• Genmab (Berkeley Heights, NJ)
    …provide a positive experience. This position reports to the Patient Services Manager , Call Center Operations.The creation of our new internal Genmab Patient Services ... Office Practice Management or Pharmacy. The ideal candidate has experience in case management, phone-based support work and the health insurance landscape. Patient… more
    HireLifeScience (09/16/25)
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  • Eisai, Inc (Indianapolis, IN)
    …your profile, we want to hear from you. The Access and Reimbursement Manager (ARM) will provide appropriate support for patient access to prescribed Eisai products, ... relevant internal/external stakeholders.Educate external stakeholders (eg, physicians, office administrators, case managers, financial counselors, medical directors, billing personnel, pharmacists)… more
    HireLifeScience (10/09/25)
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  • Mom's Meals (Ankeny, IA)
    …clinical background, such as registered dietitian, licensed social worker or nursing case manager , with customer relationship experience will be strongly ... or project teams, clinical and operational teams and field-based case managers will be critical for the Manager...healthcare sales experience in areas such as managed care, long -term care, home health, home care, hospital or medical… more
    DirectEmployers Association (10/23/25)
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  • COOLSOFT (Raleigh, NC)
    …documents, Business use cases, Business case scenarios, user acceptance test case scenarios, and documentation in relation to Medicaid initiatives and ... strategic alternatives for business solutions. - Preferred to have experience with Medicaid , managed care, and Pharmacy Benefit Manager (PBM) operations. areas.… more
    DirectEmployers Association (10/25/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …procedures, and facilities under the provisions of CCA's benefits plan. The Manager , Utilization Management is responsible for overseeing and managing the daily ... decisions and organizational determinations. Essential Duties & Responsibilities: The Manager , Utilization Management reports to the Director of Utilization… more
    DirectEmployers Association (10/02/25)
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  • Commonwealth Care Alliance (Boston, MA)
    …Licensing (must have):** + RN **Desired Licensing (nice to have):** + CCM (Certified Case Manager ) **Required Experience (must have):** + 2 to 3 years ... 013650 CCA-Auth & Utilization Mgmt **Position Summary:** Reporting to the Manager Utilization Management, the Nurse Utilization Management (UM) Reviewer is… more
    DirectEmployers Association (10/02/25)
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  • DESC (Seattle, WA)
    …client engagement program, responsible for providing behavioral health, client engagement and case management services to individuals enrolled in Medicaid . This ... **Days Off:** Saturday and Sunday **Insurance Benefits:** Dental, Life, Long -term Disability, Medical (no premiums/payroll deductions for employee coverage) **Other… more
    DirectEmployers Association (10/08/25)
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  • Commonwealth Care Alliance (Springfield, MA)
    …across various locations. This position reports to the CIC BH Clinical Manager . **Supervision Exercised:** + No, this position does not have direct reports. ... + Facilitating and/or delivering preventative care and behavioral health assessments. + Long Term support for patients with the most significant behavioral health… more
    DirectEmployers Association (10/07/25)
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  • Commonwealth Care Alliance (Springfield, MA)
    …patient to access the best types of care for their needs including community long -term services and supports. They will focus on reducing gaps in preventive care ... needs. This position reports to the CIC CHW Clinical Manager **Supervision Exercised:** + No, this position does not...department use + Supports patient retention and connection to Medicaid and Medicare benefits + Conducts health education on… more
    DirectEmployers Association (10/07/25)
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  • Case Manager , Medicaid

    MVP Health Care (Tarrytown, NY)
    …requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to ... Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or... Medicaid members. + Through collaborative efforts the Case Manager will identify the medical and… more
    MVP Health Care (10/26/25)
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