- Novo Nordisk Inc. (Montclair, CA)
- …who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity, ... Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I...interacts and collaborates on a regular basis with other field -based employees covering the same geographic areas, particularly the… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …applied Agile experience, applied Scrum Master experience, and expertise in some/all the following: Medicaid - MMIS - MECT - Health care - Data warehouse - ... Certification reimbursement Open PTO policy Join us! WHO WE ARE HIRING: PROJECT MANAGER - PMP - Remote POSITION DESCRIPTION: HHS Technology Group is excited about… more
- Automated Health Systems (East Providence, RI)
- …and training delivery experience.Knowledge of health insurance programs, Rhode Island Medicaid , Managed Care , eligibility, and low-income populations.Ability to ... management professional to join its team in East Providence, RI. As a Training Manager , you will support and lead training cycle initiatives for a state-wide contact… more
- Mindlance (Rochester, NY)
- …or home health setting Long Term Support Services ( LTSS ) or Managed Long-Term Care ( MLTC ) UAS field RN experience preferred. Essential Responsibilities / ... governmental agencies (eg Client/CPS) as needed, and any suspected/possible Medicaid fraud to the Special Investigations Unit (SIU) or...Term Support Services ( LTSS ) or Managed Long-Term Care ( MLTC ) UAS field RN… more
- Benchmark Human Services (Marion, IN)
- …and providing proper documentation. Communicates professionally with families, Case Manager , Behavioral Consultant, health care personnel, schools, landlords, ... needs and required maintenance of the client's home. Assists client in maintaining Medicaid eligibility by scheduling and attending all Medicaid appointments… more
- Alternate Solutions Health Network LLC (Fairfax, VA)
- …anything of concern to manager . Monitor Home Health Aide supervisory visits.Patient Care : Work in the field with staff and patients as needed.Customer ... people are what set us apart from other post-acute care providers. We're dedicated to the growth and development...our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Manager , Medicaid Compliance to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... Health Care Corporation, is an organization with a culture of...Compliance Team and manages day-to-day activities under the Plan's Medicaid Programs' compliance plan. The Manager , … more
- Humana (Indianapolis, IN)
- …member PHI / HIPAA information. **Preferred Qualifications** + Previous experience working in a managed care field . + Previous experience in a field based or ... first** Humana Healthy Horizons in Indiana is seeking a Manager , Care Coordination to lead teams of...Combination remote work at home with travel to support Care Coordinators in the field at member's… more
- EssilorLuxottica (Mason, OH)
- Manager - Business Data ( Medicaid Reporting) Date: Apr 7, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 816990 ... the way employers and their employees think about vision care . We want them to see life to the...America's fastest growing vision benefits company. **GENERAL FUNCTION** The Manager of Medicaid Reporting is responsible for… more
- Serco (Washington, DC)
- …eligibility reviews, medical reviews, and data processing reviews, of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims; and ... other legally protected characteristics. Click here to apply now (https://careers-sercous.icims.com/jobs/63795/ medicaid -chip-data-processing-review- manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834477830) **New to Serco?** Join our Talent… more
- Wider Circle (Baltimore, MD)
- …Circle's Area Manager will be responsible for implementing and managing Medicaid programs as outlined by the Implementation and Leadership teams - including ... Wider Circle is looking for a Bilingual Area Manager in Baltimore to join our circle and...and management within a healthcare setting (health plan, managed care organization, etc.) + Volunteer experience + Medicaid… more
- Molina Healthcare (Glen Allen, VA)
- …be licensed for the state of VIRGINIA. Manager will support a team of field Nurse Case Managers supporting our Medicaid program We are looking for someone ... Health and Long-Term Services & Supports for Molina members. Oversees Interdisciplinary Care Team meetings. + Functions as hands-on manager responsible for… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …. Special Requirements: Preference given to candidates with: Bachelor's degree in health care field ; CMS ICD-10 and DRG coding experience; Coding Certification, ... In addition, this position will provide oversight of the Medicaid Managed Care Plans (MCPs) Program Integrity...four-year college or university with a degree in any field , and experience equal to four years of full-timeprofessional-level… more
- Douglas County (Roseburg, OR)
- Case Manager - OPI- Medicaid Print (https://www.governmentjobs.com/careers/douglasor/jobs/newprint/4425772) Apply Case Manager - OPI- Medicaid Salary ... support, back-up coverage to senior services coordinators in delivery of information, care , health promotion and other nutrition and supportive services to senior… more
- CVS Health (Albany, NY)
- …with the primary area being the Bronx. Work closely with one, or more, Medicaid licensed home care agencies, hospitals, community organizations or other member ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Molina Healthcare (Virginia Beach, VA)
- …work in remote and field setting supporting our SMI population, within our Medicaid Population with. Case Manager will be required to physically go to ... Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they...productivity is important. TRAVEL (20% or less) in the field to do member visits in the surrounding areas… more
- Serco (Washington, DC)
- …eligibility reviews, medical reviews, and data processing reviews, of selected state Medicaid and CHIP fee-for-services (FFS) and managed care claims; and ... information submission burden. **Competencies** + Knowledge and expertise in managed care claims, third-party liability, Medicaid waiver programs, and/or… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...Qualifications** + Bachelor's Degree in health or business related field + Prior health insurance claims experience + Demonstrated… more
- CVS Health (Phoenix, AZ)
- …solicit feedback for continuous improvement. Required Qualifications * 2+ years of experience in Medicaid or Health Care * 2+ years of experience in project ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- Elevance Health (Atlanta, GA)
- …a check, or ask you for payment as part of consideration for employment. ** Medicaid Whole Health Domain Director** + Job Family: MED > Healthcare Role (Non-Licensed) ... Reference: JR113409 **Location:** + GA, ATLANTA + IN, INDIANAPOLIS **Description** ** Medicaid Whole Health Domain Director** **Location:** This position will work a… more
