- CVS Health (Des Moines, IA)
- …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 ... by connecting them with appropriate resources and support services. The Care Manager provides education and guidance to members and their families on managing… more
- Humana (Little Rock, AR)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...information **Additional Information - How we Value You** * Benefits starting day 1 of employment * Competitive 401k… more
- Providence (CA)
- **Description** ** Manager Reimbursements** **_Remote_** This position is responsible for operational implementation of various strategic reimbursement initiatives ... based optimization strategies, and any reimbursement methodology related to Medicare and Medicaid that have reimbursement implications. Providence caregivers are… more
- Access Dubuque (Dubuque, IA)
- Healthcare Cost Reporting/Reimbursement Manager - Remote Eligible **Eide Bailly** 1 Positions ID: 8865 Posted On 09/15/2025 Refreshed On 11/16/2025 **Job ... an Eide Bailly office **Work Arrangement:** In-office, hyrid, or remote with the ability to come into an Eide...this role, you will lead healthcare financial projects, including Medicare and Medicaid cost report services for a variety… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN43595B **Job Title** Compliance Officer **Working Title** Regulatory Compliance Manager - Hybrid/ Remote **Career Progression Track** F **Track ... RHIA ); knowledge of medical auditing, Federal healthcare program policies and requirements (including Medicare Parts A and B), and ICD -10, CPT , HCPCS , DRG… more
- Molina Healthcare (Grand Rapids, MI)
- Molina Healthcare is hiring for a Post Acute Network Program Manager in Michigan **.** This role is remote with up to 25% statewide travel. Molina Healthcare is ... Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: Program Manager , Skilled Nursing, SNIP, SNIF, LTC, Medicare , Medicaid, Duals, CMS,… more
- VetsEZ (Washington, DC)
- We are currently seeking a goal-oriented and strategic Capture Manager for a 100% remote position to drive new business opportunities within the Department of ... Services (HHS) and its sub-agencies, including the Centers for Medicare & Medicaid Services (CMS), National Institutes of Health...a plus. + Ability to obtain a Government clearance. Benefits : + Medical/Dental/Vision. + 401k with Employer Match. +… more
- Molina Healthcare (ID)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : This Behavioral Health Care Manager will support the Maryland Dual Eligible Special Needs Plan (MD DSNP). Under minimal ... supervision, the Care Manager researches and analyzes a member's medical and behavioral...review and clarify treatment plans ensuring alignment with medical benefits and policies to facilitate care between settings. Monitors,… more
- Molina Healthcare (Sterling Heights, MI)
- …online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional ... or other health care or management certification. * Leadership experience. * Medicaid/ Medicare population experience. To all current Molina employees: If you are… more