• LTSS Program Specialist, Hybrid

    Commonwealth Care Alliance (Boston, MA)
    …evaluation of the appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities ... and demonstrated capabilities. The position will report to the LTSS Program Manager. Reporting to the Manager,...experience Desired Experience (nice to have): * Experience with dual - eligible (DSNP) populations preferred. * 1+ years… more
    Commonwealth Care Alliance (10/18/25)
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  • Provider Engagement Professional 2 Ltss

    Humana (Springfield, IL)
    …first** Humana Gold Plus Integrated is seeking Provider Engagement Professionals ( LTSS ) who are responsible for day-to-day, front-line relationship management for ... with physicians, providers and healthcare systems. The Provider Engagement Professional ( LTSS ) roles and responsibilities include: + Serve as primary relationship… more
    Humana (11/20/25)
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  • Transition of Care Management - Registered Nurse

    CVS Health (Richmond, VA)
    …whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can ... have life-changing impact on our Fully Integrated Dual Eligible Plan (FIDE) members, who are...Health Care Coordination experience preferred + Working knowledge of LTSS and HCBS options, Chronic disease management, Medication side… more
    CVS Health (12/11/25)
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  • Delegation Partnerships Performance Manager

    Commonwealth Care Alliance (Boston, MA)
    …providers or equivalent Desired Experience (nice to have): * Experience with dual - eligible (DSNP) populations preferred. * Understanding of behavioral health ... on fostering strong clinical and programmatic collaboration, effectively communicating program performance to delegated providers, and supporting the implementation… more
    Commonwealth Care Alliance (10/18/25)
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  • VP, Medicaid Regional President

    Humana (Indianapolis, IN)
    …market includes both Waiver programs, which provide long-term services and support to eligible individuals, and Dual Eligible Special Needs Plans (DSNP), ... + Experience in Medicaid MCO plan operation with demonstrated experience in TANF/CHIP/ABD/ LTSS Wavier + Experience with budgeting and financial management of a… more
    Humana (10/21/25)
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  • Sr Provider Relations Liaison

    Commonwealth Care Alliance (Boston, MA)
    …years of experience **Desired Experience (nice to have):** + Experience with dual - eligible (DSNP) populations preferred. **Required Knowledge, Skills & Abilities ... diverse provider community - including physician, hospital, behavioral health, community-based, LTSS , and HCBS providers. This individual serves as a key liaison,… more
    Commonwealth Care Alliance (10/18/25)
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  • Director, Provider Relations

    Commonwealth Care Alliance (Boston, MA)
    …influence across departments. Desired Experience (nice to have): * Experience with dual - eligible (DSNP) populations preferred. * 10+ years of experience in ... relations strategy, ensuring strong, collaborative partnerships with hospitals, physician groups, LTSS , HCBS, behavioral health, and ancillary providers. * Serve as… more
    Commonwealth Care Alliance (10/18/25)
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