• Audit Reviewer

    City of New York (New York, NY)
    …Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the ... Medicaid eligibility review and processing of initial applications, change actions,...as an Audit Reviewer in the Home Care Contract Management Services Unit, who will: - Review audit reports… more
    City of New York (08/13/25)
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  • Management Analyst

    Centers for Medicare & Medicaid Services (Woodlawn, MD)
    …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation (CMMI), Executive ... Operations Staff (EOS). As a Management Analyst, GS-0343-13, you will provide technical advice and...of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at… more
    Centers for Medicare & Medicaid Services (09/10/25)
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  • Senior Compliance and Vendor Management

    Centene Corporation (Jefferson City, MO)
    …oversight and monitoring of government-sponsored healthcare programs. + Oversee the management of the entire contract lifecycle, from drafting to finalization, ... and accurate communication of state and federal regulatory updates impacting Medicaid and Marketplace regulatory filings in collaboration with market and product… more
    Centene Corporation (08/20/25)
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  • Senior Healthcare Program Specialist - Medicare…

    Staffing Solutions Organization (Albany, NY)
    …Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare ... (TPHI) and make the necessary determination regarding when and how to update eligibility and claims systems. + Take the appropriate actions regarding Medicaid more
    Staffing Solutions Organization (07/23/25)
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  • OCL Projects, PCSP Waiver Logic and Enrollment…

    State of Colorado (Denver, CO)
    …implement system, training, and process improvements to the provider module of the Medicaid Management Information System (MMIS + Approve escalated Home and ... Community Based Services (HCBS) providers and case management agencies' applications, ensuring compliance with Medicaid provider enrollment regulations. +… more
    State of Colorado (09/09/25)
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  • Executive Director, Data Analytics & Verification

    City of New York (New York, NY)
    …Revenue and Enforcement Administration (IREA), Office of Data Security Management (ODSM) and the Accountability Initiative and Change Monitoring (AICM). ... Executive Director, Data Analytics & Verification who will: - Oversee the management , administration, and operation of the office of Data Analytics and Verifivation.… more
    City of New York (08/13/25)
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  • Vendor Resource Management Team Lead

    HCA Healthcare (Nashville, TN)
    …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has over ... and integrity. We care like family! Jump-start your career as a Vendor Resource Management Team Lead today with Parallon. **This is a fully work from home… more
    HCA Healthcare (09/07/25)
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  • Vendor Resource Management Manager

    HCA Healthcare (Nashville, TN)
    …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has over ... is recognized. Submit your application for the opportunity below:Vendor Resource Management ManagerParallon **Benefits** Parallon offers a total rewards package that… more
    HCA Healthcare (08/23/25)
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  • Health Information Management Director

    HCA Healthcare (Weatherford, TX)
    …full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has over ... care like family! Jump-start your career as a(an) Health Information Management Director today with Medical City Weatherford. **Benefits** Medical City Weatherford… more
    HCA Healthcare (08/16/25)
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  • Analyst, Case Management - Field (Kankakee,…

    CVS Health (Springfield, IL)
    …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 ... in new markets across the country. **Position Summary/Mission:** The Analyst, Case Management utilizes critical thinking and judgment to collaborate and inform the… more
    CVS Health (08/15/25)
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