Remote Medicaid Prior Authorization Leader
Gainwell Technologies LLC
Gainwell Technologies LLC is seeking a seasoned Manager to lead and grow a healthcare operations team. You will guide staff, optimize processes, and ensure high-quality service while achieving account goals and outcomes. You will establish routines, coach staff, and work with partners to improve delivery and client satisfaction. This remote role offers growth and learning opportunities within a flexible work environment. #J-18808-Ljbffr
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Medicaid Prior Authorization Leader in Salem, OR vacancy
- ...Mathematica is seeking a Senior Fellow - Medicaid (Remote Eligible) to lead research and policy work on Medicaid and CHIP at national levels. You will guide policy development, oversee projects, and represent Mathematica to clients and external audiences. The role...Remote work
- ...Aurrera Health Group is a fully remote organization seeking a Managing Principal to lead Medicaid policy and strategic communications engagements across clients nationwide... ...policy implementations, guide portfolios, mentor leaders, and help grow the business while aligning with...Remote work
- ...The Pennant Group is seeking an AR Supervisor to oversee accounts receivable, Medicaid and managed care billing, and collections across a multi-state portfolio of senior living communities. You will ensure accurate billing, timely reimbursement, and regulatory compliance...Remote work
- ...Maximus is seeking an experienced Delivery Leader to oversee development, testing, and... ...scale healthcare system supporting State Medicaid clients. You will lead multiple teams to... ...client partnerships. This is a fully remote role with travel up to 25% and opportunities...Remote work
- ...Maximus is seeking an experienced Delivery Leader to oversee the development, maintenance,... ...-scale healthcare system serving State Medicaid clients. This role provides delivery leadership... ...-quality solutions. This is a fully remote position with up to 25% travel. You will...Remote work
- ...focused initiatives that improve clinical quality, provider performance, and member experience under the Humana Healthy Horizons in SC Medicaid Plan. You will manage projects, analyze diverse data sources, and drive measurable improvements, collaborating with internal...Remote work
- ...Maximus seeks an experienced Delivery Leader to oversee development, maintenance, testing... ...scale healthcare system supporting State Medicaid clients. This role provides delivery leadership... ...a COTS healthcare product. This fully remote position requires up to 25% travel and...Remote work
- Maximus is seeking an experienced Delivery Leader to oversee development, maintenance,... ...large-scale healthcare system for State Medicaid clients. The role provides delivery leadership... ...a COTS healthcare product. This fully remote position requires up to 25% travel and involves...Remote job
- BerryDunn is seeking an OCM Senior Consultant to join our Medicaid Practice Group. The initial focus is on a Puerto Rico MES OCM SME engagement... ...health outcomes and agency performance, reporting to MPG leaders and collaborating with cross-functional teams. #J-18808-Ljbffr...Remote job
- ...Centene Corp. seeks a Senior Quality Improvement Specialist to lead Medicaid state withhold and pay-for-performance programs, coordinating with state partners and cross-functional teams to drive performance targets. You will develop action plans, monitor outcomes,...Remote work
- ...focused, cross-functional initiatives that improve clinical quality, provider performance, and member experience for the South Carolina Medicaid plan. You will develop and implement quality improvement strategies, analyze data, and drive sustainable improvements across...Remote work
- ...North Carolina Department of Health and Human Services (NCDHHS) seeks a Program Analyst I (NS) to lead Medicaid policy development and implementation within the Division of Health Benefits. You will supervise staff conducting policy research, drafting, and analysis to...Remote work
- ...State of Maryland's Medicaid Office of Innovation, Research and Development in Baltimore seeks a Health Policy Analyst to provide expert... ..., and supports reform initiatives while coordinating with stakeholders. Remote work up to 60% is allowed. #J-18808-Ljbffr...Remote workWork at office
- ...Based Programs Lead to steer end-to-end operational support for Medicaid value-based payment models. You will shape model design,... ...impact analyses, and drive cross-team implementation across markets. Remote role with travel up to 10% and EST hours. #J-18808-LjbffrRemote work
- ...Ascension is seeking a skilled professional for remote work in the Revenue Net Management department. The role supports Medicare/Medicaid reporting, audits, and funding applications with a focus on hospital cost reporting in an acute care setting. This full-time, day...Remote workFull timeDay shift
- ...Inc. seeks an experienced professional to interpret Medicare and Medicaid payment regulations and lead cost reporting activities for the... ...opportunities for improvement. Strong independent work and collaborative skills are essential in a remote setup. #J-18808-Ljbffr...Remote work
- ...Staffing Solutions Organization LLC (SSO) seeks a Medicaid Program Advisor 1 in Albany, NY, in a hybrid role (50% onsite / 50% remote) to support the Bureau of Specialized Services for Children within the Division of Program Development and Management. You will oversee...Remote workWork at office
- Centene Corporation in the United States is seeking a Senior Quality Improvement Specialist to coordinate regulatory, accreditation, and clinical quality programs across multiple plans. You will lead large-scale initiatives, interpret contractual requirements, and monitor...Remote work
- ...Humana Healthy Horizons is seeking a Medicaid Implementation Senior Project Manager to oversee complex state Medicaid projects, driving... ...skills, plus experience in Medicaid/Medicare and claims lifecycle initiatives. Remote-friendly with travel up to 10%. #J-18808-LjbffrRemote work
- ...as the primary analytics and enrollment operations expert for Medicaid Enrollment Operations. You will lead state readiness, analytics... ...strategic internal consultant, you will partner with business leaders, compliance, and technology to design scalable analytics solutions...Remote work
$118.8k - $169.7k
...capabilities. Summary The Principal Data & Analytics Delivery Leader will lead the Medicaid Management Information Systems (MMIS) Data and Analytics... ...for this posting is November 20, 2026 #LI-GD1 #LI-REMOTE The pay range for this position is $118,800.00 - $169...Remote workFull timeLocal areaFlexible hours- ...Gainwell Technologies is seeking a Prior Authorization Registered Nurse Consultant - Personal Care Services to review prior authorization... ...requests and determine medical necessity for Medicaid programs. This fully remote role supports providers and stakeholders while...Remote work
- ...UnitedHealth Group is seeking a Manager, Medicaid Policy and Payment Model Implementation to work remotely from anywhere in the U.S. This role focuses on advancing Medicaid policy and payment model reforms in collaboration with CMS and Lewin Group, with travel/onsite requirements...Remote work
$72.8k - $130k
...high-impact claims, payment, authorization, access, data, and operational... ...have the flexibility to work remotely* as you take on some tough... ...associations, and healthcare leaders Establish meaningful face-... ...and payment discrepancies Prior authorization concerns Provider...Remote workMinimum wageFull timeTemporary workWork experience placementLocal area- ...Actalent is seeking a Fully Remote Certified Pharmacy Technician in the United States (based out of Eagan, MN) for a one-year contract. The role involves evaluating Medicaid prior authorization requests, communicating determinations to physicians and staff, and documenting...Remote workContract work
- ...Integrity Management Services, Inc. in the United States seeks a Medicaid Auditor to perform and report on Medicaid Managed Care Plans and providers, identifying potential fraud, waste, and abuse. Audits can be programmatic or financial, including desk reviews and onsite...Remote work
- Gainwell Technologies is seeking a Senior Analyst to support state Medicaid agencies by applying FWA analytic models to Medicaid claims data and delivering monthly lead referrals. The role emphasizes producing defensible, auditable insights for OIG staff and program integrity...Remote job
- ...quality operational outcomes. You will oversee performance, coach staff, and optimize processes within a flexible, remote role. The role emphasizes Medicaid experience, QA practices, and strong written/oral communication to drive client satisfaction and SLA achievement....Remote jobFlexible hours
- Texas Health and Human Services Commission (HHSC) Medicaid CHIP Services (MCS) seeks a Project Manager IV to oversee complex MES modernization initiatives from Austin. This role focuses on planning, budgeting, vendor coordination, and delivering technology upgrades to...Remote workDay shift
- ...patients, guiding onboarding, access, and ongoing therapy steps within the Oncology portfolio. The role educates on coverage, prior authorizations, and payment pathways, supports enrollment in GSK Patient Support programs, and records all interactions in Salesforce...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medicaid Prior Authorization Leader. Be the first to apply!
Related searches
- helpdesk team lead Salem, OR
- team lead full time Salem, OR
- disability team leader Salem, OR
- operational excellence leader Salem, OR
- merchandise team leader Salem, OR
- talent management leader Salem, OR
- focus group leader Salem, OR
- quality control team lead Salem, OR
- key team leader Salem, OR
- school leader Salem, OR

