- Henry Ford Health System (West Bloomfield, MI)
- CONTINGENT DAYS POSITION (MUST HAVE WEEKEND AVAILABILITY) GENERAL SUMMARY: The Case Manager is a member of the hospital or specialty-based patient-centered care team ... meet an individual's and family's health care needs. The goals of the case manager are to promote patient safety, quality of care and cost-effective outcomes. The… more
- Johns Hopkins University (Baltimore, MD)
- …requirements, patient relations and satisfaction, clinical regulatory compliance, and program marketing for all departments/service lines operating within the ... Cardiology clinics. The Clinic Manager will work closely with the Assistant Administrator to...requirements of The Joint Commission, Center for Medicare and Medicaid Services, and other regulatory agencies. + Work with… more
- Highmark Health (Harrisburg, PA)
- …of internal exempt and/or matrixed employees and contractors that serve on the program (s) to deliver solutions for the business. **This role entails the coordination ... and implementation of models of care, operating within a framework...framework highly regulated by the Centers for Medicare & Medicaid Services (CMS). Experience in quality improvement and audit… more
- Pfizer (Frankfort, KY)
- …Pfizer vaccines and programs. This includes a clear understanding of the commercial, Medicaid and Medicare landscape as it relates to the availability of Pfizer ... * Develop productive relationships with State Department of Health Immunization Program Management to understand state policies and ensure the implementation… more
- Abbott (Livermore, CA)
- …team responsible for following: payor contract negotiation, payor contract implementation , payor contract monitoring, Medicare/ Medicaid enrollment, state ... (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program and FreeU… more
- State of Indiana (Rushville, IN)
- …Services Administration (FSSA) is responsible for establishing eligibility for Medicaid , Supplemental Nutrition Assistance Program and Temporary Assistance ... State Eligibility Manager Date Posted: Nov 21, 2025 Requisition ID:...ability to apply them in the administration of the program . + Thorough knowledge of established social work principles… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …Responsibilities Lead the development, coordination and implementation of national Medicaid , CHIP and BHP program policy. Develop, interpret, and apply ... and works extensively with states to ensure their effective implementation . Direct implementation of operational policies and...and operational processes related to the administration of the Medicaid , CHIP or BHP program at the… more
- Abound Health Group, LLC (Wayne, NJ)
- …dedicated team in New Jersey. In this role, you will report to the Program Director. The Care Manager is responsible for providing support, services, advocacy, ... and maintain professionalism under pressure * Strong understanding of ISP implementation , goal writing, task analysis, and Medicaid /third-party billing *… more
- Huron Consulting Group (Chicago, IL)
- …our team as the expert you are now and create your future. The Manager of Utilization Management is responsible for planning, organizing, developing, and directing ... implementation of the Utilization Review Plan and the overall...accreditation requirements, ensuring compliance with Maryland state law, Medicare, Medicaid , and third-party payer standards. Oversees completion of utilization… more
- Fallon Health (Springfield, MA)
- …experience, service, and clinical quality. Fallon Health's Summit ElderCare(R) is a Program of All-Inclusive Care for the Elderly-PACE for short. PACE, an ... alternative to nursing home care, is a program that helps people 55 and older continue living...the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Summary of purpose:**… more