• Manager , Compliance

    Humana (Frankfort, KY)
    …and help us put health first** Humana Healthy Horizons is seeking a Manager , Compliance - Medicaid State Reporting to ensure compliance with ... to determine approach, resources, schedules, and goals. The Manager , Compliance - Medicaid State Reporting develops and implements compliance more
    Humana (10/04/25)
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  • Medicaid Compliance

    State of Minnesota (St. Paul, MN)
    **Working Title: Medicaid Compliance and Investigations Manager ** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ID** : ... primary work location to be eligible for telework._** **_*Approximately, 10% travel._** The Medicaid Compliance and Investigations Manager is responsible for… more
    State of Minnesota (10/03/25)
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  • Manager , Quality Assurance…

    Humana (Lansing, MI)
    …team of Quality Assurance Professionals responsible for ensuring consistency of use and compliance to state and Humana requirements for Long-Term Services and ... help us put health first** Humana is seeking a Manager , Quality Assurance (External LTSS Oversight Team Manager...area meetings, + Develop policies and procedures to ensure compliance with state and federal requirements and… more
    Humana (10/01/25)
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  • Account Manager Sr - NC Medicaid

    Prime Therapeutics (Columbus, OH)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Account Manager Sr - NC Medicaid - Remote Raleigh, NC **Job Description** The ... Senior Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
    Prime Therapeutics (09/23/25)
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  • Senior Medicaid & Medicare Reimbursement…

    OhioHealth (Columbus, OH)
    …OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state , federal, and local regulations. OhioHealth does ... Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be… more
    OhioHealth (09/25/25)
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  • Business Analyst ( Medicaid )

    Insight Global (Raritan, NJ)
    …work experience in business discipline or related field. * Experience in Medicaid , Rebate Management, and/or compliance is preferred. Knowledge and understanding ... of product, industry trends and contracting processes * Familiarity with CORE/ Medicaid , CCRA, Content Manager . * A strong ability to develop innovative methods… more
    Insight Global (09/18/25)
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  • Manager , Compliance (Duals & D-SNP…

    Centene Corporation (Austin, TX)
    …requirements. + Manage approval and submission of timely and accurate D-SNP State Medicaid Agency ("SMAC") contract and regulatory required report deliverables ... on established compliance program, policies, and practices to ensure and maintain compliance with federal, state , and local regulatory, contractual and legal… more
    Centene Corporation (10/01/25)
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  • Senior Manager , Compliance

    Project Renewal, Inc. (New York, NY)
    Title: Senior Manager , Compliance Program: Legal, Varick Headquarters Salary Range: $90,000 - $100,000 per year Overall Responsibilities: The Senior Manager , ... is responsible for overseeing and implementing the organization's compliance program to ensure adherence to federal, state... in healthcare and related human services. The Senior Manager , Compliance reports to the Director of… more
    Project Renewal, Inc. (07/24/25)
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  • Manager of Revenue Integrity…

    Prime Healthcare (Ontario, CA)
    …other federal and state financial reporting requirements. The Revenue Integrity Compliance Manager is a strategic thinker with strong leadership skills and ... seeking new members to join our corporate team! Responsibilities The Revenue Integrity Compliance Manager is a highly motivated and detail-oriented. This role… more
    Prime Healthcare (09/18/25)
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  • Manager , Financial Compliance

    LA Care Health Plan (Los Angeles, CA)
    Manager , Financial Compliance Audit, $10,000 SIGN ON BONUS Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, ... safety net required to achieve that purpose. Job Summary Manager , Financial Compliance Audit (Finance) has a...of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and other federal and state more
    LA Care Health Plan (08/09/25)
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