• VP Government Programs - Medicare…

    Prime Therapeutics (Nashville, TN)
    …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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  • Health Services Manager (IC) - Payment Policy…

    CVS Health (Nashville, TN)
    …guidelines. In addition, this role will support the written communications shared with our state Medicaid Health Plans to complete the required State and ... is a key member of the Medical Policy & Program Solutions Team. The Medicaid Medical Coding...+ Ensures compliance with healthcare regulations and policies for state Medicaid and Duals line of business… more
    CVS Health (11/08/25)
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  • Medicaid Eligibility Advocate

    HCA Healthcare (Gallatin, TN)
    …+ Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Re-verifies benefits ... each individual is recognized. Submit your application for the opportunity below: Medicaid Eligibility Advocate with Parallon at Sumner Regional Medical Center… more
    HCA Healthcare (10/24/25)
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  • Actuarial Senior Consultant with Medicaid…

    Deloitte (Memphis, TN)
    …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 (Nashville, TN)
    …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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  • Audit & Reimbursement Senior

    Elevance Health (Nashville, TN)
    … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs . The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...: + Accounting degree preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
    Elevance Health (11/07/25)
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  • Program Management Lead, Offshore Coding…

    CenterWell (Nashville, TN)
    …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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  • Client Audit Manager

    CVS Health (Nashville, TN)
    …adjudication knowledge. In this position you will work closely with various government auditors, 3rd party consultants and auditors, client account teams, legal and ... trade areas to ensure the completion of government audits with consistency and minimal disruption to the...competing priorities. . Have a deep knowledge base of Medicaid and Exchange regulations, as well as having some… more
    CVS Health (11/13/25)
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  • OCM Consultant

    Public Consulting Group (Nashville, TN)
    …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
    Public Consulting Group (10/04/25)
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  • Child Welfare Financial Consultant

    Public Consulting Group (Nashville, TN)
    …better serve populations in need by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and ... and other tools. + Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid ,...strategies. + Ability to interpret and apply federal and state policy to financial planning and program … more
    Public Consulting Group (09/13/25)
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