• Medicaid Project Director

    Abt Global Inc. (Sacramento, CA)
    **The Opportunity** As a Project Director , you will lead large project teams through complex health analytic engagements, serving both State and Federal ... strategy, and visualization. You will help to operationalize and execute Medicaid policy and IT transformation projects. You will oversee interdisciplinary teams… more
    Abt Global Inc. (05/31/25)
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  • Medical Director - Medicaid N.…

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... in KY** **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The... market populations. May provide cross-coverage for other state Medicaid markets. May participate on project teams… more
    Humana (05/14/25)
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  • Medicaid Eligibility Manager - remote

    Cognizant (Sacramento, CA)
    …only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in ... among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of healthcare funding.… more
    Cognizant (05/29/25)
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  • Senior Director , US Market Access…

    Gilead Sciences, Inc. (Foster City, CA)
    Director , US Market Access Strategy, HIV, you will be reporting to Executive Director US MAS Virology and are responsible for three main areas: + Lead the ... access/pricing approaches. + Be a subject matter expert on US access environment and key trends, identify how the...conditions of the applicable plans. **For jobs in the United States :** Gilead Sciences Inc. is committed… more
    Gilead Sciences, Inc. (04/12/25)
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  • Medical Director - Care Plus - Florida

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... Director work assignments involve moderately complex to complex issues...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
    Humana (04/24/25)
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  • Medical Director -Payment Integrity

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid , and Medicare Advantage requirements and will understand how to… more
    Humana (06/06/25)
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  • Medical Director - Florida

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical ... Director work assignments involve moderately complex to complex issues...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations,… more
    Humana (06/05/25)
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  • Medical Director - OneHome

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
    Humana (05/31/25)
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  • Associate Director Pricing and Contracting…

    Gilead Sciences, Inc. (Foster City, CA)
    …to the terms and conditions of the applicable plans. **For jobs in the United States :** Gilead Sciences Inc. is committed to providing equal employment ... , Contracting and Pricing Strategy, Virology, Managed Markets. As **Associate** ** Director of US ** **Pricing** **&** **Contracting** **Strategy** **, Virology,**… more
    Gilead Sciences, Inc. (04/04/25)
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  • Director , Strategy Advancement, Risk…

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and ... planning support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how… more
    Humana (05/29/25)
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