- Staffing Solutions Organization (Albany, NY)
- …of our clients and the people they serve. ** Medicaid Program Manager in Albany, NY** **Division of Data Services & Analytics (DDSA)** **Bureau of ... Data Governance (BEDG) is seeking a strategic, action-oriented Data Policy Program Manager to...a sustainable data policy framework that supports Medicaid data governance efforts at scale. **Key… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Manager 1 in Albany, NY** **Division of Eligibility & ... gaps in policies, processes, and systems, while applying knowledge and experience of Medicaid regulations and program policies to system design and related… more
- State of Minnesota (St. Paul, MN)
- …and Investigations Manager is responsible for providing oversight of Medicaid program integrity functions, including screening, audits, intake and ... **Working Title: Medicaid Compliance and Investigations Manager ** **Job...+ Minnesota Health Care Programs + Medical Assistance, Minnesota's Medicaid program . + Medicaid provider… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Manager 2 in Albany, NY** **Division of Eligibility & ... locations Statewide. The Bureau provides support and assistance in advancing critical program goals, projects and priorities related to eligibility and enrollment in… more
- Molina Healthcare (Fort Worth, TX)
- …**Job Summary** Responsible for successful oversite and implementation of the Texas Medicaid Directed Payment Program (DPP) and internal business projects and ... and directs schedules as well as tracks and monitors program payments to ensure accuracy and audits for accuracy....skills with great attention to detail + Experience with data analysis, auditing, and payment integrity programs + Experience… more
- Humana (Frankfort, KY)
- …and help us put health first** Humana Healthy Horizons is seeking a Manager , Compliance - Medicaid State Reporting to ensure compliance with governmental ... form of objectives to determine approach, resources, schedules, and goals. The Manager , Compliance - Medicaid State Reporting develops and implements compliance… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Account Manager Sr - NC Medicaid - Remote Raleigh, NC **Job Description** The ... Senior Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- CVS Health (TX)
- …do it all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager , Network Management:** * Negotiates, executes, conducts high level ... analysis and/or audits to identify issues and propose solutions to protect data , contract integrity and performance. * Manages contract performance and supports the… more
- Humana (Lansing, MI)
- …of our caring community and help us put health first** Humana is seeking a Manager , Quality Assurance (External LTSS Oversight Team Manager ) who will lead a team ... and assist with monitoring day-to-day operational activities with AAAs. The Manager , Quality Assurance works within specific guidelines and procedures; applies… more
- New York State Civil Service (Syracuse, NY)
- …legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers, ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- New York State Civil Service (New York, NY)
- …legal support analysts to conduct complex, long-term healthcare fraud investigations. The Medicaid program provides health coverage to millions of New Yorkers, ... with ensuring the financial integrity of New York state's $96 billion Medicaid program by investigating healthcare providers, such as pharmaceutical companies,… more
- State of Colorado (Denver, CO)
- Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud Investigator ... is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse & Neglect Unit ("MFANU"). The MFANU...programs, such as Excel or Access, used to analyze data and track evidence; + Proficiency in Spanish, Chinese,… more
- City of New York (New York, NY)
- … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... Medicaid public health insurance. The agency's Medical Assistance Program helps New Yorkers who qualify enroll in public...from the client regarding their case. - Review pertinent data from New York State EMEDNY system in order… more
- City of New York (New York, NY)
- … Helpline Agent is responsible for providing information to callers on the Medicaid program and services. The Office of Constituent Services is recruiting ... including but not limited to eligibility criteria, phone numbers, program description and Medicaid status. - Screen...from the client regarding their case. - Reviews pertinent data from New York State EMEDNY system in order… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... determined by considering factors including, but not limited to, market data , education, experience, qualifications, expertise of the individual, and internal equity… more
- COOLSOFT (Madison, WI)
- PMP Analyze Data SDLC IT Projects Manager (Jobs in Madison, WI) Requirement id 155332 Job title Manager Job location in Madison, WI Skills required PMP, ... Manager : PMP, Complex Informatica ETLs, Interpersonal Sills, Analyze Data SDLC IT Projects Start date : 10/13/2025 End...agent services managed by a contracted vendor for Wisconsin Medicaid . The certified project manager will utilize… more
- MyFlorida (Tallahassee, FL)
- …policy and planning entity. The Agency is responsible for administering the Florida Medicaid program , the licensure and regulation of nearly 50,000 health care ... and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals...environment. This position is located in the Bureau of Medicaid Data Analytics. Join Data … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …part of the Office of the Chief Data and Analytics Officer, the Data Governance Manager is an individual contributor role tasked with administering an ... Emory-wide data governance program in consultation with existing...human resources, patient, student, IT, faculty, research, and advancement data . The Data Governance Manager … more
- NTT America, Inc. (Baltimore, MD)
- …work as part of a team providing Business Operations Support (BOS) for a state Medicaid Program . Working under the CIO, they will actively lead the delivery of ... **Req ID:** 343399 NTT DATA strives to hire exceptional, innovative and passionate...of software systems and services that support the Customer's Medicaid Program . The ideal candidate will possess… more
- New York eHealth Collaborative (New York, NY)
- Manager , Data Services & Analytics Job Details Job Location Albany or NYC Office - Albany or New York, NY Education Level 4 Year Degree Salary Range $90000.00 - ... F 9am - 5pm Description New York eHealth Collaborative: Manager , Data Services and Analytics New York...audiences. + Familiarity with Clinical Quality reporting, Medicare and Medicaid claims data , ICD coding, CDA standards,… more