• Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor - Albany, NY** **DDSA - 1176** **Summary** ... Medicaid Program Advisor will work within the Division of Data Services & Analytics (DDSA) Bureau of Product and Process to provide product and project… more
    Staffing Solutions Organization (04/21/25)
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  • Healthcare Payment & Financing Innovation Senior…

    City of New York (New York, NY)
    …Services seeks to hire a Healthcare Payment & Financing Innovation Sr. Policy Advisor . This position will be responsible for designing and analyzing payment and ... related to Local Law 78 and its relationship to Medicaid , Medicaid Policy and Programming, and local,...hire a Healthcare Payment & Financing Innovation Sr. Policy Advisor . This position will be responsible for designing and… more
    City of New York (02/12/25)
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  • Associate Director, Michigan Medicaid

    Humana (Lansing, MI)
    …caring community and help us put health first** The Associate Director, Michigan Medicaid Provider Services leads a team that is accountable for growing positive, ... reports are completed timely and accurately. The Associate Director, Michigan Medicaid Provider Services requires an in-depth understanding of how organization… more
    Humana (04/23/25)
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  • Compliance Advisor Hide SNP

    Corewell Health (Grand Rapids, MI)
    …collaborative Medicaid Operations team, serving in a consulting and advisor role to develop policies, processes, and business practices to optimize ... and federal agencies. Demonstrates proficient understanding of business operations, Medicaid regulations, and initiatives including those requiring collaboration with… more
    Corewell Health (04/27/25)
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  • Medical Director - Medicaid (IL)

    CVS Health (Springfield, IL)
    …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California, Florida, Illinois, ... "Work from Home" position primarily supporting the Aetna Illinois Medicaid plan and the UM team; but part of...Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a… more
    CVS Health (03/11/25)
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  • Compliance Advisor III

    LA Care Health Plan (Los Angeles, CA)
    Compliance Advisor III Job Category: Administrative, HR, Business Professionals Department: Audit Services Location: Los Angeles, CA, US, 90017 Position Type: Full ... required to achieve that purpose. Job Summary The Compliance Advisor III ensures that the Plan's processes and operations...but not limited to, the Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care… more
    LA Care Health Plan (04/11/25)
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  • Director Physician Advisor

    Catholic Health Services (Melville, NY)
    …the implementation of CM processes and policies, as well as the Physician Advisor role, activities and expectations. Collaborates with CM and CDI departments at the ... to Physician Advisors through annual performance evaluation. Monitors Physician Advisor performance dashboard with Key Performance Indicators (KPIs). Responsible for… more
    Catholic Health Services (03/05/25)
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  • Medical Director - Kentucky Medicaid

    CVS Health (Frankfort, KY)
    …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, California, Florida, Illinois, ... working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred Qualifications:**… more
    CVS Health (04/05/25)
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  • Managing Advisor III Senior Director,…

    LA Care Health Plan (Los Angeles, CA)
    Managing Advisor III Senior Director, Policy and Regulatory Compliance (ALD) Job Category: Administrative, HR, Business Professionals Department: Compliance ... the safety net required to achieve that purpose. Job Summary The Managing Advisor III Senior Director, Compliance Policy and Regulatory is responsible for directing… more
    LA Care Health Plan (04/11/25)
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  • Physician Advisor - Utilization Management…

    Ochsner Health (New Orleans, LA)
    …difference at Ochsner Health and discover your future today!** The Physician Advisor (PA-Utilization Management) serves as the physician leader in matters relating ... of Quality Assurance and Utilization Review Physicians (ABQAURP) or (3) Physician Advisor Sub-Specialty Certification by the American Board of Quality Assurance and… more
    Ochsner Health (04/09/25)
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