• Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor , Albany NY** **DPDM - 1422** **Summary** The ... a wide range of services and programs for children provided under the Medicaid program including the Children's Health Home program , the voluntary foster… more
    Staffing Solutions Organization (06/11/25)
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  • Healthcare Payment & Financing Innovation Senior…

    City of New York (New York, NY)
    …Services seeks to hire a Healthcare Payment & Financing Innovation Sr. Policy Advisor . This position will be responsible for designing and analyzing payment and ... related to Local Law 78 and its relationship to Medicaid , Medicaid Policy and Programming, and local,...hire a Healthcare Payment & Financing Innovation Sr. Policy Advisor . This position will be responsible for designing and… more
    City of New York (05/25/25)
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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 (06/04/25)
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  • Medical Director- Medicaid (ABH-LA)

    CVS Health (Baton Rouge, LA)
    …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, Florida, Illinois, Kentucky, ... working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred Qualifications:**… more
    CVS Health (06/18/25)
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  • Compliance Advisor III

    LA Care Health Plan (Los Angeles, CA)
    Compliance Advisor III Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... required to achieve that purpose. Job Summary The Compliance Advisor III ensures that the Plan's processes and operations...but not limited to, the Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care… more
    LA Care Health Plan (06/10/25)
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  • LTSS Medical Director- Kansas Medicaid

    Elevance Health (Topeka, KS)
    **LTSS Medical Director - Kansas Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities.… more
    Elevance Health (06/16/25)
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  • Compliance Advisor II

    LA Care Health Plan (Los Angeles, CA)
    Compliance Advisor II Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... support the safety net required to achieve that purpose. Job Summary The Compliance Advisor II ensures LA Care business units are compliant with all Product Lines'… more
    LA Care Health Plan (05/30/25)
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  • Financial Advisor

    Atria Wealth Solutions (Marion, IN)
    …relationship with CUSO Financial Services, LP (CFS) Via Credit Union is seeking a Financial Advisor to join their team in the Marion, IN area. Are you interested in ... a positive impact? Do you enjoy educating others? The Licensed Financial Advisor provides expertise on products and services to members and non-members regarding… more
    Atria Wealth Solutions (04/06/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …and plans they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor - Will promote and sale MAP and Medicare Line of Business, maintains relationships, ... will be responsible for educating and enrolling potential beneficiaries by explaining program benefits in a manner that is compliant with Center for Medicare… more
    Centers Plan for Healthy Living (04/15/25)
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  • Physician Advisor , Utilization…

    Sutter Health (Sacramento, CA)
    …Health! **Organization:** SHSO-Sutter Health System Office-Valley **Position Overview:** The Physician Advisor (PA) is a key member of the hospital's leadership team ... and the hospital to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician Advisor will work closely with the… more
    Sutter Health (06/12/25)
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  • Senior Lead Trust Advisor - Special Needs…

    Wells Fargo (Charlotte, NC)
    **About this role:** Wells Fargo is seeking a Senior Lead Trust Advisor - Special Needs Trust (Senior Lead Fiduciary Advisory Specialist (LO)) responsible for ... (COI), work with internal and external partners (ie care managers). The advisor offers knowledge of state and federal benefit programs, reviews fiduciary tax… more
    Wells Fargo (06/18/25)
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  • Social Work Care Advisor - IHCI

    Community Health Network (Indianapolis, IN)
    Social Work Care Advisor - IHCI Job Ref 2504380 Category Behavioral Health Job Family Social Worker Department Care Management CHNw Schedule Full-time Facility ... within a variety of population health and/or value-based care program settings preferred. - 2 years of knowledge of...escalates clinical care issues to the IHCI RN Care Advisor when indicated. Communicates with nursing staff or situation… more
    Community Health Network (06/21/25)
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  • Licensed Benefits Advisor (Bilingual…

    Centers Plan for Healthy Living (Brooklyn, NY)
    …plans they need for healthy living. JOB SUMMARY: The Licensed Benefits Advisor - Medicare Sales, maintains relationships, services our existing customers and secures ... will be responsible for educating and enrolling potential beneficiaries by explaining program benefits in a manner that is compliant with Center for Medicare… more
    Centers Plan for Healthy Living (04/15/25)
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  • Senior Policy Advisor , Bureau of Equitable…

    City of New York (New York, NY)
    …of Equitable Health Systems seeks to hire an entrepreneurial Senior Policy Advisor with demonstrated experience in healthcare policies. DUTIES WILL INCLUDE BUT NOT ... promote high-value care - Civil rights and non-discrimination in healthcare - Medicaid policy and strategy - Outstanding research, analytical, and writing skills,… more
    City of New York (05/14/25)
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  • Product Management Advisor - Express…

    The Cigna Group (Bloomfield, CT)
    **Overview** The Advisor Regulated Markets Audit Management role is responsible for coordinating the planning, execution and follow up for client and regulatory ... Legal and other stakeholders to respond to State, Center for Medicare and Medicaid Services (CMS) and Client audit requests. **Key accountabilities include (but not… more
    The Cigna Group (04/26/25)
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  • HCSC Account Management Sr. Advisor

    The Cigna Group (St. Louis, MO)
    …knowledge of the PBM industry and Government Regulated Programs such as Medicare, Medicaid , HCR + Knowledge of annual CMS bid process + Strong communication skills, ... We offer a highly competitive base salary and a comprehensive benefits program , including medical, prescription drug, dental, vision, 401(k) with company match, life… more
    The Cigna Group (06/18/25)
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  • Account Management (IC) Advisor - Hybrid…

    The Cigna Group (Morris Plains, NJ)
    …Account Executive manages the relationship with health plan clients with Commercial, Medicare, Medicaid , and health exchange plans. This position is the owner of the ... not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama,… more
    The Cigna Group (06/06/25)
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  • Sr Pharmacy Program Manager

    Point32Health (Canton, MA)
    …The Sr Pharmacy Program Manager functions as a senior project manager / advisor on strategic initiatives. The Sr Pharmacy Program Manager supports key ... our members, partners, colleagues and communities. **Job Summary** The Sr Pharmacy Program Manager supports the development and implementation of a mid to long-range… more
    Point32Health (06/05/25)
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  • Community Engagement & Growth Specialist (Hesperia…

    Molina Healthcare (Muscoy, CA)
    …is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: community health advisor , enrollment, Medicaid , Medicare, Medi-Cal, family advocate, health educator, ... "choice" rate. Works collaboratively with other key departments to increase Medicaid assignment percentage for Molina. + Responsible for achieving monthly,… more
    Molina Healthcare (04/23/25)
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  • Product Manager

    Staffing Solutions Organization (Albany, NY)
    …teams including internal and external customers, data engineers, analysts, developers, and Medicaid Program stakeholders to ensure the creation of high quality, ... product elements, vision and roadmap for data assets, in alignment with Program goals. c. Collaborate with key stakeholders to define and prioritize requirements,… more
    Staffing Solutions Organization (05/20/25)
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