• VOCATIONAL GUIDANCE SERVICES (Cleveland, OH)
    …hire a Rehabilitation Specialist to assist individuals referred from CCBDD and Medicaid funding sources to provide services in a group employment manufacturing ... individual assigned to your supervision. Electronic records must follow Medicaid and CARF requirements. Document Unusual Incidents/Major Unusual Incidents (UI/MUI)… more
    Upward (07/21/25)
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  • VOCATIONAL GUIDANCE SERVICES (Cleveland, OH)
    …hire a Rehabilitation Specialist to assist individuals referred from CCBDD and Medicaid funding sources to meet their basic living skills goals. The Rehabilitation ... individual assigned to your supervision. Electronic records must follow Medicaid and CARF requirements. Document Unusual Incidents/Major Unusual Incidents (UI/MUI)… more
    Upward (07/13/25)
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  • 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 (07/15/25)
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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 is a liaison between the patient, ... over 156,000 hours volunteering in our communities. As a Medicaid Eligibility Advocate with Parallon at Southwest General Health...in our organization. We are looking for an enthusiastic Medicaid Eligibility Advocate to help us reach our goals.… more
    HCA Healthcare (06/21/25)
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  • Strategy Advancement Advisor (Hide-SNP)

    Humana (Toledo, OH)
    …Plan Chief Executive Officer (CEO). The Strategy Advancement Advisor (HIDE-SNP Program Medicaid Liaison ) will support Humana's Highly Integrated Dual Eligible ... link between Humana, MDHHS, and Centers for Medicare & Medicaid Services (CMS). + Supports all priority health plan...plan and care delivery integration workstreams for the Michigan Medicaid contract, which is central to the company's strategic… more
    Humana (07/12/25)
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  • Hospital Liaison - PHA

    Somatus (Cleveland, OH)
    …resources to adhering to a physician's treatment plan upon discharge. The Hospital Liaison will work with the RNCM, case management and care givers to identify ... Case Managers on appropriate discharge needs of those members. + Hospital Liaison will make contact and engage members, establish positive, supportive relationships… more
    Somatus (07/22/25)
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  • Pharmacy Liaison Coordinator

    Cardinal Health (Columbus, OH)
    …need them-faster.** **_What this position contributes to Cardinal Health_** The Pharmacy Liaison Coordinator primarily serves as a liaison between the business, ... healthcare management industry including Prior Authorizations, Appeals, Medicare Part D, Medicaid , Managed Care, and Commercial plans is preferred. + Experience with… more
    Cardinal Health (07/18/25)
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  • Lead Director, DSNP Program Management

    CVS Health (Columbus, OH)
    …within budgeted costs. + Apply advanced knowledge of the Medicare and Medicaid regulatory landscape to ensure program compliance with federal and state regulations ... governing DSNP programs. + Serves as the liaison between Aetna and state regulators to assure... between Aetna and state regulators to assure State Medicaid Agency Contract execution is completed annually as required… more
    CVS Health (07/16/25)
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  • Enterprise Transformation Lead

    Humana (Columbus, OH)
    …our interoperability efforts. **Key Responsibilities** + Serves as a strategic liaison to market partners and provider-facing teams, helping them understand and ... vendor utilization and incentives for connected providers. + Supports Medicaid recruiting and implementations to optimize retrieval methods using interoperability… more
    Humana (07/16/25)
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  • Medical Director (CT)

    Molina Healthcare (Cincinnati, OH)
    **JOB DESCRIPTION** **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and ... director, and quality improvement staff. + Facilitates conformance to Medicare, Medicaid , NCQA and other regulatory requirements. + Reviews quality referred issues,… more
    Molina Healthcare (07/11/25)
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