Remote Colorado Medicaid Authorization Lead
Abby Care
A healthcare startup is looking for a Payer Authorization Operations Manager based in Denver, Colorado. This role involves leading the authorization operations for Colorado's Medicaid programs, ensuring compliance and seamless service for vulnerable populations. The ideal candidate will have over 5 years of experience in Colorado Medicaid authorizations, a strong grasp of the LTHH landscape, and excellent problem-solving skills. Join a mission-driven team focused on empowering families and improving care outcomes across the state. #J-18808-Ljbffr
$70k - $77k
Abby Care is seeking a skilled Payer Authorization Operations Manager to lead the authorization process for Colorado Medicaid systems. This full-time remote role requires over 5 years of experience in Colorado Medicaid authorization, specializing in waiver programs. The...Remote jobFull time- The Colorado State Forest Service is seeking a Forestry Program Specialist to manage the Good Neighbor Authority Program in Colorado. This role involves oversight of a $38 million funding portfolio to support forest health and restoration projects across the state. Ideal...Remote job
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$104k - $143k
Humana Inc. is looking for a Value-Based Programs Lead (Medicaid Strategy) to enhance provider relationships and improve quality and cost outcomes... ...care, with strong analytical and communication skills. This remote position allows for flexibility, with a pay range of $104,000...Remote job- Mercor is seeking experienced Medication and Pharmacy Prior Authorisation specialists in Thornton, Colorado, to improve AI systems in pharmacy benefit management. Candidates should have 5+ years of experience in speciality medication access and a strong knowledge base...Remote job
- Humana Inc. in Providence, RI is seeking a Value-Based Programs Lead (Medicaid Strategy) to support value-based provider relationships. This remote role involves advising on Medicaid strategies and leading proposal developments to improve quality and achieve goals. Ideal...Remote job
- PainPoint Health is looking for a Prior Authorization Team Lead to manage and support the prior authorization process in Atlanta, GA. This role... ...and excellent communication skills. The position is remote, allowing flexibility, and includes various benefits such as...Remote job
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Gainwell Technologies is hiring a Provider Publications / Communications Lead to manage provider-facing communications supporting Medicaid operations. This remote role involves coordinating with teams to ensure accuracy in publications and educating providers about regulatory...Remote job$19 - $22.26 per hour
Integrated Services for Behavioral Health seeks a Prior Authorization Specialist to lead the authorization process for outpatient behavioral health services. This role involves coordinating insurance approvals and supporting timely access to treatment. Ideal candidates...Remote jobHourly pay- ...oversee prior authorisation workflows for medical services. This remote position requires strong clinical knowledge and leadership... ...Ideal candidates have familiarity with Medicare Advantage and Medicaid requirements and proficiency in authorisation management systems...Remote jobContract work
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$88.9k - $150k
Public Consulting Group in Charlotte, NC is seeking a Regional Medicaid Lead responsible for program oversight and strategic growth in... ...years of experience with Medicaid programs. This position is remote with travel required 25-50% of the time. Competitive compensation...Remote job- ...Government Pricing to provide advanced analytical support for Medicaid pharmacy programs. Candidates should have at least 5 years of experience... ...comprehensive benefits and a supportive work environment. Remote work is available, with some limitations based on location. #J-...Remote job
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$4,523.16 - $7,253.83 per month
Texas Health and Human Services in Austin is looking for a Program Specialist V to support fraud detection initiatives for Medicaid and SNAP. This full-time role requires strong communication and data analysis skills to interpret program changes while supervising a team...Remote jobFull time- A leading healthcare consulting firm in the United States is seeking an Actuarial Analytics Manager to oversee Medicaid and Medicare programs. In this role, you will lead the analysis of capitation... .... This position offers full remote flexibility and a comprehensive benefits...Remote job
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- ...Shield of Arizona is looking for a qualified candidate to manage prior authorization requests within clinical practice. This role requires at least three years of clinical experience, one year of Medicaid/Medicare experience, and an active Arizona nursing license. You will...Remote job
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