• Medicaid Liaison

    Cuyahoga County Board of Developmental Disabilities (Cleveland, OH)
    …The Cuyahoga County Board of Developmental Disabilities (Cuyahoga DD) is seeking a Liaison to expedite the process of establishing Medicaid eligibility in order ... in Home and Community-Based Services (HCBS) waivers; assists with maintenance of Medicaid eligibility through Medicaid and HCBS redetermination processes. The… more
    Cuyahoga County Board of Developmental Disabilities (01/17/26)
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  • Medicaid Eligibility Advocate

    HCA Healthcare (Middleburg, OH)
    …financial requirements, and counseling patients on insurance benefits and co-payments. The Medicaid Eligibility Advocate serves as a liaison between the patient, ... join an organization that invests in you as a Medicaid Eligibility Advocate? At Southwest General Health Center, you...make a difference. We are looking for a dedicated Medicaid Eligibility Advocate like you to be a part… more
    HCA Healthcare (12/24/25)
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  • Supervisor, Support Administration

    Cuyahoga County Board of Developmental Disabilities (Cleveland, OH)
    …Review Process, implementation of AAI Administrative Review, and utilization of Medicaid State Plan Services. Deliver technical assistance to Support Administrators, ... department staff. Provide technical assistance and training to Cuyahoga DD staff in Medicaid , Medicaid Waivers and SSA functions with presentations in various… more
    Cuyahoga County Board of Developmental Disabilities (12/20/25)
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  • Vice President Plan Operations & Administration

    AmeriHealth Caritas (Dublin, OH)
    …& Administration leads operational strategy and execution for the AmeriHealth Caritas Ohio Medicaid plan. Acting as the primary partner to the Market President, this ... of solutions. + Monitor performance metrics and process improvements, serving as liaison between the health plan and enterprise functions. + Partner with Service… more
    AmeriHealth Caritas (12/05/25)
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  • Special Investigator

    AmeriHealth Caritas (Columbus, OH)
    …and conveys highly technical information to others. + Establishes and maintains liaison with public officials, law enforcement and others to obtain assistance in ... enforcement agencies. **Other Skills:** + Health care industry and/or Medicare/ Medicaid /Pharmacy/Behavioral Health/Pharmacy Benefit Management knowledge required. + Clinical Experience… more
    AmeriHealth Caritas (10/22/25)
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  • Manager, Auditing and Monitoring

    Cardinal Health (Columbus, OH)
    …operations, including, without limitation, advice on Medicare and Medicaid DMEPOS supplier billing requirements, local coverage determination requirements, ... Supplier and Quality Standards, and other payor requirements. + Serves as liaison with third party government contractors conducting audits as well as managing… more
    Cardinal Health (01/14/26)
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  • Program Management Lead, Offshore Coding…

    CenterWell (Columbus, OH)
    …diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore ... and offshore coding teams including leaders. + Serve as liaison and primary point of contact with the offshore...onshore and offshore teams, including vendor management and leadership liaison + Proven ability to work successfully in a… more
    CenterWell (01/06/26)
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  • Benefit and Claims Analyst

    Highmark Health (Columbus, OH)
    …the benefits and claims processes for clinical teams and serves as a liaison between various departments across the enterprise, including but not limited to, ... the benefits and claims processes for the department. + Serve as the liaison between the department and the claims processing departments to facilitate care/case… more
    Highmark Health (12/18/25)
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  • Sr. Medical Education Program Consultant

    OhioHealth (Columbus, OH)
    …including the Accreditation Council for Graduate Medical Education (ACGME), the Liaison Committee on Medical Education (LCME), and the Commission on Osteopathic ... for GME reimbursement as mandated by the Center for Medicare and Medicaid Services (CMS). PROGRAM DEVELOPMENT AND PROJECT MAN **Minimum Qualifications:** Bachelor's… more
    OhioHealth (01/16/26)
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  • Principal, IT Product Management

    Humana (Columbus, OH)
    …the CW/TS Operating Model Alignment. This individual will act as the Principal liaison accountable for delivery of key work, ensuring we prioritize and deliver ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ​ **Equal… more
    Humana (01/15/26)
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