• Medicaid State Technology…

    Humana (Montpelier, VT)
    **Become a part of our caring community and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and ... understanding the priorities of all delivery for their assigned state , supporting the business goals of the Medicaid...remain organized and aligned with delivery goals. + Guides Medicaid Technology Solutions teams in developing technical… more
    Humana (09/03/25)
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  • Medicaid CMS Certification Lead

    NTT DATA North America (Montgomery, AL)
    …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid CMS Certification Lead to join our team in Montgomery, ... forward-thinking organization, apply now. We are currently seeking a Medicaid Systems Certification Lead to join our...lead will provide advice and support to the State and to the module vendors to ensure the… more
    NTT DATA North America (08/23/25)
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  • Attorney: Prosecute Medicaid Fraud/Nursing…

    New York State Civil Service (New York, NY)
    …a complete application online at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) ... evidence to grand juries, and conduct evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of New… more
    New York State Civil Service (09/11/25)
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  • Attorney: Prosecute Medicaid Fraud/Nursing…

    New York State Civil Service (Mineola, NY)
    …a complete application online at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) ... evidence to grand juries, and conduct evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of New… more
    New York State Civil Service (09/11/25)
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  • Strategy Advancement Advisor ( Medicaid )

    Humana (Richmond, VA)
    …presence for Humana Healthy Horizons and prepares markets for upcoming bids for state Medicaid managed care programs. The Strategy Advancement Advisor works with ... health data to create a foundational understanding of a state 's health care and Medicaid landscape. +...partnerships. + Collaborates with the Community Outreach and Engagement Lead , Business Development to build visibility and credibility of… more
    Humana (09/13/25)
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  • Medicaid Insurance Product Manager

    Humana (Montpelier, VT)
    …a part of our caring community and help us put health first** Humana Medicaid is seeking a dynamic and strategic Senior Insurance Product Manager to join our ... Medicaid Product Strategy Organization, supporting the continued growth and...to ensure effective benefit delivery. + Translate federal and state regulatory guidance into actionable product and benefit designs.… more
    Humana (09/11/25)
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  • Sr. Medicaid Regulatory Pricer Analyst

    Zelis (Plano, TX)
    … state registers, waiver programs and bulletins regarding payment rules for State Medicaid programs as well as deciphering contractual language regarding ... across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients.… more
    Zelis (08/27/25)
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  • Medicare- Medicaid Pharmacy Director

    Humana (Lansing, MI)
    …caring community and help us put health first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical ... programs to mitigate cost trend and improve health outcomes. The Clinical Pharmacist Lead works on problems of diverse scope and complexity ranging from moderate to… more
    Humana (09/09/25)
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  • MITA ( Medicaid IT Architecture) Consultant

    Public Consulting Group (FL)
    …strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and ... of personnel so classified.** **Qualifications:** Required Skills/Experience * Experience with Medicaid Infrastructure Technology Architecture (MITA) * 5+ years… more
    Public Consulting Group (08/08/25)
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  • VP, Health Engagement - Medicaid

    Highmark Health (Pittsburgh, PA)
    …solutions with seamless omni-channel handoffs. As a key leader of the Medicaid Clinical organization, role is responsible for maximizing and optimizing value of ... operational excellence/administrative cost management. This requires the incumbent to lead their team through the implementation of alternative resourcing strategies… more
    Highmark Health (08/16/25)
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