• Community Connector - North East Ohio

    Molina Healthcare (Scottsdale, AZ)
    …extensive member outreach (telephonic and/or face-to-face). * Guides members to maintain Medicaid eligibility and with other financial resources as appropriate. ... with members as an advocate and resource to support management of health care needs. * Collaborates with and...members. * Excellent customer service skills. * Organizational and time- management skills. * Ability and willingness to learn other… more
    Molina Healthcare (09/21/25)
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  • Supervisory Health Insurance Specialist

    Centers for Medicare & Medicaid Services (Washington, DC)
    …Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Strategic Operations and Regulatory Affairs (OSORA), Program ... officials on critical decisions and recommendations associated with the development, management and, coordination of policy information to support the Agency's… more
    Centers for Medicare & Medicaid Services (09/20/25)
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  • LTSS Service Care Coordinator

    Centene Corporation (Austin, TX)
    …Reside in the State of Texas** **Call Center Experience a Plus** ** Medicaid /Medicare experience a plus** **Position Purpose:** Assists in developing, assessing, and ... coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
    Centene Corporation (09/20/25)
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  • Licensing and Certification Specialist Hfems…

    State of Colorado (Denver, CO)
    …programs that are responsible for regulatory activities related to Medicare and Medicaid federal and state certification, as well as state licensing. This position ... directly with the work lead(s), supervisor, survey programs, and management to accomplish all required duties. Minimum Qualifications, Substitutions, Conditions… more
    State of Colorado (09/19/25)
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  • Senior Training Specialist

    Fiserv (Omaha, NE)
    …**What would be nice to have:** + Bachelors Degree + Familiarity with Medicaid eligibility and enrollment processes within public sector or commercial health ... developing and implementing comprehensive learning strategies + Experience with Learning Management Systems (LMS) administration and management + 4+ years… more
    Fiserv (09/18/25)
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  • Lead, Trade and Channel, Patient Services, Global…

    Chiesi (Boston, MA)
    …years' experience in customer contracting and pricing required; with rebate management , contract analytics, chargebacks or a related pharmaceutical pricing and ... and strong understanding with government programs, such as the IRA, 340B, State Medicaid , and Medicare Part D. + Relevant experience with distribution networks, new… more
    Chiesi (09/18/25)
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  • Provider Contracting Specialist - (Remote)

    CareFirst (Baltimore, MD)
    …geographically competitive, offers broad access, and meets cost and trend management objectives. **Regulatory and Healthcare Landscape** + Monitors and remains ... + Knowledge of healthcare or health insurance payor industry (Medicare, Medicaid , Commercial, DSNP and other payor programs), including legal and regulatory… more
    CareFirst (09/18/25)
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  • Government Business Division, Finance Manager

    Elevance Health (St. Louis, MO)
    …trend analysis, financial reporting, financial operations, and cost and budget management and allocation. Responsible for reporting and delivery of key information ... to senior management to generate cost saving or revenue enhancement ideas...**Preferred Skills, Capabilities and Experiences:** + MBA preferred. + Medicaid Experience preferred. For candidates working in person or… more
    Elevance Health (09/17/25)
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  • Vice President, Quality Improvement

    Centene Corporation (Dover, DE)
    …and ongoing performance measures and recommend actions plans to senior management . + Research and incorporate quality improvement best practices into operations. ... to improve quality of care and service delivery, and knowledge of Medicaid . Experience managing acquisition and integration of external data sources. Previous … more
    Centene Corporation (09/13/25)
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  • Financial Counselor Manager

    University of Washington (Seattle, WA)
    **Job Description** **UW Medicine Insurance Eligibility and Financial Counseling Services Team (IECS)** has an outstanding opportunity for a **Financial Counselor ... Health Benefit Exchange and UW Medicine's Financial Assistance (Charity) and Medicaid application policies. + Prepare and present reports and documentation using… more
    University of Washington (09/12/25)
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