• Lead Business Analyst - Managed Care…

    Molina Healthcare (Cleveland, OH)
    …and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical ... **JOB DESCRIPTION** **Job Summary** Provides lead level support for accurate and timely intake...financials. + Conducts industry research and engagement to evaluate, provide insights, and best practices as applicable. + Coordinates… more
    Molina Healthcare (11/21/25)
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  • Lead Embryologist

    Penn Medicine (Philadelphia, PA)
    …regulatory requirements impacting lab operations including AABB, CMS (Center for Medicare/ Medicaid Services ), DOH (Appropriate state Dept. of Health), DOH ... day. Are you living your life's work? **Job Title:** Lead Embryologist **Department:** OB-GYN IVF Lab **Location:** Fertility Lab...primary focus is to participate in daily operations and provide a competent skill set for all aspects of… more
    Penn Medicine (11/06/25)
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  • CHC Service Coordinator Nursing Facility-…

    UPMC (Pittsburgh, PA)
    …Counties and will require significant travel to multiple nursing facilities. The CHC Service Coordinator provides service coordination services across the ... care including use of benefits and community resources. + Lead the Person-Centered Service Planning (PCSP) process...in gaining access to needed LTSS and Medical Assistance services , as well as non- Medicaid funded medical,… more
    UPMC (11/19/25)
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  • Lead Data Scientist - Autonomous Goal…

    Humana (Oklahoma City, OK)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (10/03/25)
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  • Regional Business Office Consultant

    Diversicare Healthcare Services & Diversicare Ther (Birmingham, AL)
    …+ Ensuring Billing Notes are updated in AHT related to resident billing status ( Medicaid Pending status) + Provide assistance with identification of a residents' ... play a critical role in fostering an environment of Service Excellence, which we extend to all those we...advancement program - OnShift Wallet** Diversicare provides post-acute care services to patients and residents at 46 skilled nursing… more
    Diversicare Healthcare Services & Diversicare Ther (11/11/25)
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  • Community Engagement Lead

    Wider Circle (New Orleans, LA)
    Wider Circle is looking for a Community Engagement Lead in New Orleans to join our circle and play a vital role in running Connect for Life, our groundbreaking ... To learn more, visit widercircle.com. Responsibilities: Program Leadership: + Lead the Connect for Life program using our curriculum...ensuring they engage regularly and support one another. + Provide leadership to peers and assist your manager in… more
    Wider Circle (11/12/25)
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  • Inspector Specialist

    MyFlorida (Miami, FL)
    …the country and has an estimated $38 billion annual budget. Each month Florida Medicaid covers medical services for almost 4 million recipients. To effectively ... Administration Working Title: 68064701 - INSPECTOR SPECIALIST Pay Plan: Career Service Position Number: 68064701 Salary: $1,881.39 Biweekly Posting Closing Date:… more
    MyFlorida (11/20/25)
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  • Care Management Educator Lead PRN

    AdventHealth (Maitland, FL)
    …in Case Management (Preferred) + Familiarity with Center for Medicare and Medicaid Services Programs (Preferred) + Knowledge of Cerner NaviHealth; Suncare; ... **The role you'll contribute:** The Care Manager System Educator Lead (CMEL) is a care management professional who supports...within the care management team in the delivery of services to our patient population. The CMEL ensures Care… more
    AdventHealth (11/13/25)
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  • Physician Advisor Lead

    Nuvance Health (Danbury, CT)
    …with clinical documentation requirements * Working knowledge of Centers for Medicare and Medicaid Services rules and regulations, and interest in building this ... management of the physician advisor role within the organization. * Works to lead standardization of policy, procedure and approach to physician advisor roles in… more
    Nuvance Health (10/12/25)
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  • Business Analysis Product Management Excellent…

    COOLSOFT (Raleigh, NC)
    Medicaid Drug Rebate Program (MDRP) * Supports cross-functional activities that provide effective oversight of Medicaid Programs. * Collaborates and ... PBM Business Integration Specialist will serve as a member of the DHHS Medicaid Enterprise System (MES) Program within Pharmacy Business space. The PBM Business… more
    COOLSOFT (11/20/25)
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