• Quality Administrator, Medicare - Michigan…

    McLaren Health Care (Flint, MI)
    …our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy ... We are looking for a Quality Administrator Medicare , to join us in leading our organization...strategizing, and improving quality performance with a focus on Medicare Star ratings. This position supports the design, development,… more
    McLaren Health Care (11/04/25)
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  • Case Manager, RN ( Medicare - Multiple…

    Excellus BlueCross BlueShield (Rochester, NY)
    …in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and ... benefit plans and strong knowledge of government program contracts ( Medicare and Medicaid ) and benefits, preferred. + Strong written and verbal communication… more
    Excellus BlueCross BlueShield (11/26/25)
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  • Medicare Sales & Customer Service

    Erickson Living (Tinton Falls, NJ)
    …residents of our communities, has earned 5 out of 5 stars from the Centers for Medicare and Medicaid Services, for 6 consecutive years. This role is 32 hours per ... Village by Erickson Senior Living We are hiring a Medicare Sales Agent, also known as our Health Insurance...of all applicable CMS regulations and guidelines of specific Medicare Advantage Plans. + Create sales events intended to… more
    Erickson Living (10/22/25)
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  • Medicaid Contract Implementation Management…

    Elevance Health (Indianapolis, IN)
    …and Experiences** : + Experience in the HMO/healthcare field, working knowledge of Medicaid and/or Medicare programs; specific Medicaid experience preferred. ... ** Medicaid Contract Implementation Management Director** **Location** : Indianapolis,...an accommodation is granted as required by law._ The ** Medicaid Contract Implementation Management Director** is responsible for managing… more
    Elevance Health (11/26/25)
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  • Medicaid Billing Specialist

    Accura Healthcare (Omaha, NE)
    …laws and regulations pertaining to the position. QUALIFICATIONS: + Knowledge of Medicaid , Medicare , and insurance reimbursement systems, including billing forms ... 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!… more
    Accura Healthcare (11/18/25)
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  • Case Manager, Medicaid Long Term Support…

    MVP Health Care (Rochester, NY)
    …integrated, person-centered care. + Compliance & Quality: Ensure adherence to Medicaid , Medicare , and accreditation standards (eg, NCQA), including documentation ... To achieve this, we're looking for a **Case Manager, Medicaid Long Term Support Program** to join #TeamMVP. If...clinical and Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home… more
    MVP Health Care (11/27/25)
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  • Director of Reimbursement

    AdventHealth (Altamonte Springs, FL)
    …reimbursement activities. These activities include preparation and filing the annual Medicare , Medicaid , and Champus/Tricare cost reports; preparation of ... impacts of proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for… more
    AdventHealth (11/12/25)
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  • Associate Director of Finance - Government…

    UTMB Health (Galveston, TX)
    …calculations and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. **Scope:** Institutional **Responsibilities:** ... + Responsible for technical aspects, calculations and analyses of multiple areas of Medicare and Medicaid reimbursement components including, but not limited to,… more
    UTMB Health (11/07/25)
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  • Pharmacy Svcs Payor Credentialing & Enrollment Sr…

    Fairview Health Services (Minneapolis, MN)
    …Managed Care Organizations as well as mandatory government requirements for enrollment with Medicare and Medicaid (for all 50 states) to ensure uninterrupted ... position **Job Expectations:** **Enrollment Management** + Advanced working knowledge of Medicare , Medicaid , and third-party insurance/ payor plans. + Lead… more
    Fairview Health Services (11/15/25)
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  • Medicaid Contract Implementation Management…

    Elevance Health (Indianapolis, IN)
    …background. **Preferred Skills, Capabilities and Experiences** : + Proficient knowledge of Medicaid and/or Medicare programs preferred. Please be advised that ... ** Medicaid Contract Implementation Management Manager** **Location** : Indianapolis,...an accommodation is granted as required by law._ The ** Medicaid Contract Implementation Management Manager** is responsible for guiding… more
    Elevance Health (11/26/25)
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