Medicaid Compliance Lead, Maryland — Remote
CVS Health Corporation
- Remote job
CVS Health Corporation in Maryland seeks a Sr Manager - Corporate Compliance to lead the Medicaid compliance program for the Maryland health plan. You will ensure adherence to state regulations, contract terms, and internal policies while coordinating with state agencies and internal partners. Responsibilities include regulatory reporting, coordinating audits, and guiding teams on risk mitigation. The role requires strong project management and deep knowledge of Medicaid programs, with a focus #J-18808-Ljbffr CVS Health Corporation
$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$88.8k - $208.38k
...tasks and Value Based Payments. The role requires expertise in Medicaid and Medicare and excellent communication skills. The position offers... ...include analyzing healthcare data and managing projects while leading a team of actuaries. The expected salary range is $88,800 to $2...Remote job- ...We are hiring a Revenue Cycle Manager for Medicaid Waiver Programs to lead waiver billing operations, ensure regulatory compliance, and optimize revenue capture for HCBS waiver... ...strong RCM skills, and CPC certification. Remote work is offered, with collaboration across...Remote job
- Revive BHS in Maryland is seeking a Medical Billing Manager to oversee our Medicaid billing team. You will mentor Billing Specialists, ensure timely submissions, and coordinate with clients to resolve billing questions. The ideal candidate has meticulous attention to detail...Remote job
$112.4k - $179.9k
.... Be you ... be here.Job SummaryThe AI Lead in Compliance Testing is a senior SLOD practitioner within... ...EnvironmentNormal office environment. (Remote or Hybrid), 3 to 4 days per month are... ...Washington: $123,600.00 - $206,900.00 Maryland: $123,600.00 - $197,900.00 Washington...Remote workFull timeTemporary workWork at officeLocal areaImmediate startWork visaFlexible hours$115.2k - $158.4k
...a part of our caring community The Compliance Lead (Pharmacy) ensures compliance with governmental... ...Workstyle: This position is remote; however, candidates residing in and around... ...of life for people with Medicare and Medicaid, families, individuals, military service...Remote workFull timeContract workTemporary workWork at officeWork from homeHome officeMonday to Friday- ...also include Global Regulatory Lead responsibilities for one or... ...activities and key meetings. Remote-first candidates may be considered... ...experience ensuring compliance with applicable regulatory requirements... ...the Centers for Medicare and Medicaid Services (CMS) website at...Remote workFull timeLocal area
$104k - $143k
...community The Procurement Lead generates and implements efficient... ...pricing and contract compliance. Monitor sales and margins through... .... Travel: While this is a remote position, occasional travel... ...for people with Medicare and Medicaid, families, individuals, military...Remote workFull timeContract workTemporary workWork at officeWork from homeHome office- ...Consulting Group LLC (PCG) is a leading public sector solutions... ...learn more, visit .The Regional Medicaid Lead is a senior leadership role... ...delivery standards, compliance, and operational discipline.In... ...required 25-50%This position is remote with travel/onsite requirements...Remote workFull timeH1bWork at officeLocal areaShift work
$142.3k - $195.7k
...part of our caring communityThe Lead Solutions & AI Enablement... ...Collaborate with governance and compliance teams to validate designs... ...information.Travel: While this is a remote position, occasional travel... ...for people with Medicare and Medicaid, families, individuals,...Remote workFull timeTemporary workFor contractorsWork at officeWork from homeHome office$48.3k - $69k
...Provider Publication/Communication Lead is responsible for planning,... ...communications that support Medicaid program operations, provider education, regulatory compliance, and stakeholder engagement. This... ...on an ongoing basis. #LI-REMOTE #LI-JT1 The pay range for...Remote workFull timeFlexible hours$48.3k - $69k
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- ...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
- ...Together is hiring an Associate Director/Director for Medicaid Entitlement & Coverage Strategy. This role is crucial for leading GRT's response to federal Medicaid changes and... ...skills, and a degree in a related field. Full remote work is available, excluding certain states....Remote job
- Humana Healthy Horizons is hiring a Medicaid Implementation Senior Project Manager to lead end-to-end initiatives, ensuring on-time, on-budget delivery. The role... ...expertise. The position supports 40-hour weeks with remote work options and up to 10% travel to Humana offices....Remote job
$86.8k - $124k
...part of a team that unleashes the power of leading-edge technologies to help improve the... ...capabilities.SummaryAs a Lead Product Analyst - Medicaid Drug Rebate, you will play a critical... ...What you should expect in this roleFully remote opportunity with the option to work...Remote workFull timeFlexible hours- TSTC is seeking a Security Compliance Lead to join our focused security program. The role requires extensive... ...while coordinating with on-site and remote stakeholders. The position is hybrid with on-site work in Maryland or Colorado and periodic travel. #J-18808-Ljbffr...Remote work
- Mathematica is seeking a senior-level expert to lead Medicaid and CHIP programs, guiding policy development and implementation at the state... ...strong analytic and communication skills and a proven track record in business development and client #J-18808-Ljbffr Remote JobsRemote work
- Title:Lead eDiscovery AnalystKBR is seeking a highly skilled and... ..., Information Security, Compliance, Human Resources, and external... ...arrangements, including hybrid, remote working, and virtual delivery... ...Arlington, Virginia; Columbia, Maryland; Washington, DCType: Full...Remote workFull timeTemporary workLocal areaRelocation packageFlexible hours
- ...Supervisor responsible for regulatory filings related to Medicare and Medicaid. This remote role requires a Bachelor’s degree in Business or Social Services and experience in healthcare regulatory compliance. You will engage with various regulatory agencies ensuring...Remote job
$173k - $295k
...technology resources in the US and UK. T. Rowe Price is a leading global asset manager, entrusted with managing $1.79... ...opportunity.$173,000.00 - $295,000.00 for the location of: Maryland, Colorado, Washington and remote workers$190,000.00 - $324,000.00 for the location of:...Remote workFull timeWork experience placementLocal areaWork from home1 day per week$33.4 - $50.13 per hour
...Inpatient Coding Team Lead Under direct supervision, the Inpatient Coding Team Lead... ..., research, statistics, and compliance to federal and state regulations in accordance... ...Potentially Preventable Complications (PPC's)/Maryland Hospital Acquired Conditions (MHAC's),...Remote jobWork experience placement- ...Prime Therapeutics seeks a Senior Regulatory Analyst (Remote) to lead portions of regulatory review, audits and accreditation processes across Commercial, Medicare, Medicaid, and Health Insurance Marketplace programs. The role serves as the primary contact for internal...Remote work
$117.6k - $161.7k
Become a part of our caring community The Lead for Medicaid Technology is responsible for driving... ...Overview This role has a hybrid remote workstyle which will require you to work... ...release, and connectivity) to validate compliance and performance. Governance & Compliance...Remote workBi-weekly payFull timeContract workTemporary workWork at officeWork from homeHome office3 days per week$90.2k - $159.05k
...innovator, and change agent.Our Lead Senior Tax Accountant in the State Tax Compliance function will oversee all aspects... ...future openings.Ability to Work Remotely: Part-time Remote Telework: The... ...areas), Colorado, Hawaii, Illinois, Maryland, Minnesota, New Jersey, Vermont,...Remote workFull timeTemporary workPart timeWork experience placementWork at officeLocal areaFlexible hours$150k - $160k
...Looking For: TSTC is looking for a security compliance lead with depth of knowledge in nuance of... ...be performed in Annapolis Junction, Maryland or Colorado Springs, Colorado This is... ...long-term plans. Flexible Work Options - Remote work allowed, flexible schedules, and...Remote workContract workTemporary workLocal areaFlexible hours- Aledade, Inc. seeks a Director of Payer GTM to lead end-to-end operational strategy for enrolling practices and maximizing attributed member lives across Commercial, Medicare Advantage, and Medicaid contracts. You will guide a high-performing team, develop market-specific...Remote job
$130k - $160k
...you can build an incredible career at a leading science and technology company, where we... ...makes everything possible. The Policy and Compliance Lead is responsible for developing and... ...Corporate Information Security and will be USA Remote base.In this role, you will have the...Remote workFull timeWork from homeFlexible hours$120k - $160k
...makes everything possible. The US Export Controls Lead will be responsible for managing the Pall Corporation’s Export Compliance program globally. This role will help develop... ...Global Trade Compliance teamand will be fully remote.In this role, you will be required to:Serve as...Remote workPermanent employmentFull timeWork at officeWork from homeWork visaFlexible hours- Remote: You will be able to work from your home location within the United States.PURPOSE... ...service philosophy. Adheres to the Corporate Compliance Program, including all applicable laws,... ...company operations and the value chain. Leads the implementation, monitoring, and...Remote workFull timeWork at officeWork from home
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