• Medicaid Quality Management

    Elevance Health (Woodbridge, NJ)
    ** Medicaid Quality Management Health Plan Director** **Preferred Location: Iselin, NJ.** This position is hybrid and will require the associate to report ... about making a meaningful impact in the healthcare industry? Join us as a ** Medicaid Quality Management Health Plan Director** and become a pivotal… more
    Elevance Health (04/23/25)
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  • Medicaid Quality Management

    Iowa Department of Administrative Services (Des Moines, IA)
    Medicaid Quality Management Product Owner...IA Job Type Full-time Job Number 25-02852 Agency 400 Health & Human Services - Medicaid Opening Date ... Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4901739) Apply  Medicaid Quality Management Product Owner Salary $67,350.40 - $104,187.20… more
    Iowa Department of Administrative Services (04/09/25)
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  • RN Care Manager Priority Health

    Corewell Health (Grand Rapids, MI)
    ** Priority Health Case and Disease Management is seeking RN for Medicaid Care Managment. Experience with Medicaid is preferred. ** About Priority ... recommendations to PCPs, specialists and other members of the health care team regarding care management strategies,...Beltline - Grand Rapids Department Name PH - Care Management - Medicaid Employment Type Full time… more
    Corewell Health (04/16/25)
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  • Lead, Medicaid Ins Product Strategy

    Humana (Carson City, NV)
    …a specialization in Healthcare Management + Master's Degree in Public Health programs + Experience supporting Medicaid Business Development + Experience ... part of our caring community and help us put health first** Humana Medicaid is seeking exceptional...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid more
    Humana (04/29/25)
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  • Senior Info Tech Business Consultant/…

    MyFlorida (Tallahassee, FL)
    …delivery of health care services. * Knowledge of the Florida Medicaid Management Information System (FMMIS). * Experience using Microsoft Office programs, ... both state and federal guidance. * Remain informed about Medicaid activities for the Agency for Health ...working as a project manager or in a project management office. Message from the Office of Health more
    MyFlorida (04/22/25)
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  • Legal Nurse/Medical Analyst: Medicaid Fraud…

    New York State Civil Service (Syracuse, NY)
    …legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers, ... medical services, and a $7.6 Million settlement with a health insurer for using banned Medicaid provider.Duties:...to resident abuse, mistreatment, or neglect, as well as quality assurance issues; * Case management , MDS… more
    New York State Civil Service (02/12/25)
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  • Medical Director - Medicaid N. Central

    Humana (Dover, DE)
    …Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other ... a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines… more
    Humana (04/24/25)
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  • Medicaid File Coordinator

    MyFlorida (Fort Pierce, FL)
    MEDICAID FILE COORDINATOR Date: Apr 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 852058 Agency: Children and Families Working Title: MEDICAID FILE COORDINATOR Pay Plan: Career Service Position Number: 60066289 Salary:… more
    MyFlorida (04/29/25)
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  • Case Manager, Medicaid Long Term Support…

    MVP Health Care (Schenectady, NY)
    …years of recent clinical and Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home required. + Must ... Case Manager, Medicaid Long Term Support Program 625 State St,...USA Req #2302 Friday, December 13, 2024 At MVP Health Care, we're on a mission to create a… more
    MVP Health Care (03/04/25)
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  • Medicaid Compliance Officer - State…

    Humana (Indianapolis, IN)
    …of care provided to members, ultimately supporting Humana's mission to improve health outcomes and consumer experiences. The Medicaid Compliance Officer ... part of our caring community and help us put health first** Humana's Regulatory Compliance team is dedicated to...need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid more
    Humana (04/22/25)
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