- Alternate Solutions Health Network LLC (Detroit, MI)
- …Degree program in Nursing within the state of employment.Minimum 3 years inpatient clinical experience, preferably hospice.Valid driver's license and auto ... our own FAMILY. Note: The Centers for Medicare & Medicaid Services (CMS), in collaboration with the Centers for...what you'll do as a Hospice, General InPatient Nurse-Case Manager . You'll help deliver care in a holistic, family-centered… more
- Marion County (Salem, OR)
- …in ECOS.Coordinate discharge planning with NorthWest Seniors and Disability Services (NWSDS) Case Manager (CM) and program . Identify MH needs to be addressed at ... relocating from outside of Oregon, we provide the following relocation package:Up to $ 3 ,000 reimbursement of moving expensesRelocation bonus in the amount of $ 3… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Medicaid Special Programs Registered Nurse Assessor/Case Manager is responsible for conducting ... the initial and reassessments for members enrolled in a Medicaid LTSS program using the Uniform Assessment...recommendation for proposed services and development of the PCSP. Medicaid Special Programs Registered Nurse Assessor/Case Manager … more
- CVS Health (Hartford, CT)
- …team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment ... committed to revenue integrity excellence. This position will contribute to Medicaid RAF performance through the delivery of measurable and actionable solutions… more
- CVS Health (Hartford, CT)
- …suite of market focused Risk Adjustment Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager of Medicaid Risk ... Adjustment, the Market Manager of Medicaid Risk Adjustment will work closely with cross-functional leadership...% Time Strategy & Execution 40% + Oversees a program or programs that is jointly accountable for risk… more
- HCA Healthcare (Asheville, NC)
- …purpose and integrity. We care like family! Jump-start your career as a Medicaid Eligibility Area Manager today with Mission Hospital. **Benefits** Parallon at ... vary by location._** Come join our team as a Medicaid Eligibility Area Manager . We care for...healthcare + Management experience OR completion of the Parallon Manager Trainee Program . **Parallon** provides full-service revenue… more
- CVS Health (Austin, TX)
- …be a remote position preferred hybrid in Texas** - Lead a team of Medicaid Provider Data Services Analyst responsible for loading and maintaining Medicaid ... Operations, Provider Relations or Network operations.- 1+ years of experience in Medicaid and/or Medicare provider operations.- 2+ year of experience with ensuring… more
- Molina Healthcare (Glen Allen, VA)
- … Manager will support a team of field Nurse Case Managers supporting our Medicaid program We are looking for someone with strong leadership and experience ... + years supervisory/management experience in a managed healthcare environment. + Medicaid /Medicare Population experience with increasing responsibility. + 3 +… more
- Humana (Nashville, TN)
- …help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Service Coordination ( Manager , Care Coaching) who will lead teams of Service ... needs and requirements to achieve and/or maintain optimal wellness state. The Manager , Service Coordination ( Manager , Care Coaching) works within specific… more
- City of New York (New York, NY)
- …WHEN IT BECOMES AVAILABLE TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term ... the Assisted Living Program , Care at Home Program and Homebound Medicaid . The Medicaid...duties, housing office teller duties, purchasing agent, assistant store manager , sales representative responsible for accounts, or customer service… more
- Humana (Indianapolis, IN)
- …us put health first** Humana Healthy Horizons in Indiana is seeking a Manager , Care Coordination to lead teams of nurses and behavior health professionals ... responsible for care management. The Manager , Care Coordination works within specific guidelines and procedures,...up to 50-75% travel based on staff needs.** + 3 + years of professional experience in Case Management, delivery… more
- CVS Health (Houston, TX)
- …this Texas Medicaid individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate analysis, ... with successful track record negotiating contracts with complex provider systems or groups. 3 + years of related experience at an Expert level negotiation skills with… more
- CVS Health (New York, NY)
- …care more personal, convenient and affordable. Position Summary The Senior Manager of Provider Relations manages a team of Provider/Network Relations representatives ... commutable distance to office location listed + Minimum of 3 years recent Managed Care experience in Provider Relations,...+ Experience with Employee Supervision and leading teams + Medicaid Network experience + Knowledge of Medicaid … more
- CVS Health (Houston, TX)
- …health care more personal, convenient and affordable. In this Texas Medicaid individual contributor role the contract negotiator: + Negotiates competitive contracts ... (Dallas/Ft Worth, Houston, Austin and San Antonio) Required Qualifications + 3 + years of experience negotiating contracts with ancillary providers, physician groups,… more
- City of New York (New York, NY)
- … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... enrolling in Medicaid public health insurance. The agency's Medical Assistance Program helps New Yorkers who qualify enroll in public health insurance programs… more
- CVS Health (Hartford, CT)
- …deliver solutions to make health care more personal, convenient and affordable. The Manager , HR Business Partner plays a key supportive strategic role as a thought ... partner to aligned Medicaid leadership and the broader HRBP team. The HRBP is responsible for building successful relationships within all levels of the organization… more
- CVS Health (Houston, TX)
- …Position Summary In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate analysis, ... and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and implementation… more
- Sutherland Global Services (Torrance, CA)
- …+ Minimum 3 - 5 years strong experience with California Medicaid (Medi-Cal) In-patient billing and collection guidelines + Experience in supporting Self Pay ... accountable, dynamic & people person to join us as an Associate Manager to oversee customer deliverables, process maintenance & improvement, and people management… more
- CVS Health (Princeton, NJ)
- …provider and hospital locations within New Jersey assigned territory + Minimum 3 + years' experience in business segment environment servicing providers with exposure ... to benefits and/or contract interpretation. + Minimum 3 + years' experience with business segment specific policy, benefits, plan design and language + Medicaid … more
- Devereux Advanced Behavioral Health (Kingston, NY)
- …potential fraud in billing submissions; resolving identified issues with employees and program managers; staying updated on Medicaid regulations and policy ... of Day and Res Habilitation documentation in coordination with program management. They will monitor program documentation...changes affecting billing; working with the Medicaid Documentation Oversight Manager on the development… more
