• Medicaid Managed Care Senior Associate

    Abt Global Inc. (Cambridge, MA)
    …Associate with deep policy and management consulting experience relevant to Medicaid Managed Care and managed care organization (MCO) monitoring and oversight. ... candidate will have roles on Centers for Medicare & Medicaid Services (CMS) funded projects and support business development...serve as a subject matter expert (SME) in Federal Medicaid , managed care, and managed care organizations (MCOs). **Core… more
    Abt Global Inc. (08/01/25)
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  • Senior Director Federal National Accounts…

    Teva Pharmaceuticals (Parsippany, NJ)
    Senior Director Federal National Accounts & Medicaid - Remote Date: Jul 23, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... the negotiation of Teva's biosimilar and brand portfolio products across State Medicaid and Federal National Accounts. The position is responsible for leading the… more
    Teva Pharmaceuticals (07/24/25)
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  • Strategy Advancement Advisor ( Medicaid )

    Humana (Pierre, SD)
    …Humana Healthy Horizons and prepares markets for upcoming bids for state Medicaid managed care programs. The Strategy Advancement Advisor works with Business ... state and local levels. The Strategy Advancement Advisor works closely with Medicaid Business Development and Proposal leaders to identify and determine strategies… more
    Humana (07/25/25)
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  • Legal Nurse/Medical Analyst: Medicaid Fraud…

    New York State Civil Service (Albany, NY)
    …No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6393) Occupational Category Legal Salary Grade NS ... State NY Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - AlbanyMedical AnalystReference No. MFCU_ALB_ MA_6393Salary is… more
    New York State Civil Service (06/13/25)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor, Albany NY** **DPDM - 1422** **50% Onsite / 50% Remote** ... a wide range of services and programs for children provided under the Medicaid program including the Children's Health Home program, the voluntary foster care… more
    Staffing Solutions Organization (06/11/25)
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  • Medicare/ Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and ... as necessary on all new and revised coding logic, related Medicare/ Medicaid policies for review/approval through the Payment Integrity governance process.… more
    Commonwealth Care Alliance (05/28/25)
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  • Medicaid Helpline Agent

    City of New York (New York, NY)
    …EXAM, WHEN IT BECOMES AVAILABLE, TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Medicaid Helpline provides information to New Yorkers on enrolling in Medicaid ... Yorkers who qualify enroll in public health insurance programs like Medicaid . The Helpline receives inquiries from providers, hospitals, client representatives,… more
    City of New York (05/14/25)
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  • Assistant Attorney General- Medicaid Fraud

    State of Georgia (Fulton County, GA)
    Assistant Attorney General- Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/67792/other-jobs-matching/location-only) Hot ... The Office of the Attorney General Department of Law Medicaid Fraud Division - Civil Litigation Assistant Attorney General...announcement will serve in the Legal section of our Medicaid Fraud Division. *To move forward in the recruiting… more
    State of Georgia (08/02/25)
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  • Medicaid Managed Care Senior…

    Abt Global Inc. (Durham, NC)
    …seeks an Associate with policy and management consulting experience relevant to Medicaid managed care monitoring and oversight. The successful candidate will have a ... role on a Centers for Medicare & Medicaid Services (CMS) funded project. The candidate enjoys working...and maintaining relationships with clients. The candidate will understand Medicaid managed care and the managed care organizations (MCOs)… more
    Abt Global Inc. (08/01/25)
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  • Medicaid Specialist

    Bear Mountain Health Care (MA)
    Are you a Nursing Home Medicaid EXPERT? Bear Mountain Healthcare is currently seeking a full time Medicaid Pending Specialist to assist in the completion of ... Medicaid applications, conversions, and reviews in various facilities in...in Massachusetts. Duties include: . Responsible for working Pending Medicaid applications and re-determinations in order to ensure financial… more
    Bear Mountain Health Care (07/14/25)
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