• Medicaid Fraud Investigator (Special Agent…

    State of Colorado (Denver, CO)
    Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply  Medicaid Fraud Investigator ... Consumer Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse & Neglect Unit ("MFANU"). The MFANU is crucial to… more
    State of Colorado (08/27/25)
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  • Product Development Manager

    Molina Healthcare (Tampa, FL)
    …Active collaborator with people who are responsible for internal business operations involving department or cross-functional teams of subject matter experts, ... schedules as well as project budgets. + Monitors the product from inception through operations + May engage and oversee the work of external vendors. + Focuses on… more
    Molina Healthcare (09/07/25)
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  • Medicaid Helpline Agent

    City of New York (New York, NY)
    … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... enrolling in Medicaid public health insurance. The agency's Medical Assistance Program helps New Yorkers who qualify enroll in public health insurance programs… more
    City of New York (08/13/25)
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  • Medicaid CMS Certification Lead

    NTT DATA North America (Montgomery, AL)
    …will work with the project managers to ensure system functionality and business operations meet the Medicaid Certification requirements as defined in CMS' ... **Minimum Qualifications** + 6+ years of experience managing implementation and/or operations of Medicaid projects. . 3+ years managing CMS certifications… more
    NTT DATA North America (08/23/25)
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  • Medicaid Helpline Agent

    City of New York (New York, NY)
    … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... by providing information, including but not limited to eligibility criteria, phone numbers, program description and Medicaid status. - Screen calls and perform a… more
    City of New York (08/13/25)
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  • Utilization Management Medical Director- NC…

    Elevance Health (Wallingford, CT)
    **Utilization Management Medical Director- NC Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... will be responsible for utilization review case management for North Carolina Medicaid . May be responsible for developing and implementing programs to improve… more
    Elevance Health (09/26/25)
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  • Behavioral Health Medical Director- Psychiatrist-…

    Elevance Health (Woodbridge, NJ)
    **Behavioral Health Medical Director- Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a board-certified psychiatrist licensed and residing in ... provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations . May identify cost of care opportunities. May serve as a… more
    Elevance Health (09/04/25)
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  • Senior Program Manager - DC Market…

    CareFirst (Washington, DC)
    **Resp & Qualifications** **PURPOSE:** The Sr. Program Manager , DC Market Operations provides leadership for the operation of a single jurisdiction ... Medicaid program including the strategic direction for...profitability, growth, and stability of the business. The Sr Program Manager will have responsibility for business… more
    CareFirst (09/19/25)
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  • Sr. Manager Government Rebate…

    J&J Family of Companies (Raritan, NJ)
    …experience managing commercial or government operations . + Knowledge of the Medicaid Drug Rebate Program . **Preferred:** + An advanced degree (Master's or ... of America **Job Description:** Johnson & Johnson is currently hiring for a **Senior Manager Government Rebate Operations ** . This position will be based in… more
    J&J Family of Companies (09/25/25)
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  • Manager Rebate Pharmacy Operations

    Prime Therapeutics (Carson City, NV)
    …fuels our passion and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position provides ... administrative oversight and management of rebate operations team and is responsible for directing day to...state laws and standards of practice which govern the Medicaid Drug Rebate Program . + Ensures compliance… more
    Prime Therapeutics (08/08/25)
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