• Medicaid and State Government…

    Public Consulting Group (Columbus, OH)
    …. Employee will be responsible for Medicaid , SNAP, WIC and other state government programs . They will be analyzing business requests, making ... + Experience with CMS, Medicaid , SNAP, WICK, and other state government programs **Supervisory Responsibility** + None **Working Conditions** + Remote… more
    Public Consulting Group (11/04/25)
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  • VP Government Programs - Medicare…

    Prime Therapeutics (Columbus, OH)
    …and drives every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President ... Government Programs - Medicare & Managed Medicaid is...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
    Prime Therapeutics (10/08/25)
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  • Actuarial Senior Consultant with Medicaid…

    Deloitte (Cleveland, OH)
    …our people, ideas, technology and outcomes - is designed for impact. Serving federal, state , & local government clients as well as public higher education ... with progression to FSA, FSA, or career ASA designation + Experience providing Medicaid consulting services to Government agencies + Experience with Medicaid… more
    Deloitte (10/10/25)
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  • North Carolina Medicaid Account Manager…

    Prime Therapeutics (Columbus, OH)
    …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... is responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and … more
    Prime Therapeutics (09/23/25)
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  • Pharmacy Government Stars Specialist

    Intermountain Health (Columbus, OH)
    …Specialist is responsible for supporting and improving the quality performance of Government programs , particularly Medicare, with a strong focus on clinical ... is also tasked with identifying and engaging members in programs that enhance adherence and overall health outcomes, building...constructive and actionable feedback. + Represents the team in government meetings or special projects as assigned by a… more
    Intermountain Health (11/04/25)
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  • Regional Manager, Value-Based Programs…

    Molina Healthcare (OH)
    …sufficient to meet requirements. + Responsible for reviewing internal dashboard of Value Based Programs & Contracts by state by LOB for assigned markets each ... value-based program & contract design and implementation for marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment,… more
    Molina Healthcare (10/29/25)
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  • Audit & Reimbursement Senior - Appeals

    Elevance Health (Columbus, OH)
    … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs ._ The **Audit and Reimbursement ... Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of… more
    Elevance Health (10/31/25)
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  • Program Management Lead, Offshore Coding…

    CenterWell (Columbus, OH)
    …to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on ... caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance...inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state … more
    CenterWell (10/23/25)
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  • Senior Program Delivery Professional HOS…

    Humana (Columbus, OH)
    …the HOS program in all aspects of Humana's Medicare Advantage government business segment. + Lead and manage strategic initiatives, including the development of ... caring community and help us put health first** The Senior Program Delivery Professional HOS Strategic Initiatives strategically identifies enterprise partners to… more
    Humana (11/01/25)
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  • Senior Community Management Professional

    Humana (Toledo, OH)
    …outcomes aligned with larger organizational goals and builds a robust member outreach program . + Compare member's demographic and social support and services data to ... partnerships with social support and service providers, supporting evidence-based programs with positive health outcomes. + Positively position Humana among… more
    Humana (10/24/25)
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