- Centene Corporation (Cheyenne, WY)
- …to competitive benefits including a fresh perspective on workplace flexibility. ** Eligibility Requirement:** To qualify for the Manager , Actuarial Services ... Medicaid health plan in Washington State** . The Manager , Actuarial Services is responsible for leading actuarial functions...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Idaho Division of Human Resources (Boise, ID)
- Medicaid Deputy Administrator - MED Posting Begin Date: 2025/07/10 Posting End Date: 2025/07/31 Category: Administration Work Type: Full Time Remote : Flexible ... of Human Resources and the Idaho Personnel Commission. The Division of Medicaid has an exciting career opportunity or a dynamic forward-thinking, innovative… more
- CVS Health (Oklahoma City, OK)
- …clinical quality and effective use of health care resources. **This is a remote -based (work from home) role.** In this role as Medical Director (Behavioral Health), ... as a psychiatrist. * Experience with managed care, as a provider and manager of care utilization review or physician advisor experience. * Child/Adolescent Board… more
- CVS Health (Albany, NY)
- …and unrestricted Registered Nurse (RN) licensure in the state of NY The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress,… more
- Molina Healthcare (TX)
- …collaborator responsible for operation projects and programs involving enrollment and eligibility + Works with cross-functional teams and IT and business subject ... needs, support to other business units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends and provides… more
- Fallon Health (Worcester, MA)
- …for our members with a special focus on those who qualify for Medicare and Medicaid . We also serve as a provider of care through our Program of All-Inclusive Care ... and clinical quality. **Brief Summary of Purpose:** The Behavioral Health Case Manager (BHCM) is responsible for assessing a member's behavioral and social care… more
- Humana (Hallandale Beach, FL)
- …needs and requirements to achieve and/or maintain optimal wellness state in a remote telephonic environment. The Behavioral Health Care Manager guides members ... in this position, you will be required to confirm eligibility to participate in the DoD SkillBridge Internship and/or...up to 11 weeks. The Telephonic Behavioral Health Care Manager Intern will utilize Humana's Medicaid training… more
- US Tech Solutions (Columbia, SC)
- …the largest IT projects. It is a multi-year effort to replace the aging Medicaid Eligibility Determination System and other member management applications with a ... **Location: Hybrid (3 days onsite, 2 days remote - Columbia SC 29201)** **Duration: 1 year contract...Legacy Systems team to ensure a smooth transition between Medicaid Eligibility Determination System (MEDS) and Cúram… more
- Idaho Division of Human Resources (ID)
- …in a government, policy, compliance or regulatory affairs role. + Expertise in Medicaid eligibility or other major health and human service program development ... Program Manager - MED Posting Begin Date: 2025/07/16 Posting...Date: 2025/08/13 Category: Program Management Work Type: Full Time Remote : Flexible Hybrid Location: Statewide, ID, United States Minimum… more
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