• Senior Network Provider Manager, National…

    CVS Health (Raleigh, NC)
    …skills. + Ability to identify and capitalize on opportunities to support program delivery . + Strong communication skills (written, verbal and presentation). ... And we do it all with heart, each and every day. **The Medicaid Senior Manager, Network Management:** + Negotiates, executes, conducts high level review and… more
    CVS Health (10/11/25)
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  • Senior Value-Based Programs Professional

    Humana (Raleigh, NC)
    …help us put health first** The Value Based Market Support Senior Professional is responsible for providing comprehensive market support across assigned markets to ... ensure Value-Based Program (VBP) contract requirements and market objectives are achieved....Responsible for end to end market support for assigned Medicaid markets to ensure markets achieve their VBP contract… more
    Humana (10/16/25)
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  • CFSP Young Adult in Transition Coordinator-DSS…

    Elevance Health (NC)
    …Collaboratives and other related forums critical issues and concerns regarding service delivery for Medicaid -enrolled young adults, serving as an active ... _We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young… more
    Elevance Health (10/16/25)
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  • Senior Associate Benefits Professional

    Humana (Raleigh, NC)
    …community and help us put health first** The Senior Associate Benefits Professional applies forward-looking, innovative thought to strategy, design and delivery ... an employer-of-choice in the present and future. The Senior Associate Benefits Professional work assignments involve moderately complex to complex issues where the… more
    Humana (10/11/25)
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  • CFSP Director Substance Use Disorder Programs…

    Elevance Health (Fayetteville, NC)
    …We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... needs are met and ensures compliance with state/federal health plan requirements, Medicaid guidelines and health plan requirements. **How you will make an impact:**… more
    Elevance Health (09/05/25)
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  • Manager I Care Management (Swain/Graham/Clay/Macon…

    Elevance Health (Sylva, NC)
    …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... but are not limited to: + Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all tasks and job responsibilities.… more
    Elevance Health (10/11/25)
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  • Clinical Care Advisor - Complex Medical Healthy…

    Elevance Health (Hickory, NC)
    …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... role with the field care managers for the CFSP program with the advisors supporting the care managers with...is strongly preferred.. + Prior experience in managing the delivery of services to meet the needs of children… more
    Elevance Health (09/10/25)
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  • IDD Specialty Care Manager Lead

    Elevance Health (Goldsboro, NC)
    …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... role with the field care managers for the CFSP program with the advisors supporting the care managers with...LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states… more
    Elevance Health (09/17/25)
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  • Licensed Clinical Care Advisor, SUD/Recovery (DSS…

    Elevance Health (New Bern, NC)
    …_We are partnering with_ **_North Carolina DHHS_** _to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, ... case for members with complex SUD/Recovery/BH needs for the Foster Care program . Manages overall healthcare costs for the designated population via integrated… more
    Elevance Health (10/11/25)
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  • Lead Placement Support Specialist

    Elevance Health (NC)
    …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... contribute to the continuous improvement of the foster care program . + Develops comprehensive care plan to address objectives...is strongly preferred. + Prior experience in managing the delivery of services to meet the needs of children… more
    Elevance Health (09/13/25)
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