• Bus Off Medicaid Specialist

    PruittHealth (Charlotte Hall, MD)
    **JOB PURPOSE:** The Business Office Medicaid Specialist plays a crucial role in supporting the financial operations of the organization, specifically focusing on ... Medicaid and compliance. This position is responsible for assisting the Business Office Manager in overseeing the daily operations of the business office,… more
    PruittHealth (11/25/25)
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  • Network Development and Contracting (Value Based…

    CVS Health (Trenton, NJ)
    …we do it all with heart, each and every day. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our Network ... responsibilities as provided within the State Medicaid contractual requirements as outlined below: + Accountable for...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
    CVS Health (11/20/25)
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  • Medicaid Billing Specialist

    Accura Healthcare (Omaha, NE)
    …and Nebraska will be considered. Accura HealthCare has an opportunity to invite a Medicaid Billing Specialist - Lead to join our growing accounting and finance team! ... the healthcare industry, specifically Skilled Nursing Facility (SNF) billing experience. Medicaid billing experience is necessary to be considered. JOB SUMMARY: The… more
    Accura Healthcare (11/18/25)
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  • Strategic Medicaid Proposal Quality Analyst

    CVS Health (Columbus, OH)
    …quality analyst continuously strives to increase their knowledge of Aetna Medicaid , products offered, and industry best practices to produce thoughtful, strategic, ... deliverables are met. + Maintain expert understanding of Aetna Medicaid products and services. + Support the proposal lifecycle...+ Support the proposal lifecycle by working with capture manager to provide internal reviews in accordance with our… more
    CVS Health (11/22/25)
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  • Medicaid Senior BA

    NTT DATA North America (Montgomery, AL)
    …adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery, Alabama (US-AL), United ... cycle of assigned projects. The focus will be the Medicaid Claims Processing System. The Senior BA will support...the future CPMS takeover project working with the Project Manager , client and vendor development team to build out… more
    NTT DATA North America (12/11/25)
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  • Medicaid Eligibility Delivery Director

    Cognizant (Little Rock, AR)
    **About the role** **Schedule:** M-F **Traveling Required:** 40% As a Medicaid Eligibility Delivery Director, you will make an impact by overseeing access, ... designing and implementing scalable Eligibility Services, overseeing policy development, program segmentation, and operational workflows throughout Cognizant's national operations.… more
    Cognizant (12/03/25)
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  • Behavioral Health Medical Director - Psychiatrist…

    Elevance Health (Indianapolis, IN)
    **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception ... The **Behavioral Health Medical Director** is responsible for reviewing cases for IN Medicaid members including child and substance use disorders, and all levels of… more
    Elevance Health (12/05/25)
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  • Eligibility & Revenue Operations…

    Fallon Health (Worcester, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care for the ... LinkedIn. **Brief summary of purpose:** Under the direction of the Manager 's, the Eligibility and Revenue Operations Representative supports Fallon Health's mission,… more
    Fallon Health (11/18/25)
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  • Medical Policy Program Manager

    Iowa Department of Administrative Services (Des Moines, IA)
    Medical Policy Program Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5158079) Apply  Medical Policy Program Manager Salary ... related to Medicaid coverage and reimbursement + Develops and implements program goals, objectives, and performance standards related to policies and programs +… more
    Iowa Department of Administrative Services (12/02/25)
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  • Senior Program Manager - DC Market…

    CareFirst (Washington, DC)
    **Resp & Qualifications** **PURPOSE:** The Sr. Program Manager , DC Market Operations provides leadership for the operation of a single jurisdiction Medicaid ... profitability, growth, and stability of the business. The Sr Program Manager will have responsibility for business...deliver the overall strategic plan for a single jurisdiction Medicaid program . Through collaboration with matrix leaders… more
    CareFirst (09/19/25)
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