- AmeriHealth Caritas (Charleston, SC)
- …+ 2 to 3 years ofMedicaid experience is required. + 1 to 3 years managing health insurance, Medicaid Business. + 5 years of provider ... **About the job:** The Manager of Provider Network Management manages the Network...consistent with claim payment methodologies. + Maintains familiarity with Medicaid fee schedules and analyzes comparable Plan pricing guidelines.… more
- CVS Health (Harrisburg, PA)
- …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 ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress,… more
- CVS Health (Austin, TX)
- …all with heart, each and every day. **Position Summary:** As a Product manager , you will provide technical, analytical, and business support for all assigned ... programs for Medicare, Medicaid , and Commercial products. Programs currently include End-Stage Renal...programs assigned and be able to explain and present program functionality from a system logic perspective as well… more
- Lakeview Health Services (Geneva, NY)
- …to client service. Job Summary: With general supervision of the Care Management Program Manager , works from a trauma informed care perspective to provide ... SIGN ON BONUS) Title : Health Home Plus Care Manager Job Requisition No.: 1766 Program :...Geneva, NY Shift Schedule : Monday - Friday 7:00am - 3 :00pm, 7:30am - 3 :30pm OR 8:00am-4:00pm Salary… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Project Manager II you want with your current employer? We have an exciting opportunity ... wellbeing + 401(k) Plan with a 100% match on 3 % to 9% of pay (based on years of...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- Waystar (Louisville, KY)
- …closely with User Experience team and Technology teams. The Sr. Product Manager will coordinate with key stakeholders in sales, marketing, design, development, and ... Integrity products + Ability to interpret regulatory guidelines from CMS, Tricare, and Medicaid websites + Ability to understand the vocabulary used in hospital &… more
- Munson Healthcare (Traverse City, MI)
- Home Care Manager - On-Site | Munson Home Health Find more than your next job. Find your community. We're northern Michigan's largest healthcare system and deeply ... growth and development. Why work as a Home Care Manager at Munson Home Health? + Lead a mission-driven...multisite Home Care offices. You'll ensure regulatory compliance (Medicare, Medicaid , CHAP), manage budgets, set and meet key performance… more
- Teva Pharmaceuticals (New York, NY)
- Non-Retail Account Manager - New York City Date: Oct 8, 2025 Location: New York, United States, New York, 00000 Company: Teva Pharmaceuticals Job Id: 63922 **Who we ... **The opportunity** Teva is seeking a highly motivated and strategic Account Manager to lead the expansion of its long-acting injectable (LAI) psychiatric portfolio… more
- PruittHealth (Norcross, GA)
- …employment screenings, new partner onboarding, electronic module review and training 3 . Arranges set-up and training for provider EMR 4. Coordinates ... Payors of new and terminated providers and of any changes. 9. Initiates 3 rd party payer credentialing/enrollment utilizing multiple platforms - Madaket, PECOS, and… more
- Integra Partners (Troy, MI)
- The Project Manager - Healthcare Claims Management (Subject Matter Expert) is responsible for leading complex projects and initiatives related to claims ... + Ensure claims-related projects meet compliance with HIPAA, CMS, Medicaid , and other applicable regulations. + Partner with IT,...of experience in healthcare claims management, with at least 3 years in a project management capacity. + Deep… more