• North Carolina Medicaid Account…

    Prime Therapeutics (Springfield, IL)
    …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The ... Senior Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
    Prime Therapeutics (09/23/25)
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  • Senior Manager , MarketPoint Sales

    Humana (Chicago, IL)
    …looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare ... motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a...the community through service, organizations, activities and volunteerism + Project management background or certification a plus + Bilingual… more
    Humana (09/29/25)
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  • Senior Manager , Audit and Business…

    CVS Health (Springfield, IL)
    …costs. **What you will do** + Acts as a top-level specialist on project management and develops a comprehensive plan that encompasses objectives, deliverables, and ... 7-10 years work experience in healthcare + Medicare and/or Medicare- Medicaid Integrated Product Experience + Experience with Part D...& D reporting requirements + 3+ years serving as project lead + Adept at problem solving and decision… more
    CVS Health (10/25/25)
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  • SOC and SOX Compliance Business Risk,…

    CVS Health (Springfield, IL)
    …Tracking Database audits + Support audits out of QNXT and PRMS to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as needed to ... and/or audit experience in SOC and SOX controls + 5+ years of project management experience + Health insurance industry + Strong communication, critical thinking,… more
    CVS Health (10/15/25)
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  • Senior Delivery Consultant

    Health Care Service Corporation (Chicago, IL)
    …experience + Health insurance or healthcare industry experience + Product Manager experience + Experience supervising project teams/personnel + Master's ... Summary** This role collaborates closely with cross-functional business stakeholders, project management, and technology partners to drive projects from business… more
    Health Care Service Corporation (10/15/25)
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  • Senior Specialist, Quality Interventions/QI…

    Molina Healthcare (Chicago, IL)
    …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to ... Compliance. + Acts as a lead specialist to provide project -, program-, and / or initiative-related direction and guidance...results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may… more
    Molina Healthcare (10/18/25)
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  • Senior Analyst, Actuarial- ADP (Actuarial…

    CVS Health (Chicago, IL)
    …the operational and financial performance evaluation across Aetna's Commercial and Medicaid Care Management programs to optimize the programs' performance, identify ... for building and maintaining staffing models that support the Commercial and Medicaid Care Management programs. Key responsibilities of this role include: + Build… more
    CVS Health (10/08/25)
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  • Sr Consultant

    Public Consulting Group (Springfield, IL)
    …understanding of Medicaid waivers. **Duties and Responsibilities** + Serves as project manager and subject matter expert within the practice including ... more, visit www.publicconsultinggroup.com . Summary: We are seeking a senior -level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant… more
    Public Consulting Group (10/23/25)
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  • Sr Growth & Community Engagement Spc (Must Reside…

    Molina Healthcare (Danville, IL)
    …promotion and advocacy. + Strong presentation skills and broad knowledge of Illinois Medicaid is helpful. **If you are passionate about community engagement and have ... Help us make a difference in the lives of Medicaid members in Illinois.** **KNOWLEDGE/SKILLS/ABILITIES** + Under limited supervision,...model. May also serve as the Acting Supervisor or Manager for the team upon management request. + Responsible… more
    Molina Healthcare (10/24/25)
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  • Lead Teradata Database Administrator

    DATAMAXIS (Springfield, IL)
    Leadership & Data Governance * Lead project work related to Teradata Database, system administration, and IT/data governance * Coordinate with teams, business ... (DDI) projects. * Lead the overall data management practice for the project . System Administration & Maintenance * Manage and maintain on-prem Teradata systems… more
    DATAMAXIS (09/18/25)
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