• Manager, Business Regulatory Affairs

    CVS Health (Phoenix, AZ)
    …general regulatory responsibilities, the Regulatory Affairs Manager will serve as a Medicaid subject matter expert (SME), providing strategic guidance on Medicaid ... program operations. This role includes managing the review and analysis of Medicaid Managed Care Organization (MCO) contracts to assess business impact and ensure… more
    CVS Health (08/28/25)
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  • Care Management Associate, Engagement Hub

    CVS Health (Honolulu, HI)
    …And we do it all with heart, each and every day. **Position Summary** Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on ... prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to...the Hub's efficiency and productivity efforts whereby the Care Management Associates interact and engage telephonically with members. Through… more
    CVS Health (09/22/25)
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  • Manager of Care Management

    WellSense (Manchester, NH)
    Manager of Care Management WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, ... Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...matter their circumstances. **Job Summary** The Manager of Care Management is responsible for managing the day-to-day operation of… more
    WellSense (08/22/25)
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  • Senior Analyst, Health Care Quality…

    CVS Health (Tallahassee, FL)
    …including National Committee for Quality Assurance (NCQA) and state regulators for Medicaid and CHIP. Links the quality management activities to business ... and every day. **Position Summary** Designs and implements a quality management strategy that meets internal and external constituent expectations for demonstrating… more
    CVS Health (09/11/25)
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  • Care Management Coordinator OhioRISE…

    CVS Health (Columbus, OH)
    …the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid , OhioRISE will help struggling children and their families by focusing on the ... or at risk for involvement in, multiple child-serving systems. The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the… more
    CVS Health (09/24/25)
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  • Senior Management Analyst Supv - SES

    MyFlorida (Fort Lauderdale, FL)
    …+ At least 4 years' experience and knowledge of the SNAP, TANF & Medicaid eligibility programs and policies. Applicants must meet the minimum requirements to ... SENIOR MANAGEMENT ANALYST SUPV - SES - 60023617 Date:...to promote strong and economically self-sufficient communities by determining eligibility for food, cash and medical assistance for individuals… more
    MyFlorida (09/24/25)
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  • Policy Training - Coordinator 1

    Louisiana Department of State Civil Service (Alexandria, LA)
    …current Medicaid policy and procedure. *Secure venues for all eligibility and specialized classes and workshops. Compile materials needed for venue, including ... Please clickHERE (https://ulsuno.wd1.myworkdayjobs.com/en-US/UniversityOfNewOrleans/job/Alexandria-La/Policy-Training Coordinator-1\_R-001798?q=R-001798) to apply. *Conduct general Medicaid policy training with a hands-on classroom experience… more
    Louisiana Department of State Civil Service (08/02/25)
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  • Casa Director

    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,...strategies, which result in optimum performance and achievement of management goals. - Represent the Agency at various public… more
    City of New York (09/16/25)
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  • Ops Attorney

    MyFlorida (Tallahassee, FL)
    …Subpart F. The position is responsible for handling all aspects of assigned Medicaid fair hearing proceedings including case management , conducting the fair ... responsibility of the Hearing Officer position is to conduct fair hearings for Medicaid programs administered by the Agency for Health Care Administration under the… more
    MyFlorida (09/18/25)
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  • Nurse Investigator

    State of Georgia (Fulton County, GA)
    …The Office of the Attorney General Georgia Department of Law Nurse Investigator- Medicaid Fraud Division *To move forward in the recruiting process ALL applicants ... filled through this announcement will serve within the Audits section of the Medicaid Fraud Division. Job Summary Under the direction of the Fraud Unit Director,… more
    State of Georgia (09/18/25)
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