• Mental Health Case Manager

    Wheeler Clinic (New Britain, CT)
    …are required. LOCATION New Britain and Hartford, CT will be the catchment area for this position SCHEDULE Full time EMPLOYEE BENEFITS At Wheeler, we're committed ... records in accordance with documentation timelines and in compliance with Medicaid , licensing and other regulatory requirements/agencies as defined by program.… more
    Wheeler Clinic (10/10/25)
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  • LTSS Service Care Manager - Behavioral…

    Centene Corporation (Austin, TX)
    …**Hybrid/Remote - Seeking candidates residing near the Wichita Falls, TX area or surrounding counties.** **Position Purpose:** Develops, assesses and coordinates ... and personal assistance/social services, and providing patient advocacy and education to Medicaid members * Experience in FIELD-BASED Social Worker or Case Managers… more
    Centene Corporation (10/05/25)
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  • Associate Manager Clinical Health Services…

    CVS Health (IL)
    …and development of high performing teams. Works closely with functional area managers to ensure consistency in clinical interventions supporting our members. ... with clinical staff as needed **Preferred** **Qualifications:** - Managed Medicare/ Medicaid experience preferred. - Previous leadership experience strongly preferred.… more
    CVS Health (10/03/25)
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  • Senior Field Reimbursement Manager - Mid…

    Gilead Sciences, Inc. (Richmond, VA)
    …unnecessary delays._ **_This is a field-based role supporting the Virginia and Raleigh, NC area : candidates must be able to travel 50% of the time with overnights ... pharmacy benefits, specialty payer landscape, and reimbursement pathways (commercial, Medicare, Medicaid )._ + _An understanding of local and state policy changes'… more
    Gilead Sciences, Inc. (09/30/25)
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  • Clinical Reimbursement Manager , RN…

    Genesis Healthcare (CO)
    …with some travel to the centers in NM. Within a defined geographic area , the Clinical Reimbursement Lead models the MDS process and capability standards providing ... professional license (ie Physical Therapist) *Must have Medicare and State-specific Medicaid experience (as applicable). *Must be willing to travel as this… more
    Genesis Healthcare (09/24/25)
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  • Manager , Provider Performance

    Centene Corporation (Queens, NY)
    …Experience with state and federal health programs such as Medicaid and Medicare. Provider relations/contracting experience including solid communication and ... negotiation skills. Previous experience as a lead in a functional area , managing cross functional teams on large scale projects or supervisory experience including… more
    Centene Corporation (09/24/25)
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  • Sr Growth & Community Engagement Spc, Albq

    Molina Healthcare (NM)
    …a dynamic **Community Engagement & Growth Sr Specialist** in/near the **Albuquerque** area **.** **Bilingual, Spanish speaking is a plus** This role will help ... membership growth and retention for Molina Healthcare of New Mexico Medicaid . + Build and maintain relationships with community-based organizations and healthcare… more
    Molina Healthcare (09/28/25)
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  • Patient Access Specialist

    Helio Health Inc. (Syracuse, NY)
    …insurance companies to work claim denials. + Prepares weekly and monthly reports of Medicaid billing for the Manager of Revenue Cycle Management and Medical ... Review other methods of payment such as third-party and Medicaid . + Assist patients with Medicaid applications,...of patients. Ensure patients are directed to the appropriate area after they have checked in. + Initiate cash… more
    Helio Health Inc. (10/09/25)
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  • Community Connector CHW or LPN (Cleveland or Akron…

    Molina Healthcare (Akron, OH)
    …of Ohio** is hiring for a **Community Connector** in the Cleveland or Akron area . Candidates must High have either a Community Health Worker (CHW) certification or ... you will also work on telephonic population health initiatives such as supporting Medicaid members that have a waiver, making outreach to Medicaid members… more
    Molina Healthcare (09/14/25)
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  • Social Worker II - Framingham/Marlborough- Growing…

    Fallon Health (Worcester, MA)
    …direction to bachelors level social workers as assigned by Social Work Manager . Patients in the Framingham/Marlborough area . **Responsibilities** **Primary job ... In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and… more
    Fallon Health (07/16/25)
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