• Director , Highly Integrated Dual Eligible…

    Corewell Health (Grand Rapids, MI)
    …+ Support integration of LTSS service coordination systems (eg, care management platforms, provider portals) with enterprise data systems. + Lead ... CMS and MDHHS expectations for person-centered, coordinated care. The LTSS Director works closely with the plan's...care. + Data -Driven Decision Making:Monitor and analyze LTSS data to identify trends and opportunities… more
    Corewell Health (06/11/25)
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  • Case Manager, RN or Licensed Behavioral Health (SN…

    Excellus BlueCross BlueShield (Rochester, NY)
    Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for ... drivers. Essential Accountabilities: Level I + Handles physical health member clinical management programs. + Maintains knowledge of current Case Management … more
    Excellus BlueCross BlueShield (06/27/25)
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  • Product Management Director…

    Elevance Health (Tampa, FL)
    **Product Management Director -** **Decision Support** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... life through home-care and community based services. The **Product Management Director ** will lead the product strategy...the performance and results of the product. + Develop data integration strategy that drives value for clients through… more
    Elevance Health (07/18/25)
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  • Director , Behavioral Health - Illinois

    CVS Health (Springfield, IL)
    …Aetna Medicaid markets. The Behavioral Health Director reports to the Senior Director Behavioral Health - Medicaid Care Management . This is a fully remote ... with heart, each and every day. **Position Summary** The Illinois Behavioral Health Director is a key conduit for Behavioral Health related information as well as… more
    CVS Health (07/13/25)
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  • Director , Care Management - STAR…

    Centene Corporation (San Antonio, TX)
    …healthcare outcomes. Develops strategies and objectives within long-term care management to improve member and/or provider experience. + Leads long-term ... care management and care management team on performance,...quality objectives + Reviews and monitors long-term care member data to identify trends and improve operating performance and… more
    Centene Corporation (07/24/25)
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  • Program Operations Support Specialist

    Compass Maryland (Beltsville, MD)
    …with overall program operations including data collection, attendance recording and LTSS billing. + Partner with the Director of Properties and Assets ... for the position of Program Operations Support Specialist. This position reports to the Director of Community Supports and takes on a vital role in the daily… more
    Compass Maryland (07/22/25)
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  • Enrollment Coordinator

    State of Colorado (Denver, CO)
    …position is the first point of contact for members applying for LTSS Presumptive Eligibility (PE), reviewing program applications, talking with applicants, and ... as needed regarding program eligibility. + Monitoring and supporting LTSS eligibility processes tracking Long-Term Care (LTC) Medicaid eligibility processing.… more
    State of Colorado (07/25/25)
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  • Manager, Utilization Management

    Commonwealth Care Alliance (Boston, MA)
    …and organizational determinations. Essential Duties & Responsibilities: The Manager, Utilization Management reports to the Director of Utilization Management ... Medicare Part B medications, long term services and supports ( LTSS ), and home health (HH). * Maintains and optimizes...and support personnel. * Act as liaison with medical director , provider relations, case management and quality… more
    Commonwealth Care Alliance (05/21/25)
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