• Care Manager

    Centene Corporation (Oklahoma City, OK)
    …**We're currently hiring a Care Managers to join our Oklahoma Complete Health Medicaid team.** **Are you passionate about making a difference in the lives of ... in foster care and behavioral health, particularly those who have worked with Medicaid youth and adults with complex needs.** **If you're ready to bring your… more
    Centene Corporation (09/20/25)
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  • Audit & Reimbursement II (US)

    Elevance Health (Manchester, NH)
    …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
    Elevance Health (09/19/25)
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  • Medical Social Worker MSW PRN

    HCA Healthcare (El Paso, TX)
    …Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** ... MSW maintains a thorough working knowledge of the rules of Medicare, Medicaid , and private payer regulations and processes, and possesses a thorough understanding… more
    HCA Healthcare (09/19/25)
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  • Patient Care Manager Senior

    Gentiva (Stockbridge, GA)
    …+ Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid , JCAHO, ACHC, and human resource) management principles + Ability ... and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility , obtaining authorization and reauthorization as needed, commercial insurance… more
    Gentiva (09/18/25)
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  • Deputy Division Administrator

    State of Montana (Helena, MT)
    …retirement plans, paid vacation, sick leave, and holidays, work/life balance, and eligibility to participate in the Public Service Loan Forgiveness (PSLF) program. ... ** * Knowledge of public administration, including the legislative process and management of programs with statewide impact. * Knowledge of federal and state… more
    State of Montana (09/17/25)
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  • Outreach Specialist Sr

    Elevance Health (Washington, DC)
    …with team members to provide superior customer services. + Supports Health Management Programs. + Conducts research to assist customers with inquiries or issues. ... Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population, knowledge of the various health...partners. + Mentors and coaches Outreach staff. + Generates management reports. + Associates in this role are expected… more
    Elevance Health (09/13/25)
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  • Grievance and Appeals- Quality Analyst - Fully…

    CVS Health (Columbus, OH)
    …and/or state government agencies, including but not limited to the Center for Medicaid and Medicare (CMS), Department of Public Welfare, Department of Health, and ... and escalating more complex issues and concerns to upper management for resolution. + Compiles reports on quality metrics...of Grievance and Appeals Experience + 1+ Medicare and/or Medicaid experience **Education** + High School Diploma or GED… more
    CVS Health (09/13/25)
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  • Director of Admissions

    Community Health Systems (Powell, TN)
    …+ Ensures compliance with policies and regulatory requirements related to Medicaid eligibility , insurance verification, prior authorizations, medical necessity, ... policies and standards. **Leadership Responsibilities** + **Supervision and Staff Management ** + Provides leadership, mentorship and professional development opportunities… more
    Community Health Systems (09/13/25)
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  • Health Benefit Rep

    Centene Corporation (Brooklyn, NY)
    …Community position for Brooklyn, NY** **Enroll members into various Fidelis Medicaid , CHP, EP plans** **Position Purpose:** The Health Benefit Representative (HBR) ... offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA...manage their calendar and report on activity to their management . They also are fluent and can articulate the… more
    Centene Corporation (09/12/25)
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  • Sr Clinical Consultant - Wheelchair DME

    CVS Health (Hartford, CT)
    …for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent focused ... and predetermination of covered benefits in the commercial, Medicare, and Medicaid environment. This Wheelchair DME consultant provides subject matter expertise in… more
    CVS Health (09/11/25)
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