Medicaid Case Manager — Relocation Package Eligible

MaziCTools; Los Angeles (CA); Hybrid; USD 41,000 - 56,000; Full time

Benefits offered by this job

Relocation package

Job summary

Aetna is seeking a Case Manager in Ohio to manage patient care coordination and navigate Medicaid-related processes. The role requires a Bachelor degree and hands-on experience in case management and provider relations.

The position is full-time with standard work hours and a focus on compliant, cost-effective care delivery. The ideal candidate will work within a team environment to optimize care plans, ensure regulatory compliance, and engage with stakeholders across payers and community

Qualifications

• Bachelor degree required; case management or health services experience preferred.
• Experience with Medicaid programs and healthcare compliance is a plus.
• Ability to manage cases and coordinate with providers and payers.

Responsibilities

• Ensure staff compliance with company policies and project management processes.
• Provide timely, accurate reports on program status.
• Develop policies for areas and ensure related teams review changes.
• Assist plan leadership with development and implementation of growth strategies.
• Lead new projects and service implementations; prepare proposals.
• Work with leadership to create and execute plans for systems, processes, and staffing to support growth.
• Assist in defining marketing strategies within regulations.
• Participate in marketing plan development and ensure regulatory compliance.
• Assist in budgeting and variance reporting for regions.
• Collaborate with org advancement to develop provider network.
• Serve as liaison with regulatory and state agencies; report to Plan leadership.
• Ensure compliance with regulations and policies across regions.

Skills

Medicaid experience

Case management

Provider relations

Compliance knowledge

Data handling

Interdepartmental collaboration

Education

Bachelor Degree

Job description

Aetna is seeking a Case Manager in Ohio to manage patient care coordination and navigate Medicaid-related processes. The role requires a Bachelor degree and hands-on experience in case management and provider relations.

The position is full-time with standard work hours and a focus on compliant, cost-effective care delivery. The ideal candidate will work within a team environment to optimize care plans, ensure regulatory compliance, and engage with stakeholders across payers and community