• QIDP Compliance Coordinator

    EPI (Rochester, NY)
    …Non-Essential Functions: + Performs other duties as assigned by Compliance Coordinator Lead , Community Services Management team / Designee, within scope of ... Residential programs, established by providers and to ensure quality and Medicaid Compliance standards are met, through verification of all completed Office… more
    EPI (11/21/25)
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  • Social Worker - Field - Wake or Durham County

    CVS Health (Durham, NC)
    …we do it all with heart, each and every day. **Program Overview** Join our Aetna team as we lead the way in providing exceptional care to dual eligible ... (DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and...member-centered care planning process alongside the other core care team members. Your responsibilities will include: + Conducting field… more
    CVS Health (11/06/25)
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  • PRN Physician Assistant or Nurse Practitioner…

    UCHealth (Pueblo, CO)
    …unwavering commitment to world-class care. UCHealth Parkview Medical Group and the Orthopedics team in Pueblo, CO are ready to welcome a Nurse Practitioner or ... Physician Assistant to their team . The ideal candidate will be enthusiastic, interested in...on physicians in every career stage and specialty to lead and provide direction for the future of healthcare… more
    UCHealth (09/27/25)
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  • Senior Corporate Communications Consultant (Govt…

    CareFirst (Washington, DC)
    …and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Leadership - Medicaid & Medicare ... as a Senior Corporate Communications Consultant working on ACA, Medicaid , and the newly implemented Basic Health Plan in...of communication channels. The Sr Consultant is the primary lead for developing strategic communication plans in support of… more
    CareFirst (11/22/25)
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  • CHC Service Coordinator Nursing Facility- Franklin…

    UPMC (Pittsburgh, PA)
    …Medical Assistance! Additionally, CHC is also for individuals that qualify for Medicare, Medicaid , or require a nursing facility level of care. The CHC Service ... Responsibilities: + Establish and build strong relationships with both internal team members and partner provider foster a collaborative environment. Educates on… more
    UPMC (11/19/25)
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  • Medical Director Aetna Duals Center of Excellence

    CVS Health (Des Moines, IA)
    …Aetna is looking for a medical director to be part of a centralized team that supports the Medical Management staff ensuring timely and consistent responses to ... medical director will participate in and be able to lead daily rounds. **Required Qualifications:** Minimum 3-5 years of...+ years of experience in managed care (Medicare and/or Medicaid ) MD or DO; Board certification in an ABMS… more
    CVS Health (11/13/25)
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  • AD, Contracts Compliance

    Boehringer Ingelheim (Ridgefield, CT)
    …filled; cultivate network by facilitating cross department communication and projects. + Lead team toward continuous improvement and/or process design through ... include, but are not limited to: identification of duplicate payments with Medicaid claims, diversion analysis, good faith resolution with covered entities, working… more
    Boehringer Ingelheim (10/01/25)
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  • Sr Manager, Clinical Pharmacy Operations

    Point32Health (MA)
    …the Senior Manager, Clinical Pharmacy Operations is responsible for managing a team focused on the execution of clinical pharmacy programs and strategies to ... of business in all market segments. Guides clinical pharmacy team in the implementation of clinical programs, aligned with...what you will be doing** (top five) **:** + Lead the maintenance of enterprise formularies and pharmacy programs,… more
    Point32Health (11/21/25)
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  • Healthcare Consulting Sr Director - Managed Care…

    Huron Consulting Group (Chicago, IL)
    …that drive meaningful results. As a Senior Director with our Healthcare team , you will lead complex healthcare consulting engagements, creating high-performing ... that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing… more
    Huron Consulting Group (10/29/25)
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  • Senior Patient Care Manager, RN - Hospice *$10,000…

    Gentiva (Auburndale, MA)
    **Overview** **$10,000 SIGN ON BONUS AVAILABLE** **Are you ready to lead and elevate the standard of hospice care?** Do you thrive in a leadership role that blends ... so, you could be the next Hospice Patient Care Manager Senior on our team . At Gentiva Hospice, we're dedicated to providing compassionate care that helps patients… more
    Gentiva (11/26/25)
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