• MMIS Medicaid Project Management Experience…

    COOLSOFT (Raleigh, NC)
    MMIS Medicaid Project Management Experience Specialist (Jobs in Raleigh, NC) Requirement id 156257 Job title Specialist Job location in Raleigh, NC Skills required ... MMIS, State Government Experience., Medicaid , Project Management Experience Open Date 09-Dec-2025 Close Date Job type Contract Duration 9 Months Compensation DOE… more
    COOLSOFT (12/10/25)
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  • Customer Care Associate - Medicaid Call…

    Conduent (Topeka, KS)
    …Skills or Knowledge:** + Minimum of six (6) months' experience in Family Medical Medicaid eligibility + Knowledge of Medicaid and managed care programs + ... Bilingual Spanish/English with the ability to speak and read both languages fluently. + Strong computer skills with the ability to maneuver in complex software systems + MS Office, Outlook, and Internet usage experience + Active listening skills + Customer… more
    Conduent (12/10/25)
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  • Administrative Law Judge II / General Services…

    State of Colorado (Denver, CO)
    …Law Judge II / General Services or Medicaid - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5163552) Apply  Administrative ... Law Judge II / General Services or Medicaid - Hybrid Salary $91,272.00 - $121,770.00 Annually Location...Workers' Comp Unit and one position is for the Medicaid Unit. This position exists to preside over and… more
    State of Colorado (12/10/25)
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  • Medical Director - Medicaid (remote)

    Humana (Baton Rouge, LA)
    …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
    Humana (12/07/25)
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  • Medicaid Eligibility Delivery Director

    Cognizant (Little Rock, AR)
    **About the role** **Schedule:** M-F **Traveling Required:** 40% As a Medicaid Eligibility Delivery Director, you will make an impact by overseeing access, ... experience. + Minimum of ten (10) years of experience in state Medicaid and Medicare eligibility, enrollment operations, health plan administration, or regulatory… more
    Cognizant (12/03/25)
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  • Actuary, Medicaid Trend Analytics and Data…

    Humana (Columbus, OH)
    …caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness ... in identification of cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. The Actuary, Analytics/Forecasting ensures data integrity by… more
    Humana (11/20/25)
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  • Senior Risk Adjustment Analyst- Medicaid

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk score calculation, submissions, enrollment,… more
    CareFirst (09/26/25)
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  • North Carolina Medicaid Account Manager…

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

    MVP Health Care (Schenectady, NY)
    …improvement. To achieve this, we're looking for an **Associate, Bilingual Medicaid - Member Service Representative** to join #TeamMVP. This is the opportunity ... customers in every interaction **Your key responsibilities:** + The Associate, Medicaid Member Service Representative is responsible for providing optimum customer… more
    MVP Health Care (12/12/25)
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  • Behavioral Health Medical Director - Psychiatrist…

    Elevance Health (Indianapolis, IN)
    **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception ... The **Behavioral Health Medical Director** is responsible for reviewing cases for IN Medicaid members including child and substance use disorders, and all levels of… more
    Elevance Health (12/05/25)
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