Remote Medicaid Clinical Operations Leader
Humana Inc
- Remote job
Humana Inc. seeks a VP of Medicaid Clinical Operations to lead utilization management, care coordination, and clinical program delivery across Medicaid markets. You will translate strategy into scalable operating models, drive performance, and partner with Product, Technology, Data, and Analytics to ensure operational excellence. This remote role emphasizes strong preference for Tampa, FL or Louisville, KY residents and requires 10+ years in Medicaid/healthcare operations with proven leadership #J-18808-Ljbffr Humana Inc
- Humana Inc. is seeking a VP of Medicaid Clinical Operations to lead enterprise Medicaid strategies, oversee utilization and care management, and... ...a focus on outcomes and cost management. The position is remote with a strong preference for candidates in Tampa, FL or Louisville...Remote job
- Humana Inc. invites a strategic, results-driven VP, Medicaid Clinical Operations to lead nationwide clinical programs, utilization management, care... ...productivity, regulatory compliance, and care quality, with a remote-first arrangement and #J-18808-Ljbffr Humana IncRemote job
- ## VP, Medicaid Clinical OperationsApplylocations: Remote Nationwidetime type: Full timeposted on: Posted Todayjob requisition... ...**The VP, Medicaid Clinical Operations is an enterprise executive... ...delivery across Medicaid markets. This leader translates Medicaid strategy,...Remote workContract workWork at officeWork from homeHome office
- Humana Inc. is seeking a VP of Medicaid Clinical Operations to lead enterprise Medicaid strategy, operations, and program delivery across markets. This remote role prioritizes candidates in Tampa, FL or Louisville, KY. You will direct utilization management, care coordination...Remote job
- Humana Inc is seeking the VP of Medicaid Clinical Operations to lead utilization management, care management, and clinical program delivery across... ...outcomes while ensuring regulatory readiness. The role is remote with strong preference for candidates in Tampa, FL or...Remote job
- Humana Inc. is seeking a strategic VP to lead Medicaid Clinical Operations, coordinating utilization management, care management, and program delivery across markets. The role emphasizes transforming strategy into scalable workflows, resulting in improved quality, access...Remote job
$19.81 - $28.3 per hour
## Operations Coordinator, Medicaid ClinicApplyremote type: Hybridlocations: Lawrence-MAtime type: Full timeposted... ...an innovative Medicaid-focused clinic serving patients throughout the... ...Additional Job Details (if applicable)****Remote Type**Hybrid**Work Location**500 Merrimack...Remote workHourly payFull timeMonday to FridayShift work- ...Bioventus is seeking a Clinical Operations Manager for Peripheral Nerve Stimulation Therapy. This role involves leading and developing a national... ...strong leadership and communication skills. This remote position requires 50% travel, with an emphasis on clinical excellence...Remote work
- Acentra Health is looking for a Clinical Assessor to serve in North Carolina. This role involves conducting assessments for NC Medicaid beneficiaries, ensuring they meet eligibility criteria for services. You will work from home and travel within a 60-mile radius for assessments...Remote jobWork from home
- Acentra Health is seeking a Clinical Assessor in North Carolina to join our growing team. The role involves statewide home‑based assessments... ...PCS and CAP waivers, determining needs‑based eligibility for Medicaid services. Assessors travel within their region, work from a...Remote jobWork from homeHome office
- Acentra Health is hiring a Clinical Assessor in North Carolina. This role involves conducting assessments for individuals needing assistance... .... Responsibilities include evaluating eligibility for Medicaid beneficiaries and ensuring that services provided are based on...Remote jobWork from home
- Acentra Health is seeking a Clinical Assessor in North Carolina, providing assessments for NC Medicaid beneficiaries who need assistance with activities of daily living. Work from home, travel within a 60-mile range to complete assessments. Qualified candidates must be...Remote jobWork from home
- Acentra Health is looking for a Clinical Assessor to join our team in North Carolina. The position is home-based with travel within a 6... ...Personal Care Services program, you will determine eligibility for Medicaid beneficiaries requiring assistance with daily living activities...Remote jobWork from home
$19.81 - $28.3 per hour
...care through an innovative Medicaid-focused clinic serving patients throughout... ...centered care. We are seeking an Operations Coordinator to support both... ...Details (if applicable) Remote Type Hybrid Work Location 5... ...more than a system—we’re leaders in the practice of medicine...Remote workHourly payFull timeMonday to FridayShift work- FirstMile Ventures is seeking a Director of Clinical Operations to lead the development and execution of Karoo's clinical care model. This role calls for someone with a clinical background in cardiology and at least 5 years of operational management experience in value-...Remote job
- Bioventus is seeking a Clinical Operations Manager for Peripheral Nerve Stimulation Therapy. This role involves leading a national team to ensure... ...with strong leadership and coaching skills. The position is remote with a significant amount of travel. #J-18808-Ljbffr...Remote job
- Emory University in Atlanta is seeking a Senior Clinical Business Manager who will lead the clinical, financial, and administrative functions... ...clinical settings are essential. The position offers flexible remote work opportunities but requires commuting to Emory University...Remote jobFlexible hours
- Bioventus is seeking a Clinical Operations Manager (COM) for Peripheral Nerve Stimulation Therapy in Detroit, Michigan. You will lead a national... ...teams, and ensure adherence to safety standards. This remote position requires travel and proximity to major airports is...Remote job
- Bioventus is seeking a Clinical Operations Manager (COM) for Peripheral Nerve Stimulation Therapy, responsible for leading a national team of Field Clinical Managers. This remote position requires 50% travel and aims to drive clinical excellence and operational efficiency...Remote job
- Bioventus seeks a Clinical Operations Manager for Peripheral Nerve Stimulation Therapy to lead a national team and drive clinical excellence... ...communication and performance management skills. The role is remote with 50% or more travel, ideally near a major airport in the...Remote job
$215k - $240k
A clinical-stage immunology company seeks a Director of Clinical Operations to lead program oversight and ensure compliance with regulatory requirements. The ideal candidate will have over 12 years' experience in the pharmaceutical industry and at least 8 years in a clinical...Remote job- Vivo Infusion® is seeking a Clinical Operations Manager in Dallas, TX to oversee patient care activities and ensure efficient clinical operations. The ideal candidate will uphold company policies while fostering team leadership and quality care. This role encompasses budget...Remote jobFull time
$85k - $95k
Cohere Health is looking for an RN Supervisor, Clinical Operations to lead their RN Reviewer team in Boston. This position involves overseeing... ..., with a focus on performance metrics. The role is fully remote, offering competitive benefits including health insurance and...Remote job- A healthcare company in San Antonio, TX is seeking a Regional Medical Officer to lead clinical operations, manage budget and staff, and ensure high-quality patient care. The ideal candidate has over 5 years of experience in hospitalist or family practice settings, and a...Remote jobFull time
- HCSC is seeking an experienced nursing leader to drive clinical operations across Utilization Management, Quality Management, and project oversight.... ...processes. The role is a Flex (Hybrid) position: 3 days in office and 2 days remote, with a strong #J-18808-Ljbffr HCSCRemote workWork at officeFlexible hours
- UnitedHealth Group is seeking a Clinical Care Manager in Tacoma, WA, to provide reentry targeted case management for Medicaid members. This full-time position requires a bachelor... ...behavioral health. The position supports remote work flexibility for eligible candidates living...Remote jobFull time
$27.59 - $56.63 per hour
Molina Healthcare is seeking a Clinical Auditor to join their Medicaid Team. This position offers remote work flexibility, but candidates must reside in Nebraska. The ideal candidate will have an active RN license and 2 years of healthcare experience, with responsibilities...Remote jobHourly payWork at office- ...seeking a detail-oriented Registered Nurse Clinical Auditor to support medical record... ...Indiana Health Coverage Programs. This remote role requires evaluating provider compliance... ...have at least one year of experience in Medicaid claims review. Strong analytical and problem...Remote job
- MVP Health Care is seeking a Clinical Coordinator for Long Term Support Services to work remotely within New York State. The CC will be responsible for ensuring members... ...a health-related field and strong knowledge of Medicaid programs. This role offers growth opportunities,...Remote job
- Humana Inc. seeks an innovative VP for Medicaid Clinical Operations to lead clinical programs, utilization and care management, and operational delivery across markets. This fully remote executive role emphasizes scalable workflows, regulatory readiness, and measurable...Remote job
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