• Managed Long Term

    LA Care Health Plan (Los Angeles, CA)
    Managed Long Term Services and Supports Coordinator II Job Category: Clinical Department: Managed Long Term Services and Supports ... net required to achieve that purpose. Job Summary The Managed Long Term Services...members, families, and caregivers, have easy access to a service delivery system that improves the well-being of our… more
    LA Care Health Plan (10/13/25)
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  • Lead Managed Care Contract Manager

    Baystate Health (Springfield, MA)
    …Strategic Thinking: The ability to think strategically and contribute to the organization's long - term managed care strategy is often expected in senior ... Validates data extracts and analyzes any data variances. 12) Conduct service line managed care reimbursement analysis as requested by Management. 13) Works in… more
    Baystate Health (08/30/25)
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  • Economist Supervisor - SES / Actuarial Manager

    MyFlorida (Tallahassee, FL)
    …expertise in matters of rate analysis for managed medical assistance care and managed long term care for various populations covered by Medicaid ... Bureau of Medicaid Data Analytics examines critical aspects of Floridians' health, health care services and costs, and is vital to managed care rate setting,… more
    MyFlorida (10/01/25)
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  • Bilingual Call Center Rep (Relationship…

    Healthfirst (NY)
    …to maximize productivity and optimal operational efficiency. + Connects consumers seeking personal care/ long term care services with the State broker to ... customers to address their needs while adhering to internal Service Levels standards. + Creates and/or follow ups for...knowledge of Complete Care, Senior Health Partners (SHP) or managed long - term care. + Prior… more
    Healthfirst (10/04/25)
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  • Plan President, Illinois

    Molina Healthcare (Springfield, IL)
    …to families and individuals who qualify for government-sponsored programs, including Medicaid, Medicare, Managed Long - Term Services and Support (MLTSS) ... and implements business plans and strategies to provide profitable operations, meet short- term objectives and ensure long - term growth, success, and… more
    Molina Healthcare (10/11/25)
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  • Case Manager Registered Nurse - Field in Essex…

    CVS Health (Belleville, NJ)
    …visits in the members home utilizing comprehensive assessment tools for members enrolled in Managed Long - Term Services and Supports program (MLTSS) ... visits in the members home utilizing comprehensive assessment tools for members enrolled in Managed Long - Term Services and Supports program (MLTSS)… more
    CVS Health (09/04/25)
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  • Medicaid Program Advisor - Financial Reporting

    Staffing Solutions Organization (Albany, NY)
    …associated with the Medicaid Managed Care Operating Cost Reports for Medicaid and Managed Long Term Care (MLTC) plans, Medical Loss Ratio Reporting and ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services . SSO is committed to a diverse workforce, which is… more
    Staffing Solutions Organization (08/13/25)
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  • VP, Ltss - Health Care Operations (Remote)

    Molina Healthcare (Kenosha, WI)
    …JOB DUTIES:** + Supports executive strategy development, vision and direction for enterprise managed long - term services and supports (MLTSS) activities. ... Description** Provides executive level strategy and leadership to drive business performance of long - term services and supports for the enterprise which… more
    Molina Healthcare (09/25/25)
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  • Sr. Systems Development Engineer, AWS…

    Amazon (Herndon, VA)
    …in April 2023, with the objective to reduce operational load and toil through long - term engineering projects. Managed Operations (MO) is building the ... Engineers who can balance the day-to-day operations of AWS' software systems with long - term software engineering to reduce operational toil. We need engineers… more
    Amazon (09/27/25)
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  • Clinical Case Manager Behavioral Health - Field…

    CVS Health (Passaic, NJ)
    …for conducting face to face visits using comprehensive assessments of members enrolled in Managed Long - Term Services and Supports program (MLTSS) and/or ... $10,000** **Job description** : Develop, implement, support, and promote health service strategies, tactics, policies, and programs that drive the delivery of… more
    CVS Health (09/18/25)
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