- 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
- 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
- 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
- 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
- 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
- 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
- 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 an ... 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. **ESSENTIAL… 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
- Marshfield Clinic (Minocqua, WI)
- …most exciting missions in the world!** **Job Title:** Authorization Specialist ( Remote in Wisconsin & Michigan) **Cost Center:** 101651135 Insurance Verification ... benefits before it can be administered; this involves verifying patient eligibility , contacting insurance companies to obtain authorization, and managing the process… 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
- BD (Becton, Dickinson and Company) (Warwick, RI)
- …self. Become a **maker of possible** with us. **Job Overview:** The **Senior Manager - Payer Relations, Market Access (PRMA)** is a very important customer-facing ... (PRS) platform, within BD's Surgery business unit. The Senior Manager is required to establish new or revise existing...key technologies with regional commercial health plans, and State Medicaid Agencies + Work cross functionally with key account… more
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