• Medicaid Quality Management

    Iowa Department of Administrative Services (Des Moines, IA)
    Medicaid Quality Management Product Owner Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4901739) Apply  Medicaid Quality ... of Medicaid , Bureau of Program Integrity and Compliance, is seeking a Medicaid Quality Management Product Owner to join our team! Responsibilities… more
    Iowa Department of Administrative Services (04/09/25)
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  • Lead, Medicaid Ins Product Strategy

    Humana (Carson City, NV)
    …of internal and external customers digital learning and education habits + Utilizes product management processes and tools such as user research and concept ... frameworks to maximize available resources to achieve growth. The Medicaid Insurance Product Strategy Lead - Benefits...testing, business case development, and product blueprints + Leverages foundational project management more
    Humana (04/29/25)
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  • Director, Medicaid Operations - DC (Hybrid)

    CareFirst (Washington, DC)
    …opportunity to join our Government Programs team. We are looking for a DC-based Medicaid operator who is passionate about serving the community and ready to drive ... Health Plan - Chief External Operations Officer. **PURPOSE:** The Director, Medicaid Operations provides leadership for the operation of a single jurisdiction… more
    CareFirst (04/19/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Columbus, OH)
    …**Responsibilities** + **This State Technology Lead role will exclusively cover the Ohio Medicaid product lines.** + **This State Technology Lead must reside ... of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid preferred + Comprehensive… more
    Humana (04/18/25)
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  • VP, Phco Utilization Management

    Centene Corporation (Jefferson City, MO)
    …, telephonic utilization review, prior authorization, and various related functions across Medicaid and Marketplace product lines at the enterprise level. Ensure ... management requirements + Maintain compliance with National Committee for Quality Assurance (NCQA) standards for utilization management functions, prior… more
    Centene Corporation (02/12/25)
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  • Manager, Operations ( Medicaid / Fide SNP)

    Centene Corporation (Harrisburg, PA)
    …industry. Practical experience implementing continuous improvement via Six Sigma or Total Quality Management (TQM) is desirable. Experience working within a ... and return on investment of all current and new product activity + Collaborate with staff to identify internal...customers and their expectations, initiate process changes to increase quality , decrease costs and improve staff, provider and member… more
    Centene Corporation (04/17/25)
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  • Sr. Product Manager - Claims…

    Waystar (Lehi, UT)
    …satisfaction and product quality + Assisting your VP of Product Management in coordinating with sales, marketing, development, and customer support to ... **ABOUT THIS POSITION** This role reports to a Director, Product Management and work closely with User...Ability to interpret regulatory guidelines from CMS, Tricare, and Medicaid websites + Ability to understand the vocabulary used… more
    Waystar (04/25/25)
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  • Product Director - State Public Sector…

    Prime Therapeutics (Richmond, VA)
    …state public sector, Medicaid FFS business. + Pulls in account team " Product Review Committee" to review products, gather feedback, work with product ... product for FFS, including pricing revision for Medicaid FFS + Staffs the Product Review...to clients + Provide end to end oversight and management of multiple concurrent, highly complex product more
    Prime Therapeutics (04/22/25)
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  • Product Manager, Premium Payment Integrity…

    Convey Health Solutions (Chicago, IL)
    …Administration, or a related field. * Experience: * 3-5 years of experience in product management , with a focus on healthcare analytics, or related field. * ... of healthcare data, analytics, data-driven decision-making, and healthcare industry regulations. * Product Development and Management : * Write clear and detailed… more
    Convey Health Solutions (04/28/25)
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  • Senior Management Analyst II - SES

    MyFlorida (Tallahassee, FL)
    …transparent, and high- quality health care system in the nation. The Medicaid program provides low-income families and individuals with access to health care. If ... 68056425 - SENIOR MANAGEMENT ANALYST II - SES Date: Apr 25,...both internal and external clients. *Ability to produce high quality work product under strict deadlines. *Ability… more
    MyFlorida (04/26/25)
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