• Lead- Medicaid Customer Success

    CenterWell (Raleigh, NC)
    …of our caring community and help us put health first** The Lead - Medicaid Customer Success oversees strategy and operations for multiple Medicaid markets. This ... contracts, as well as to identify opportunities and implement program improvements to enhance our member and customer experience....affairs teams, sales teams define overall strategy for each Medicaid state + Work with market partners to perform… more
    CenterWell (08/08/25)
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  • Manager I Care Management (DSS Region…

    Elevance Health (NC)
    …_We are partnering with_ **_North Carolina DHHS_** _to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, ... in safe, stable, and nurturing homes._ **North Carolina residency is required!** **$ 3 ,500 SIGN ON BONUS** **LOCATION** **:** The territory for this position is… more
    Elevance Health (08/08/25)
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  • Foster Care Adoption Manager (Region…

    Elevance Health (Winston Salem, NC)
    …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... stable, and nurturing homes._ The **CFSP Foster Care/Adoption Care Manager ** is responsible for the overall management of the...within the scope of position in the NC CFSP Program , as required by applicable state law and contract.… more
    Elevance Health (06/29/25)
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  • Program Consultant-DSS Region 3 &4

    Elevance Health (NC)
    …in safe, stable, and nurturing homes._ _\#HealthyBlueCareTogetherCFSP_ **SIGN ON BONUS-$2,000** ** Program Consultant-DSS Region 3 &4** **Location:** This is a ... partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants,...a BA/BS in a related field and minimum of 3 years experience in external client facing program more
    Elevance Health (08/02/25)
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  • Manager , Special Investigation

    CVS Health (Raleigh, NC)
    …leadership experience + A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / ... lost funds, and to comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred. Leads a team in the planning and execution of… more
    CVS Health (08/01/25)
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  • Manager Rebate Pharmacy Operations

    Prime Therapeutics (Raleigh, NC)
    …compliance with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program . + Ensures compliance with each State ... and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position...and regulations as they pertain to rebate processing and Medicaid Drug Rebate Program . + Ability to… more
    Prime Therapeutics (08/08/25)
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  • Senior Manager , Network Management,…

    CVS Health (Raleigh, NC)
    …Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level reviews and ... yourself and others) skills **Required Qualifications** * Commercial, Medicare, and/or Medicaid knowledge * 5+ years related experience, proven and proficient… more
    CVS Health (07/19/25)
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  • Patient Financial Counselor

    HCA Healthcare (Asheville, NC)
    …for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3 % to 9% of pay (based on years of service) + Employee Stock Purchase Plan ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
    HCA Healthcare (06/21/25)
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  • Delegated Care Management Monitors (Special…

    Elevance Health (Hickory, NC)
    **Special Program Case Manager II** _We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid ... you will work virtually from your home. The **Special Program Case Manager II** is responsible for...contract with Healthy Blue. Partners may include AMH Tier 3 's, Certified Care Management Agencies, and Clinically Integrated Networks.… more
    Elevance Health (07/17/25)
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  • Clinical Care Advisor - Complex Medical Healthy…

    Elevance Health (Greenville, NC)
    …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... Gaston, Iredell, Lincoln, McDowell, Rutherford, Watauga, Wilkes. + Region 3 counties: Alamance, Caswell, Chatham, Davidson, Davie, Durham, Forsyth, Guilford,… more
    Elevance Health (08/08/25)
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