• Manager , Care Management

    Humana (Frankfort, KY)
    **Become a part of our caring community and help us put health first** The Manager , Care Management leads our HumanaBeginnings maternity team focusing on ... optimal health outcomes and reduce high risk pregnancies. The Manager , Care Management works within...Oversees the assessment and evaluation of pre and post-partum Medicaid enrollees' needs and requirements to achieve and/or maintain… more
    Humana (04/15/25)
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  • Case Manager , Medicaid Long Term…

    MVP Health Care (Rochester, NY)
    Case Manager , Medicaid Long Term Support Program 625 State St, Schenectady, NY 12305, USA * Rochester, NY, USA * Tarrytown, NY, USA Req #2302 Friday, December ... improvement. To achieve this, we're looking for a **Case Manager , Medicaid Long Term Support Program** to...of an integrated utilization management and case management model that includes assessment, planning, implementation, care more
    MVP Health Care (03/04/25)
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  • RN Care Manager Priority Health…

    Corewell Health (Grand Rapids, MI)
    ** Priority Health Case and Disease Management is seeking RN for Medicaid Care Managment. Experience with Medicaid is preferred. ** About Priority Health ... - State of Michigan Upon Hire required + Case Manager , Certified (CCM) - CCMC Commission for Case ...E Beltline - Grand Rapids Department Name PH - Care Management - Medicaid Employment… more
    Corewell Health (04/16/25)
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  • Program Manager , Medicaid Product…

    UPMC (Pittsburgh, PA)
    The Program Manager , Medicaid Product Planning, will develop, implement, and oversee initiatives for UPMC for You's Medicaid Product Planning department to ... and ensure that established targets are met. The Program Manager will report to the Director, Medicaid ...organization. Strongly Preferred: A minimum of 5 years of Medicaid Managed Care experience **Licensure, Certifications, and… more
    UPMC (04/17/25)
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  • Medicaid Quality Management Product…

    Iowa Department of Administrative Services (Des Moines, IA)
    Medicaid Quality Management Product Owner Print...will be given to candidates who have experience with Medicaid , Managed Care , Long Term Supports and ... (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4901739) Apply  Medicaid Quality Management Product Owner Salary $67,350.40 - $104,187.20 Annually Location… more
    Iowa Department of Administrative Services (04/09/25)
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  • Senior Manager , Medicaid Revenue…

    CVS Health (Boise, ID)
    …heart, each and every day. **Position Summary** Reporting to the Lead Director of Medicaid Revenue Integrity, the Senior Manager will work closely with various ... and member engagement. In support of the Revenue Integrity Medicaid Performance Management Office (PMO) this position...with other key business areas, internally and externally. The Medicaid Revenue Integrity Senior Manager will play… more
    CVS Health (04/03/25)
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  • Medicaid Contract Enforcement/Resolution…

    Elevance Health (Las Vegas, NV)
    …Las Vegas.** **HOURS** **: General business hours, Monday through Friday.** The Medicaid Contract/Implementation Management Manager ( Medicaid ... Mgmt Mgr) is an individual contributor role responsible for guiding Medicaid State/Alliance objectives established by Health Plan leadership to meet business… more
    Elevance Health (04/16/25)
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  • Medicaid Eligibility Specialist

    City of New York (New York, NY)
    …EXAM WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long ... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid ....- Complete the required case action utilizing the Welfare Management System (WMS) and various external program applications, such… more
    City of New York (02/12/25)
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  • Legal Nurse/Medical Analyst: Medicaid Fraud…

    New York State Civil Service (New York, NY)
    …abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management , MDS 3.0 Resident Assessment, and/or managed care ; * Prior experience ... and * Knowledge of state and federal rules and regulations related to health care , particularly the Medicaid program. Additional Comments The salary for this… more
    New York State Civil Service (02/12/25)
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  • RFP Development Director, Medicaid Clinical…

    Elevance Health (Nashville, TN)
    …strategies, population health and whole health clinical approaches and experiences. - Medicaid Managed Care business development experience such as proposal ... The Medicaid Growth Office is looking to hire a...persuasiveness of the responses within each RFP. + Risk Management and Delivery Facilitation: Monitor, evaluate, and escalate risks… more
    Elevance Health (04/01/25)
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