• Medicaid and State Government

    Public Consulting Group (Nashville, TN)
    …. Employee will be responsible for Medicaid , SNAP, WIC and other state government programs . They will be analyzing business requests, making ... + Experience with CMS, Medicaid , SNAP, WICK, and other state government programs **Supervisory Responsibility** + None **Working Conditions** + Remote… more
    Public Consulting Group (10/22/25)
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  • Principal, Medicaid Product Marketing

    Humana (Nashville, TN)
    …or related field. + 10+ years of experience in healthcare marketing, with a focus on Medicaid or government programs . + Deep understanding of Medicaid ... certification in Marketing, Communications or Business. + Experience working directly with state Medicaid agencies, managed care organizations (MCOs), or CMS. +… more
    Humana (10/20/25)
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  • Medicaid Eligibility Advocate

    HCA Healthcare (Carthage, TN)
    …+ Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Re-verifies benefits ... individual is recognized. Submit your application for the opportunity below: Medicaid Eligibility Advocate at Riverview Regional Medical Center **Benefits**… more
    HCA Healthcare (08/08/25)
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  • Actuarial Consultant with Medicaid

    Deloitte (Nashville, TN)
    …our people, ideas, technology and outcomes - is designed for impact. Serving federal, state , & local government clients as well as public higher education ... with progression to FSA, FSA, or career ASA designation + Experience providing Medicaid consulting services to Government agencies + Experience with Medicaid more
    Deloitte (10/10/25)
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  • North Carolina Medicaid Account Manager…

    Prime Therapeutics (Nashville, TN)
    …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... is responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and … more
    Prime Therapeutics (09/23/25)
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  • VP Government Programs - REMOTE

    Prime Therapeutics (Nashville, TN)
    …Qualifications** + Strong skills in developing comprehensive strategy to drive growth in government programs (Medicare and/or Managed Medicaid ) + Proven ... drives every decision we make. **Job Posting Title** VP Government Programs - REMOTE **Job Description** The...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
    Prime Therapeutics (10/08/25)
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  • Director, Federal Government Affairs

    WelbeHealth (Nashville, TN)
    …federal regulators and elected officials; experience at more than a single level of government (local, state , federal) preferred + Minimum of seven (7) years of ... care option to our most vulnerable senior population. The Director, Federal Government Affairs will lead a bold advocacy strategy to advance the WelbeHealth… more
    WelbeHealth (09/17/25)
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  • Audit & Reimbursement II (US)

    Elevance Health (Nashville, TN)
    … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs . The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
    Elevance Health (10/16/25)
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  • Audit & Reimbursement Senior - Appeals

    Elevance Health (Nashville, TN)
    … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs ._ The **Audit and Reimbursement ... Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of… more
    Elevance Health (10/14/25)
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  • Audit & Reimbursement III

    Elevance Health (Nashville, TN)
    … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs ._ The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
    Elevance Health (10/09/25)
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  • Sr Dir Pharmacy Trade Relations - Remote

    Prime Therapeutics (Nashville, TN)
    …This position is also responsible for the management of the Trade Client Strategy government programs team, which is responsible for the communication and pull ... Trade Relations is responsible for managing Prime's Trade Relations program (s) for medical and pharmacy formulary and market access...modeling and pull through execution activities. + Lead the government programs negotiator and client team. +… more
    Prime Therapeutics (08/08/25)
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  • OCM Consultant

    Public Consulting Group (Nashville, TN)
    …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
    Public Consulting Group (10/04/25)
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  • Financial Consultant

    Public Consulting Group (Nashville, TN)
    …better serve populations in need by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and ... and other tools. + Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid ,...strategies. + Ability to interpret and apply federal and state policy to financial planning and program more
    Public Consulting Group (09/13/25)
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  • Vendor Manager, Business Consultant (Aetna Dental)

    CVS Health (Nashville, TN)
    …vendor management experience (preferably benefit administrators)** **5+ years of experience in government programs ( Medicaid , Medicare)** **Adept at problem ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation… more
    CVS Health (10/15/25)
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  • Patient Disability Advocate

    HCA Healthcare (Nashville, TN)
    …role: + Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Obtain legally ... health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at… more
    HCA Healthcare (10/22/25)
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  • Software Engineer 2

    Humana (Nashville, TN)
    …help us put health first** The Software Engineer 2 within Humana Government Business codes software applications based on business requirements. The Software ... skills and teamwork abilities. + Successfully receive interim approval for government security clearance (NBIS- National Background Investigation Service) + Our… more
    Humana (10/22/25)
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  • Field Medical Director, Cardiology

    Evolent (Nashville, TN)
    …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... medical necessity guidelines, as well as other requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
    Evolent (10/01/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Nashville, TN)
    …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... + **This position is 100% Remote and can be completed from any state . Multiple opportunities for a flexible schedule and both part-time and full-time options… more
    Evolent (07/30/25)
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  • Field Medical Director- (MD/DO)

    Evolent (Nashville, TN)
    …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
    Evolent (09/26/25)
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  • Field Medical Director, Oncology

    Evolent (Nashville, TN)
    …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
    Evolent (08/19/25)
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