Medicaid Provider Relations Lead
CVS Health
CVS Health is recruiting for a role focused on managing provider relationships within Medicaid, based in the Dallas/Fort Worth area. You will oversee provider communications, contract interpretation, and education needs while coordinating with cross-functional teams to optimize cost, service levels, and provider satisfaction. The role requires 5+ years in healthcare, 3+ years in Medicaid Managed Care, and willingness to travel up to 80% within the region. #J-18808-Ljbffr CVS Health
Vacancy posted 7 hours ago
Similar jobs that could be interesting for youBased on the Medicaid Provider Relations Lead in New York, NY vacancy
- NYREACH in the Bronx seeks a Supervisor of Certified Application Counselors to lead the Medicaid recertification and coverage-continuity program across community and clinical partner sites. You will supervise CAC staff, ensure timely renewals, and maintain NYSOH certification...Suggested
- ...is seeking a Principal Administrative Associate III to act as Medicaid Unit Supervisor within the Home Care Services Program. The role... ...Medicaid guidelines. You will interpret policies, liaise with provider agencies, coordinate training, and help implement new Medicaid...Suggested
- ...seeking an Institutional & ProFee Claim Biller for Commercial and Medicaid to manage day-to-day billing operations for hospital and... ...the United States. You will coordinate patient billing, payer relations, and insurance claim preparation while ensuring accuracy, timeliness...SuggestedRemote job
- Conduent is seeking a Senior Medicaid Technical Business Analysis Engineer with deep Medicaid operations, policy, and claims processing experience. You will work across business and technical teams to translate regulatory requirements into system solutions and drive improvements...Suggested
- ...seeks a Principal Administrative Associate III to supervise the Medicaid Eligibility unit within the Home Care Services Program (HCSP).... ..., and interpreting Medicaid policies for staff and providers. You will coordinate training, liaise with hospitals and agencies...Suggested
- ...Principal Administrative Associate III to supervise the Medicaid Eligibility unit within the Home Care Services... ...productivity, ensure policy compliance, and coordinate with Provider Agencies to resolve eligibility issues. Lead staff across HCSP units, drive training on Medicaid...Flexible hours
- The City of New York, Department of Social Services, seeks a Senior Processor of Medicaid Pay-In payments to manage the cashier window and ensure accurate handling of Medicaid surplus payments. Responsibilities include processing card transactions, preparing batches for...
- Curant Health is seeking a Provider Relations Manager - Curant Rare, based in Atlanta, GA. In this field-based role, you will build and strengthen strategic relationships with rare disease COEs, AMCs, IDNs, and specialty providers nationwide to streamline referrals and...
- ...operating in 16 states for almost six years with a focus on discretion and dignity. We are seeking a results-oriented Implementation Lead to oversee day-to-day partnership execution, turning signed contracts into actionable launch plans and ensuring smooth #J-18808-...
- Equip, a leading virtual eating disorder treatment platform, is seeking a Clinical Partnerships Representative to build strategic relationships... ...work with field activity, requiring proactive engagement with providers to drive referrals and admissions. You will collaborate with...Remote job
- Avēsis is seeking a Provider Relations Supervisor - Dental to lead the dental Provider Relations team, promote strong provider relationships, and support network management activities. You will collaborate with multiple departments to improve member access to care and...Work at office
$60k - $75k
Medicaid Drug Rebate Supervisor Job Description Join Conduent and help... ...Drug Rebate Supervisor to lead a team of rebate professionals... ...client service-level agreements. Provide coaching, mentoring, and... ...Finance, Accounting, Pharmacy, or related field. 5+ years of Medicaid...Contract workCasual workRemote workWork from homeMonday to FridayFlexible hoursAfternoon shift- Third Space Therapy is seeking experienced Licensed Supervisors to provide board-required clinical supervision to associate-level... ...clinicians pursuing licensure and to deliver telehealth services to the Medicaid community. We offer a flexible supervision structure—supervise...Remote jobFlexible hours
- Job Description Be Part of an Amazing Story Macy's is more than just a store. We're a story. One that's captured the hearts and minds of America for more than 160 years. A story about innovations and traditions…about inspiring stores and irresistible products…about...Full timePart timeSeasonal workFlexible hoursShift workNight shiftAfternoon shift
- Third Space Therapy seeks experienced Licensed Supervisors to provide board-required clinical supervision for associates pursuing licensure and to deliver telehealth services to the Medicaid community. You will supervise on a flexible schedule from a private, HIPAA-compliant...Remote jobHome officeFlexible hours
- ...to work. Job Overview The Warehouse Lead is responsible for achieving daily... ...performance, adjust staffing as needed, and provide feedback to colleagues on operational processes... ...and address issues. Ensures KPIs related to merchandise movement, service levels,...Hourly payFull timePart timeSeasonal workFlexible hoursShift workAfternoon shift
- ...Therapeutic Area Lead, Bone Marrow Transplant, New York Location: Remote, US About... ...geography, if approved. The TAL will provide on-label product information to designated... ...Managed Care, GPOs, Specialty Pharmacy, State Medicaid and Veterans Affairs selling and...Work at officeRemote workWorldwide
- ...will cultivate referral relationships with hospitals, discharge planners, social workers, and senior communities while navigating Medicaid programs and MLTSS to connect families with home care options. This role requires 5+ years in elder care marketing, extensive Medicaid...Work at officeAfternoon shift
- ...and clinical quality programs across multiple plans. You will lead large-scale initiatives, interpret contractual requirements, and... ...develop action plans, report progress to senior leadership, and collaborate with state partners and providers. #J-18808-Ljbffr Centene Corp.Remote job
- ...Pittsburgh, PA, is seeking a Billing Team Lead to oversee daily operations of the... ...service. The role leads billing specialists, provides training, monitors performance, and drives process improvements across Medicare, Medicaid, and commercial payers, while collaborating...Remote job
- ...professionals. Y Combinator has also backed leading companies such as Airbnb, Reddit, and... ...dental billing candidates. Review and provide feedback to Toothy’s product team to enhance... ...other billers. Experience working with Medicaid plans and understanding state-specific...Remote workFlexible hours
- ...Capture and Opportunity Management Specialist to join its Business Development team. You will shape strategies for state health and Medicaid opportunities and guide opportunities from identification through capture planning, pursuit decisions, and transition to proposals...
- ...value proposition through market-leading technology and business... ...and pioneer new solutions, all provided through a seamless "as a service... ...providing ongoing education related to departmental procedures.... ...CPT, HCPCS Level II, Medicare, Medicaid, commercial payer, and...Permanent employmentWorldwide
- Humana, Inc. is seeking a Senior Quality Improvement Professional to lead provider-focused quality initiatives across the South Carolina Medicaid plan, leveraging data to drive improvements in clinical quality, provider performance, and member experience. The role requires...Remote job
$53.4k - $85.6k
Overview Team Lead, Enrollment (Remote) SQL Preferred - R10532 at CareSource. The Team... ...other areas as needed Perform other job-related functions as requested Education And Experience... ...with healthcare and knowledge of Medicaid & Medicare Critical listening and thinking...Remote jobFull timeWork experience placementWork at office$50k
...employees across the US. Client Success Lead Dental revenue cycle management | Remote,... ...orthodontics, oral surgery, periodontics, or Medicaid. Credentialing, fee schedule, or PPO... ...Paid time off and paid holidays Company provided computer and equipment Why Wisdom Pay you...Permanent employmentFull timeContract workWork at officeRemote workMonday to Friday- ...looking for We're looking for a Credentialing & Enrollment Lead who can own our multi-state provider enrollment strategy end-to-end. You'll be the person... ...unblock our ability to serve Medicare Advantage and Medicaid patients at scale. You'll work directly with the...Full timeContract workPart timeLive in
- ...navigation company is seeking a Credentialing & Enrollment Lead to own the multi-state provider enrollment strategy. This role will directly impact... ...difference in healthcare by serving Medicare Advantage and Medicaid patients. We're looking for someone who can thrive in a...
$86.3k - $118.7k
...community The Grievances & Appeals Lead supports the Medicare... ...routines Oversee compliance-related performance metrics and emerging... ...to work effectively, the self-provided internet service of Home or... ...for people with Medicare and Medicaid, families, individuals, military...Full timeTemporary workWork at officeRemote workWork from homeHome office$24 - $27 per hour
...to improve the health of our community by providing equitable and affordable medical,... ...NCQA PATIENT CENTERED MEDICAL HOME TIER 1 MEDICAID PROVIDER HEALTH LINKS™ HEALTHY BUSINESS LEADER... ...- 2019 General Purpose: The Call Center Lead serves as a peer leader for the MFHC Call...Hourly payRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medicaid Provider Relations Lead. Be the first to apply!
Related searches

