Remote Care Management Leader for Medicaid/Medicare
Humana
- Remote job
Humana is seeking a Manager, Care Management in Naperville, Illinois. The role includes overseeing care management for Medicaid members, leading teams of professionals, and ensuring compliance with healthcare standards. Candidates should have a strong background in healthcare management and leadership. The position is remote but requires travel for care team oversight visits. A blend of analytical, communication, and problem-solving skills is essential to foster partnerships and drive quality improvement efforts. The salary range is $86,300 - $118,700 annually, with bonuses based on performance. #J-18808-Ljbffr Humana
$86.3k - $118.7k
Humana seeks a Manager of Care Management to lead teams in the Illinois market to ensure quality care for Medicaid members. This role requires strong leadership and collaboration skills to enhance care management models that address social determinants of health. The ideal...Remote job- Humana is seeking a Manager, Care Management to lead teams responsible for managing the care of Medicaid members in Illinois. This role involves... ..., experience in Medicaid/Medicare guidelines, and proficiency... ...data analysis. The position is remote with travel requirements of...Remote job
- Community Health Solutions of America is seeking a Care Coordinator who will provide care coordination, education, and outreach to Medicaid members in the Medically Complex Children’s Waiver program. The position involves travel within Lancaster County, South Carolina,...Remote job
$25k
...Become a part of our caring community Humana Gold... ...approaches, and techniques to manage a member's health... ...Responsibilities Visits Medicaid members in their homes,... ...working with Medicare and Medicaid recipients... ...Travel: While this is a remote position, occasional travel...Remote workFull timeContract workTemporary workApprenticeshipWork at officeLocal areaHome officeMonday to Friday- ...Humana Inc in Illinois is seeking a Manager, Care Management to lead teams responsible for the care management of Medicaid members. The ideal candidate will possess strong analytical skills and extensive experience in healthcare management. This role, which requires an...Remote work
- ...Population Health Care Manager—Team Lead Medicaid Work Arrangement: Requisition Number: 269596 Regular or Temporary: Regular Location: Durham, NC... ...providers who work together to deliver high‑quality care to Medicare Fee‑for‑Service patients in Durham and its surrounding...Temporary work
- Community Health Solutions of America is looking for a Care Coordinator. This is a work-from-home position that includes essential responsibilities such as performing medical eligibility assessments, developing care plans, and collaborating with care teams. Qualified candidates...Remote jobWork from home
$71.1k - $97.8k
...Care Coordinator 2 (Field Care Manager 2) Humana Healthy Horizons in Indiana... ...of the new Indiana Medicaid program - Indiana... ...Coordinates with all Medicare payers, Medicare... ...just beginning. Our leaders are committed to understanding... ...: Combination remote work at home and...Remote workWeekly payFull timeApprenticeshipWork at officeHome officeMonday to FridayNight shift- Stryker Corporation is seeking a Care Coordinator to join their team in Louisiana. This position involves working closely with... ...coordinate care for dual eligible individuals enrolled in Medicare and Medicaid. The ideal candidate will have 2+ years of relevant experience...Remote jobWork at office
$86.3k - $118.7k
Humana Inc. is seeking a Manager for Care Management in Illinois to lead teams dedicated to improving care for Medicaid members. This role involves enhancing care management strategies... ...in Medicaid. This position requires remote work with significant travel for team oversight...Remote job- Humana Inc. seeks a Care Manager, Telephonic Nurse to join their Special Needs Program (SNP) team. This remote position involves assessing Medicare and Medicaid members, developing care plans, and assisting in care transitions. Ideal candidates must be bilingual in Spanish...Remote job
- ...Executive to oversee clinical operations and patient care in Cleveland, OH. This remote position involves leading a team, ensuring adherence... ...experience in geriatrics or renal care, and experience with Medicare and Medicaid populations. The role emphasizes improved patient...Remote job
$130.33k - $195.5k
...healthcare organization is seeking an Advanced Practice Clinician (Temp, NP/PA) based in San Diego, CA. The role involves providing care in patients' homes, conducting health assessments, and coordinating with medical teams. Candidates should have a Master's degree and...Remote workFull timeTemporary work- ...Payer Contracting, MA & Medicaid on the Strategic Payer Partnerships... ...will execute Aledade’s Medicare Advantage and Medicaid value-based care contracts with national... ...be comfortable working remotely/work from home within... ...arrangements Contract Management & Reporting:...Remote workContract workWork at officeLocal areaWork from homeFlexible hoursShift work
- ...CARE COORDINATOR REMOTE, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT... ...comprehensive support for care management and care coordination activities for members enrolled in Medicaid and Medicare programs, including those receiving long...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday
- ...a Director of Payer Contracting to manage Medicare Advantage and Medicaid contracts with health plans. This role... ...is key in negotiating value-based care agreements that align with their mission... ...skills. The position offers remote work flexibility, comprehensive health...Remote job
- ...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... ...actuarial experience. This position offers full remote flexibility and a comprehensive benefits package. #J-18...Remote job
- Humana Inc. is seeking a Medicaid Research Professional to ensure accurate Medicare and Medicaid encounter submissions. You'll analyze large datasets to identify trends, maintain data quality, and develop management solutions. The ideal candidate has at least 1 year in...Remote job
- ...company is seeking a Product Delivery Manager to oversee technology and data solutions... ...large-scale projects that enhance Medicaid and Medicare operations, ensuring compliance with regulations... ...management. This is a fully remote position offering a flexible work environment...Remote workFlexible hours
- ...Ennoble Care is seeking a Care Coordinator Lead to oversee operations in Orlando,... ...supervise a team of care coordinators while managing patient care coordination and... ...systems, and a strong understanding of Medicare/Medicaid billing. The position offers a competitive...Remote work
- 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... ...in behavioral health. The position supports remote work flexibility for eligible candidates...Remote jobFull time
$18.1 - $25.8 per hour
...access to therapies through inbound and outbound calls. This remote, full-time position requires multitasking and a strong... ...with experience in a call center environment. Knowledge of Medicare and Medicaid practices is a plus. The candidate will work standard hours...Remote workHourly payFull timeWork from home- ...healthcare technology firm is looking for a Product Delivery Manager to drive the delivery of technology and data solutions... ...experience in healthcare technology, a deep understanding of Medicaid and Medicare operations, and proven leadership skills. Offers flexible working...Remote jobFlexible hours
- Indiana Professional Management Group, Inc is offering a full-time hybrid Care Manager position in Princeton, Indiana. This role combines remote work with community-based meetings to ensure quality... ...for Individuals navigating the Medicaid waiver process. The ideal...Remote workFull time
$20 - $22 per hour
...disparities, and support patients managing chronic conditions. By... ...under New York’s Section 1115 Medicaid Waiver program—supporting members... ...unmet nutrition and social care needs. Role Overview Epicured... ...a Social Care Coordinator (Remote) to support Medicaid members...Remote jobHourly payLocal area- ...firm is looking for a Product Delivery Manager to oversee project delivery for... ...systems. This role includes leadership in Medicaid and Medicare projects, ensuring compliance, and managing... ...are essential. This is a full-time, remote position with flexible hours and...Remote jobFull timeFlexible hours
- ...supervision of the Clinical Manager, the Social Services... ...benefits, and home care. Additionally, the Social... ...program. This is a hybrid remote and in-person position.... ...with benefits such as Medicaid, EPD Waiver, SNAP, and... ...Services has been a leader in helping older adults...Remote workTemporary workLocal area
- EmergencyMD is seeking an experienced professional to manage revenue cycle operations, including billing and coding, with emphasis on Medicare and Medicaid services. The ideal candidate will have a Bachelor's degree and at least 7 years of experience, along with a strong...Remote job
- Humana Inc in the United States is seeking a Senior Encounter Data Management Professional to lead data operations for Medicare and Medicaid. This role requires strong leadership and analytical skills, ensuring submission accuracy and compliance while driving operational...Remote job
$40 - $54 per hour
UnitedHealth Group is looking for a full-time Clinical Care Manager in Tacoma, WA, to support Medicaid members by providing essential care coordination and... .... Candidates will enjoy the flexibility to work remotely if located in Thurston or Pierce County. A competitive...Remote jobHourly payFull time
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