- Staffing Solutions Organization (Albany, NY)
- …reflection of our clients and the people they serve. ** Medicaid Program Manager 2 in Albany, NY** **Division of Eligibility & Marketplace Integration ... of Division Support (BDS)** **Hybrid - 50% Onsite 50% Remote ** **Summary:** This position is located in the Bureau...for the development and introduction of a new, modern Medicaid eligibility and enrollment system to support… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : This Behavioral Health Care Manager will support the Maryland Dual Eligible Special Needs Plan (MD DSNP). Under minimal ... supervision, the Care Manager researches and analyzes a member's medical and behavioral...or other direct patient care experience. Previous experience with Medicaid , Medicare Advantage and/or DSNP patient populations with multiple… more
- MyFlorida (Tallahassee, FL)
- 68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER Date: Oct 20, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... Administration Working Title: 68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER Pay Plan: SES Position Number: 68046114 Salary: $2,033.07 - $5,670.80… more
- Aveanna Healthcare (Oklahoma City, OK)
- Patient Access Supervisor ( REMOTE ) ApplyRefer a FriendBack Job Details Requisition #: 208761 Location: Oklahoma City, OK 73108 Category: OT Salary: $55,000.00 - ... Savings Plan with Employer Match, Employee Stock Purchase Plan, and 100% Remote Opportunity! Essential Job Functions * Manage the patient insurance authorization and… more
- Sanford Health (SD)
- …to the work of health and healing across our broad footprint.** **Facility:** Remote SD (Central Time) **Location:** Remote , SD **Address:** **Shift:** Day **Job ... Representative processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement. Must… more
- Huron Consulting Group (Van Buren, AR)
- …interpret and apply clinical guidelines including Centers for Medicare and Medicaid , Federal Drug Administration, National Comprehensive Cancer Network. + Highly ... to no errors. + Intermediate Excel competency + This is a full time US- REMOTE role. This salaried position may require working additional hours at times, depending… more
- WellSense (Manchester, NH)
- Clinical Care Manager WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, ... Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...no matter their circumstances. **Job Summary** The Clinical Care Manager provides holistic medical care management services for members… more
- NTT America, Inc. (San Juan, PR)
- …of this RFP. + Minimum of two (2) years of experience in Medicaid eligibility processes, including policy, determinations, and enrollment. + Bachelor's degree ... organization, apply now. We are currently seeking a Account Manager to join our team in San Juan, Puerto...to the Puerto Rican population. + Strong knowledge of Medicaid eligibility processes, including policy, determinations, and… more
- Insight Global (Mayfield Heights, OH)
- …* Managed Care Organization/MCO experience with payers like Medicare/ Medicaid /Dual Eligibility /D-SNP/Marketplace/Tricare and understanding of CMS guidelines ... preparation and execution of User Acceptance Testing * Assist the project manager in developing the requirements phase plan and develop the requirements management… more
- Molina Healthcare (Las Cruces, NM)
- …+ Manages the daily process of member exceptions from state eligibility file and takes appropriate action to ensure members are properly ... submission of deliverables to Molina Healthcare Government Contract and to State Medicaid Agencies. + Tracking all contractual related tasks to completion. + Monitor… more
- Amgen (Indianapolis, IN)
- …and transform the lives of patients while transforming your career. **Field Reimbursement Manager - Indianapolis, IN** **What you will do** Let's do this. Let's ... 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
- Humana (Detroit, MI)
- …of our caring community and help us put health first** The Field Care Manager , Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and...How we value you! + **Competitive Pay** , **including eligibility for annual performance-based bonus** + **$5,000 sign-on bonus**… more
- Centene Corporation (Austin, TX)
- …benefits including a fresh perspective on workplace flexibility. **_**Fully Remote Opportunity**_** **_The ideal candidate will have:_** + **_Knowledge of ... Dual contract requirements (eg, Medicare- Medicaid plans)_** + **_Experience managing external audits and communicating...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- NTT DATA North America (Albany, NY)
- …and Project Director to manage activities in support of the Continuing Medicaid Eligibility Modernization effort. **Job Responsibilities Include:** + Managing, ... apply now. We are currently seeking a Senior Project Manager to join our team in Albany, New York...program information and status across multiple audiences, including the Medicaid executive leadership, project teams, vendors, and stakeholders +… more
- LIFEPlan CCO NY (Clifton Park, NY)
- **CARE MANAGER HIRING EVENT** ONSITE INTERVIEWS** CLIFTON PARK - 11/5, 11AM - 6PM Job Details Level Experienced Job Location Clifton Park - Clifton Park, NY Position ... for passionate individuals to join our team of Care Manager - the heart of our mission. As a...any billable service documentation. + Maintain the member's continued eligibility for care management through the completion of an… more
- AmeriHealth Caritas (Washington, DC)
- …is consistent with claim payment methodologies. + Maintains familiarity with State Medicaid fee schedules and analyzes comparable Plan pricing guidelines. + Resolves ... for facilitating the department on system upgrades, regulatory directives (ie, Medicaid Bulletins, etc.) and assigned corporate initiatives. + Monitors capitation,… more
- State of Michigan (MI)
- Physician Manager 20 - Medical Director Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4848644) Apply Physician Manager 20 - Medical ... enjoy better lives. Many State of Michigan jobs offer alternate work schedules and remote -work options that can help give the flexibility you need. The State of… more
- Northern Rivers Family Services (Schenectady, NY)
- Child Health Home Care Manager Job Details Job Location Schenectady-Genium-PCFC - Schenectady, NY Position Type Full Time Salary Range $23.00 - $23.00 Hourly Travel ... Over 50% Description As a Children's Health Home Care Manager , you will engage youth and families through outreach...a hybrid model. Work will involve a combination of remote , office, and community-based settings. Local travel and personal… more
- Centene Corporation (Jefferson City, MO)
- …workplace flexibility. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. **Position Purpose:** Manage ... across the entire company + Ensure all Medicare and Medicaid product and services are being tested for compliance...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- State of Michigan (Lansing, MI)
- …Biweekly Location Lansing, MI Job Type Permanent Full Time Remote Employment Flexible/Hybrid Job Number 3901-26-HSA-MCMCS-033-FILL Department Health and Human ... Health and Human Services (DHHS) and the Comprehensive Health Care Plan's licensed Medicaid Health Plans and/or Healthy Kids Dental Plans and/or Healthy Kids Dental… more
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