• Meqc & Perm Team Lead

    State of Montana (Helena, MT)
    Medicaid Quality Control (MEQC) and Payment Error Rate Measurement (PERM) Team Lead is responsible for assisting with the development , training, and ... is responsible for working with the State CHIP and Medicaid Program staff to revise procedures to address errors....data. * Meet minimum qualifications: o Bachelor's degree in business , human services or related degree. o Two years'… more
    State of Montana (05/21/25)
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  • Application Support Specialist Lead

    AmeriHealth Caritas (West Chester, PA)
    …testing, and validation of automation techniques to consistently improve technology and business processes in the production environment. + Lead team members ... software support preferred. + Knowledge/experience with government market lines of business ( Medicaid , Medicare) is preferred. + Some knowledge/ experience… more
    AmeriHealth Caritas (05/01/25)
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  • Business Development Representative

    Elara Caring (Hempstead, NY)
    …in the Right Place. **Job Description:** **Exciting Career Opportunity: Business Development Representative** **Nassau/Suffolk County** Full-Time | Monday-Friday ... over 60,000 patients each day, we are an industry leader in providing high-quality home healthcare services. We're on...mission to make healthcare more accessible, and as a ** Business Development Representative** , you'll play a… more
    Elara Caring (05/21/25)
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  • LTSS Director - Planning & Strategy Lead

    Elevance Health (Independence, OH)
    Job Description **LTSS Director - Planning & Strategy Lead ** **(** **Strategy & Prog Dev Dir** **ector)** **_Preferred Location: Ohio. This position is hybrid and ... supports, and psychosocial needs._ The **LTSS Director - Planning & Strategy Lead ** is responsible for providing strategic leadership and oversight for the… more
    Elevance Health (05/22/25)
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  • Lead Advanced Practice Professional…

    Atlantic Health System (Morristown, NJ)
    …+ Official Health Care Partner of the New York Jets + NJ Sustainable Business Morristown Medical Center is a nationally-recognized leader in cardiology and heart ... Atlantic Health System is Seeking a Full-Time Lead Advanced Practice Professional (NP/PA) for Neurocritical Care in Morristown Atlantic Health System, one of New… more
    Atlantic Health System (04/03/25)
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  • CEO, Aetna Better Health of North Carolina

    CVS Health (Raleigh, NC)
    …profiles of the beneficiaries served under the contract. + Planning for upcoming RFP's and lead the team with business development to be successful in ... Officer has the responsibility for growing and leading the Medicaid business in North Carolina. These responsibilities...closely with State Agency on strategies to improve and lead in market share across the statewide Medicaid more
    CVS Health (05/16/25)
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  • Lead Digital Product Manager - CenterWell…

    Humana (Montpelier, VT)
    …The Product Manager must be a self-started to understand digital, customer, and business requirements where they can lead and manage change, remove roadblocks, ... a part of our caring community and help us put health first** The Lead Product Manager conceives of, develops, delivers, and manages products for customer use. The… more
    Humana (05/22/25)
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  • Lead Network Engineer

    Humana (Richmond, VA)
    …where necessary. + Research and recommend new technologies and solutions to meet business needs. + Technology roadmap development , management, and maintenance. + ... development of operational KPIs and metrics. + Disaster recovery/ business continuity integration. + Continuous knowledge and skills improvement + Responsibility… more
    Humana (04/02/25)
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  • Lead Community Resource Center

    LA Care Health Plan (Los Angeles, CA)
    …processes to connect non-member cases to the appropriate external resources. The lead will monitor and assess the planning, development , implementation, and ... Lead Community Resource Center Job Category: Customer Service...bridges members to appropriate resources. Monitors implementation of child development activities and programs to support children development more
    LA Care Health Plan (04/26/25)
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  • Government Programs Regulatory Reporting…

    Sanford Health (IA)
    …and data exchange of the government programs - Medicare Advantage, ACA, and Medicaid , in support of business objectives. Works collaboratively with operational ... in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members...in advance. **Job Summary** The Government Programs Regulatory Reporting Lead will serve as the subject matter expert for… more
    Sanford Health (05/01/25)
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