• Alternate Solutions Health Network LLC (Columbus, OH)
    …patients like they are our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention ... (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers. Based on this regulation, all of...the order sets and goals created by the Case Manager . Interacting with patients' families while caring for your… more
    JobGet (04/18/24)
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  • Novo Nordisk Inc. (Montclair, CA)
    …current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I also interacts and ... of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy,… more
    HireLifeScience (04/27/24)
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  • Alternate Solutions Health Network LLC (Fairfax, VA)
    …patients like they are our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention ... (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers. Based on this regulation, all of our employees must be fully vaccinated or… more
    JobGet (04/28/24)
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  • Alternate Solutions Health Network LLC (Fairfax, VA)
    …patients like they are our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for Disease Control and Prevention ... (CDC), require COVID-19 vaccinations for all Medicare and Medicaid certified providers. Based on this regulation, all of...build your nest egg even faster. Finally, our benefit program includes company paid life, disability insurance, and a… more
    JobGet (04/26/24)
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  • Medicaid Program Manager 1--A…

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    Medicaid Program Manager 1--A ( Medicaid Benefits Manager ) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4469504) Apply  ... Medicaid Program Manager 1--A ( Medicaid Benefits Manager ) Salary $4,784.00 - $9,381.00 Monthly Location Baton Rouge, LA Job Type Classified Job Number… more
    Louisiana Department of State Civil Service (04/15/24)
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  • Medicaid Program Manager

    Public Consulting Group (Albany, NY)
    **Overview** ** Medicaid Program Manager 1306** One Commerce Plaza, Albany, 99 Washington Ave, Albany, New York, United States of America Staffing Solutions ... is a reflection of our clients and the people they serve **Responsibilities** ** Medicaid Program Manager - Item 1306** DDSA **:** BEDG Bureau of Enterprise… more
    Public Consulting Group (04/16/24)
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  • Retrospective Program Manager

    CVS Health (Hartford, CT)
    …team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment ... to revenue integrity excellence. This position will contribute to Medicaid RAF performance through the delivery of measurable and...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (04/06/24)
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  • Compliance Program Manager III,…

    Point32Health (Canton, MA)
    …with Medicaid laws and regulations governing federal and state contracts for Medicaid products. The Program Manager will be expected to proactively ... we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Program Manager is responsible for key departmental functions related… more
    Point32Health (03/29/24)
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  • EPO LTC Support - Coordinator 2

    Louisiana Department of State Civil Service (Opelousas, LA)
    …services. Monitors and evaluates service delivery and staff performance. * Supports the LDH Medicaid Program Manager 1A - LTC in performing position duties. ... evaluate successful implementation of procedures, and shares this information with Eligibility Program & Field Operations and Medicaid Policy Section management… more
    Louisiana Department of State Civil Service (02/03/24)
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  • Provider Engagement Manager

    CVS Health (Northbrook, IL)
    …the Aetna Better Health Plans. Reporting to the Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement , the Manager will work closely ... with cross-functional leadership across the Medicaid business to establish and champion local market culture...hospitals; attends JOC meetings; Support engagement managers and RN program managers. + Assist with implementation of VBCs and/or… more
    CVS Health (04/06/24)
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  • Actuarial Services Manager

    CareOregon (Portland, OR)
    …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Actuarial Services Manager - Medicaid and Medicare Exemption Status Exempt Department Finance ... position is responsible for managing actuarial analysis related to Medicaid and Medicare Advantage lines of business with a...a supervisory position with completion of CareOregon's Aspiring Leaders Program + Fellow of the Society of Actuaries +… more
    CareOregon (02/16/24)
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  • Medicaid Program Integrity Reporting…

    Iowa Department of Administrative Services (Des Moines, IA)
    Medicaid Program Integrity Reporting & Coding Oversight Officer Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4483704) Apply  Medicaid ... is responsible to ensure the integrity of the Iowa Medicaid program , as it applies to payments...of full-time experience. Graduation from the Iowa Certified Public Manager Program is also equivalent to one… more
    Iowa Department of Administrative Services (04/26/24)
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  • Medicaid /CHIP Data Processing Assistant…

    Serco (Washington, DC)
    …team in supporting CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance ... experience and subject matter expertise in claims data processing review for the Medicaid and Children's Health Insurance Program . **_Hybrid or full-time remote… more
    Serco (04/17/24)
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  • Medicaid /CHIP Data Processing Review…

    Serco (Washington, DC)
    …team in supporting CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance ... experience and subject matter expertise in claims data processing review for the Medicaid and Children's Health Insurance Program . **_Hybrid or full-time remote… more
    Serco (04/17/24)
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  • Transportation Covered Services - Coordinator 2

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …manage the auditing process for the Transportation Department within the Medicaid program . * Assist the program manager with resolving programmatic ... and reviewing Transportation benefits and policies. * Assist the program manager with policy development by researching...manager with policy development by researching other state Medicaid program benefits and policies. * Assist… more
    Louisiana Department of State Civil Service (04/03/24)
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  • Senior Manager , Delivery Medicaid

    Conduent (Baton Rouge, LA)
    …where individuality is noticed and valued every day. **Job Description:** **Senior** ** Manager , Delivery** _(Position is ON-SITE in_ _Baton Rouge LA_ _)_ **Are you ... leading a team?** **About the Role** As a Senior Manager -Delivery, you will manage the performance and success of...the performance and success of an approx 90 person Medicaid Long Term Care and Call Center team of… more
    Conduent (04/13/24)
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  • Medicaid Associated Provider Recruitment…

    University of Utah (Salt Lake City, UT)
    Details **Open Date** 12/05/2023 **Requisition Number** PRN37099B **Job Title** Manager , Administrative **Working Title** Medicaid Associated Provider ... other related events to support the growth of UUSOD Medicaid programs. 4. Demonstrates excellent communication, interpersonal, organizational, and...addressed by the incumbent who will refer to the manager for issues outside of program policy… more
    University of Utah (02/10/24)
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  • Bilingual Community Health Engagement Area…

    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...vital role in running Connect for Life, our groundbreaking program that connects neighbors for better health, empowering them… more
    Wider Circle (03/10/24)
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  • Medicaid /CHIP Payment Error Cycle…

    Serco (Washington, DC)
    …improper payment rate by using the latest improper payment rates from each state Medicaid program and CHIP from the most current cycle and the previous ... team in supporting CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance … more
    Serco (04/17/24)
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  • Medicaid Eligibility Specialist

    City of New York (New York, NY)
    …WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term ... the Assisted Living Program , Care at Home Program and Homebound Medicaid . The Medicaid...duties, housing office teller duties, purchasing agent, assistant store manager , sales representative responsible for accounts, or customer service… more
    City of New York (04/20/24)
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