- CVS Health (Austin, TX)
- …do it all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager , Network Management:** * Negotiates, executes, conducts high level ... Office suite applications (eg, Outlook, Word, Excel, etc.). - Knowledge of Medicaid programs. * Solid decision-making skills while executing national, regional, and… more
- University of Rochester (Rochester, NY)
- …Social Work or Business Administration + And 1 years related experience such as a Medicaid Eligibility Examiner or Medicaid Eligibility Supervisor + Or ... Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States...This role may have the option to work a Hybrid- remote schedule and communicates daily through virtual meetings. **SUPERVISION… more
- CVS Health (Oklahoma City, OK)
- …clinical quality and effective use of health care resources. **This is a remote -based (work from home) role.** In this role as Medical Director (Behavioral Health), ... as a psychiatrist. * Experience with managed care, as a provider and manager of care utilization review or physician advisor experience. * Child/Adolescent Board… more
- CVS Health (Jefferson City, MO)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... them with appropriate resources and support services. The Care Manager provides education and guidance to members and their...learn the role of care management within Medicare and Medicaid managed care. + Familiarity with community resources and… more
- CVS Health (Jefferson City, MO)
- …we do it all with heart, each and every day. The Senior Manager negotiates, executes, conducts high level review and analysis, dispute resolution, and/or settlement ... exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee for service… more
- 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 ... and/or home health care coordination experience preferred -Certified Case Manager preferred **Education** -Associates required, BSN preferred **Business Overview**… more
- Humana (Hallandale Beach, FL)
- …needs and requirements to achieve and/or maintain optimal wellness state in a remote telephonic environment. The Behavioral Health Care Manager guides members ... in this position, you will be required to confirm eligibility to participate in the DoD SkillBridge Internship and/or...up to 11 weeks. The Telephonic Behavioral Health Care Manager Intern will utilize Humana's Medicaid training… more
- Aveanna Healthcare (Oklahoma City, OK)
- Patient Access Supervisor ( REMOTE ) ApplyRefer a FriendBack Job Details Requisition #: 207429 Location: Oklahoma City, OK 73108 Category: OT Salary: $55,000.00 - ... Savings Plan with Employer Match, Employee Stock Purchase Plan, and 100% Remote Opportunity! Essential Job Functions * Manage the patient insurance authorization and… more
- Huron Consulting Group (Van Buren, AR)
- …interpret and apply clinical guidelines including Centers for Medicare and Medicaid , Federal Drug Administration, National Comprehensive Cancer Network. + Highly ... CTMS / CRMS is preferable: Forte Research System's OnCore (TM) , Study Manager 's Reveal, Velos's eResearch and Patient Protocol Manager . + Experience with… more
- WellSense (Boston, MA)
- Behavioral Health Clinical Program Manager 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 BH Clinical Program Manager , reports to the Senior Manager of… more