• Program Manager - MED

    Idaho Division of Human Resources (ID)
    …POSSIBLE TO BE CONSIDERED.* The Idaho Department of Health and Welfare; Division of Medicaid is currently recruiting a Program Manager to oversee the Contracts ... Program Manager - MED Posting Begin Date: 2025/07/16 Posting End Date: 2025/08/13 Category: Program Management Work Type: Full Time Remote: Flexible Hybrid Location:… more
    Idaho Division of Human Resources (07/16/25)
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  • Case Manager Registered Nurse - Field…

    CVS Health (Lansing, MI)
    …can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... connect with teams virtually + Ability to travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as… more
    CVS Health (08/02/25)
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  • Account Manager - Bilingual- Healthcare…

    FlexStaff (Bronx, NY)
    **Req Number** 161647 FlexStaff is seeking a Bi-lingual Spanish Account Manager for our client, a non-profit healthcare organization providing home and ... the elderly. This role involves travel throughout the greater NYC metropolitan area and the ideal candidate will have healthcare business development experience. +… more
    FlexStaff (06/20/25)
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  • Sr Manager - Clinical Health Services…

    CVS Health (Phoenix, AZ)
    …and implements key performance indicator reports to effectively measure work area progress against established goals and objectives. + Collaborates with management ... home + One must live in the greater Phonix area as one must attend audits and leadership meetings...experience + 2+ years working with either Medicare or Medicaid + Advanced knowledge of problem solving and decision… more
    CVS Health (08/02/25)
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  • Associate Manager , Clinical Health…

    CVS Health (Columbus, OH)
    …to successfully achieve the financial, operational, and quality objectives of the work area . + Functions as a key resource to healthcare members for governmental, ... (COBRA), Emergency Medical Treatment & Labor Act (EMTALA), and Medicaid acts and regulations. + Assists in implementing and...fully versed on ongoing as well as new work area policies, procedures, and expectations. **For this role you… more
    CVS Health (07/30/25)
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  • Manager Enrollment and Billing

    Healthfirst (FL)
    …on memberships, data integrity and address discrepancies related to member eligibility and enrollment. + Manage premium billing cycles, invoice generation, and ... identify, assess and address key risks within the operational area including the identification of business processes that do...of NY lines of business such as Medicare NY, Medicaid , Child Health Plus, QHP, EP, HARP + Bachelor's… more
    Healthfirst (07/30/25)
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  • Manager , Provider Relations

    Centene Corporation (New York, NY)
    …and assisting with contracting activities + Manage the staff in contracting area including work flow, training and communication standards + Manage day-to-day ... Experience with state and federal health programs such as Medicaid and Medicare. Provider relations/contracting experience including solid communication and… more
    Centene Corporation (07/27/25)
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  • Program Manager - NCQA (Hybrid)

    CareFirst (Baltimore, MD)
    …**_We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The ... Degree + Project Management Professional Certification (PMP) Experience with Medicaid Experience with Medicare preferred **Knowledge, Skills and Abilities (KSAs)**… more
    CareFirst (07/18/25)
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  • Patient Access Specialist- Outpatient Program

    Helio Health Inc. (Rochester, NY)
    …insurance companies to work claim denials. + Prepares weekly and monthly reports of Medicaid billing for the Manager of Revenue Cycle Management and Medical ... produce cash receipts. + Review other methods of payment such as third-party and Medicaid . + Assist patients with Medicaid applications, obtain patient ID, rent… more
    Helio Health Inc. (08/01/25)
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  • Senior Clerk

    MyFlorida (Santa Rosa Beach, FL)
    …and reports. Verifies income and information for completeness and accuracy. Verifies Medicaid eligibility using various system and other insurance portals. ... Support work unit and is under the direct supervision of the Office Operations Manager II - SES. The incumbent in this position will provide leadership to others… more
    MyFlorida (07/31/25)
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