health Home ... 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
- Sentara Healthcare (Virginia Beach, VA)
- …(Days) Overview: Sentara Health Plans is hiring an Integrated Nurse Case Manager /RN for Severe Mental Illness, Severe Emotional Disturbance, Substance Use Disorder ... surrounding areas! The position requires both in-person face-to-face assessments and remote telephonic assessments members wit h Severe Mental Illness, Severe… more
- Sentara Healthcare (Virginia Beach, VA)
- …Shift First (Days) Overview: Sentara Health is hiring for a Liability Claims Manager ! Status: Full-Time, permanent position (40 hours) Standard working hours: 8 am ... in Virginia Beach, VA daily. Job responsibilities: The Liability Claims Manager 's primary responsibility is the administration of Sentara Healthcare's Automobile,… more
- Gateway Regional Medical Center (Granite City, IL)
- …responsible for reviewing and contacting patients for prior balances. Review insurance eligibility to make sure claims are sent to the appropriate payer. Monitoring ... and answers billing related inquiries. Completes other tasks as assigned by Manager . Specifics: - Position: Billing Specialist - Department: Gateway Medical Group… more
- Alliance For Better Health Care LLC (Glens Falls, NY)
- …is responsible for conducting health-related social needs (HRSN) screenings, eligibility assessments, and navigation activities for Medicaid Fee-for-Service ... of services - including food, housing, and transportation- to thousands of Medicaid Members. Transformative in nature, this novel Program will further sustain our… 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 ... POSSIBLE TO BE CONSIDERED.* The Idaho Department of Health and Welfare; Division of Medicaid is currently recruiting a Program Manager to oversee the Medicaid… more
- US Tech Solutions (Columbia, SC)
- …the largest IT projects. It is a multi-year effort to replace the aging Medicaid Eligibility Determination System and other member management applications with a ... **Location: Hybrid (3 days onsite, 2 days remote - Columbia SC 29201)** **Duration: 1 year contract...Legacy Systems team to ensure a smooth transition between Medicaid Eligibility Determination System (MEDS) and Cúram… more
- State of Michigan (Lansing, MI)
- ITM14 - Eligibility Reporting Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5017443) Apply ITM14 - Eligibility Reporting Salary $36.52 - ... $53.39 Hourly Location Lansing, MI Job Type Permanent Full Time Remote Employment Flexible/Hybrid Job Number 0801-25-21-207AM Department Technology, Management and… 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
