• Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) in Albany, NY** **Division of ... Eligibility & Marketplace Integration (DEMI) Executive Team** **50% Onsite / 50% Remote** **Summary:** The Medicaid Program Advisor will be part of an… more
    Staffing Solutions Organization (10/01/25)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) in Albany, NY** **Division of ... 50% Remote** **Duties:** + Apply knowledge and experience of Medicaid regulations, program policy, current system design...and integration with other systems to changes for the Medicaid Eligibility and Client Management system (MECM)… more
    Staffing Solutions Organization (10/07/25)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) in Albany, NY** **Division of ... and will move to a 50% Remote Schedule.** The Medicaid Program Advisor (level 2...Term Care and SSI-Related Populations, supporting state centralization of Medicaid eligibility determinations for the non-MAGI … more
    Staffing Solutions Organization (11/12/25)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor Level 2-3 in Albany, NY** **Division of ... would be involved in the administration of the assistor program for consumers eligible for Medicaid and/or...eligible for Medicaid and/or the Medicare Savings Program through an electronic eligibility system. Specific… more
    Staffing Solutions Organization (11/06/25)
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  • Medical Director - Medicaid (IL)

    CVS Health (Springfield, IL)
    …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California, Florida, Illinois, ... "Work from Home" position primarily supporting the Aetna Illinois Medicaid plan and the UM team; but part of...Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a… more
    CVS Health (11/09/25)
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  • Revenue Cycle Management Billing Configuration…

    Genesis Healthcare (PA)
    …and payer-specific trends; develop and execute corrective action plans. + Supervise Market Medicaid Advisor , Market Eligibility Advisor , Market Business ... Responsibilities Genesis HealthCare is seeking a **Market Revenue Cycle Advisor ** to lead and improve revenue cycle operations across...center teams on all payer types, with priority on Medicaid Pending and Private accounts. + Oversee and train… more
    Genesis Healthcare (11/05/25)
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  • Vice President, Population Health & Clinical…

    Centene Corporation (Columbus, OH)
    …may also include additional forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is committed ... clear metrics and accountability. + Serve as a trusted advisor on population health strategy as part of the...+ Build and maintain strong partnerships with the state Medicaid regulator to ensure compliance and program more
    Centene Corporation (09/18/25)
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  • Procurement Specialist 4

    Iowa Department of Administrative Services (Des Moines, IA)
    …Job Number 26-01205 Agency 400 Health & Human Services - Community Access Eligibility Division Health and Human Services - Community Access Eligibility Opening ... households who qualify for various programs, including SNAP, Cash Assistance, Medicaid , Hawki, State Supplementary Assistance, Refugee Cash and Medical Assistance,… more
    Iowa Department of Administrative Services (11/08/25)
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  • Bilingual Growth & Community Engagement Specialist…

    Molina Healthcare (Los Angeles, CA)
    …Employer (EOE) M/F/D/V. Key Words: health care, insurance, health insurance, Medicaid , Medicare, health coach, community health advisor , family advocate, ... Health Worker, Equity, DPBH, HMO, SDOH, ICF/DD, Cal Fresh, DHCS, Access Program , MCAP, eligibility , benefits, providers Same Posting Description for Internal… more
    Molina Healthcare (11/12/25)
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  • Director, Market Access Contract Operations - Job…

    Ascendis Pharma (Princeton, NJ)
    …Oversee the administration of rebate programs, including government rebates (eg, Medicaid , Medicare), managed care rebates, and commercial rebates. Ensure accurate ... access, finance, procurement, legal, and contracting partners. Serve as a trusted advisor on contracting and pricing matters, providing guidance and support as… more
    Ascendis Pharma (09/09/25)
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  • Senior Director, Financial Clearance-Patient…

    Mount Sinai Health System (New York, NY)
    …Surgery) + Registration (Clinic - New Registrations) + Insurance Verification and Eligibility Determination + Medicaid Eligibility and Enrollment + ... serves on the High-Risk Evaluation Committee and acts as a trusted advisor to: + Transfer Services Department + International Services Department + Rehabilitation… more
    Mount Sinai Health System (11/14/25)
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  • Pediatrician Faculty Physician

    Dignity Health (Phoenix, AZ)
    …and possibly family medicine). + May have roles as Core Faculty and Advisor , support and maintain residency program curricula. + Oversees, prepares and ... and needs of the comumnity. + Single practice. 60% Medicaid . Approximately 40% Private. + General pediatrics age 0-18...**Job Requirements** + MD or DO Degree + Board Certification/ Eligibility + Must have or be eligible for medical… more
    Dignity Health (09/27/25)
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  • Utilization Review Specialist Nurse (RN) | Case…

    Houston Methodist (Houston, TX)
    …continued stay, and resource use, appropriate level of care and program compliance. Identifies when services no longer meet evidence-based criteria, initiates ... to facilitate efficient use of resources and seeks assistance from the Physician Advisor when necessary. Informs management of the possible need for issuing Medical… more
    Houston Methodist (11/02/25)
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  • Case Manager - PRN

    Houston Methodist (The Woodlands, TX)
    …admission, continued stay and resource use, appropriate level of care and program compliance. Identifies when services no longer meet InterQual/Millman l criteria, ... case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need for issuing… more
    Houston Methodist (11/07/25)
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  • Case Manager Certified - Transition in Care

    Houston Methodist (The Woodlands, TX)
    …admission, continued stay and resource use, appropriate level of care and program compliance. Identifies when services no longer meet InterQual/Milliman l criteria, ... case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need for issuing… more
    Houston Methodist (10/11/25)
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  • Lead, Trade and Channel, Patient Services, Global…

    Chiesi (Boston, MA)
    …Trade and Channel Strategy, you will act as a thought-leader and trusted advisor on pipeline and inline product strategy by determining portfolio considerations and ... research efforts and manage external vendors for additional distribution program design. + Develop, issue and review request for...with government programs, such as the IRA, 340B, State Medicaid , and Medicare Part D. + Relevant experience with… more
    Chiesi (09/18/25)
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  • Accounting Internship, Healthcare Audit Fall

    Wipfli LLP (Spokane, WA)
    …especially related to assigned product line + Assist team with Medicare and Medicaid /Medi-cal Cost Report Reimbursement team! What You will Gain + Experience the ... Develop experience and skills to become a trusted business advisor for clients and associates + Gain hands-on experience...GPA; Preferred 3.0 GPA or higher + Working towards eligibility to sit for CPA exam upon graduation +… more
    Wipfli LLP (10/29/25)
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