- Unknown (Port Huron, MI)
- …as well as experience with MDHHS audits and a strong understanding of the State of Michigan Medicaid Provider Manual and MDHHS-PIHP contract language. The CIO ... its Data and Quality Management Departments, as well as the Information Technology and Computer Systems. The CIO will be responsible for performance indicator… more
- The Computer Merchant, LTD. (West Mclean, VA)
- …Developer at Client, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they ... solutions at the enterprise level using customized methodology and work products Lead or monitor the product implementation process; ensure that the solution is… more
- Humana (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and ... understanding the priorities of all delivery for their assigned state , supporting the business goals of the Medicaid...remain organized and aligned with delivery goals. + Guides Medicaid Technology Solutions teams in developing technical… more
- New York State Civil Service (Hauppauge, NY)
- …a complete application online at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) ... evidence to grand juries, and conduct evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of New… more
- State of Colorado (CO)
- …institution on your transcripts. PREFERRED QUALIFICATIONS + Previous relevant professional state experience + Masters degree in Information Technology OR ... CO Medicaid Enterprise Solution (CMES) Integration Business Analyst Print...of Announcement This position is open only to Colorado state residents. Primary Physical Work Address 303 E 17th… more
- Humana (Topeka, KS)
- …Enablement, is responsible for leading the strategic development and execution of technology solutions that advance Medicaid business objectives. This executive ... with IT teams and business stakeholders to identify, prioritize, and deliver technology solutions that directly support Medicaid strategic objectives. + Oversee… more
- Humana (Columbus, OH)
- …caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness ... data changes on actuarial models, reporting tools, and financial results. Lead and manage data-related projects from scoping through post-production validation,… more
- Public Consulting Group (FL)
- …strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and ... of personnel so classified.** **Qualifications:** Required Skills/Experience * Experience with Medicaid Infrastructure Technology Architecture (MITA) * 5+ years… more
- Highmark Health (Pittsburgh, PA)
- …solutions with seamless omni-channel handoffs. As a key leader of the Medicaid Clinical organization, role is responsible for maximizing and optimizing value of ... operational excellence/administrative cost management. This requires the incumbent to lead their team through the implementation of alternative resourcing strategies… more
- Humana (Raleigh, NC)
- …companies and in the development and implementation of IT integration plans. The Lead , M&A IT Integration drives end-to-end technology integration activities for ... Planning & Execution** + Conduct baseline assessments of people, processes, and technology across acquired clinics. + Build integration plans, tasks, milestones, and… more
- Humana (Frankfort, KY)
- …community and help us put health first** The Encounter Data Management Lead supports the Encounter Data Management team within the Healthcare Quality Reporting ... for ensuring the accurate and timely submission of encounter data to Medicaid , Medicare, and DSNP states, while maintaining adherence to all regulatory requirements.… more
- Humana (Frankfort, KY)
- …with state or federal encounter data submission portals (eg, CMS, state Medicaid portals) and troubleshooting submission errors. + Proven track record ... us put health first** The DSNP Encounters Data Management Lead supports the Encounter Data Management team within the...(HQRI). This support includes submission of encounter data to Medicaid , Medicare, and DSNP states and will require the… more
- AmeriHealth Caritas (West Chester, PA)
- **Role Overview** The **Application Support Specialist** will support a state government healthcare system (LTSS). In this role, you will lead a team that helps ... must live in EST or CST time zones **Responsibilities:;** + Oversee and lead a team of production staff, including assigning tasks, monitoring workload &… more
- J&J Family of Companies (Titusville, NJ)
- …a Johnson and Johnson Company, is recruiting for a Principal Scientific Account Lead , Value and Evidence Scientific Engagement - Field Based to support Primary ... innovations for population health decision makers. The Principal Scientific Account Lead (SAL), V&ESE - Field, is responsible for providing fair-balanced, objective,… more
- Humana (Salem, OR)
- …when needed + Coordinates establishing connections to SFTP sites in collaboration with the State Technology Market Lead + Coordinates resolution of resolving ... of our caring community and help us put health first** The Technology Solution Implementation Professional delivers new technological solutions to meet business… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …and overseeing premium billing and collections, as well as administering the State Medicaid Buy-In program. Benefits for unclassified employees are determined ... to resolve escalated issues, alongside and/or independent of team lead (ie Coordinator 3) and/or Program Managers. + Monitors...identify potential system issues and impacts. + Coordinates with Medicaid 's Technology teams and others to identify… more
- CenterWell (Atlanta, GA)
- …do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness. ... those in the communities we serve, including our associates, lead their best lives. We support our associates in...(PA) in: + Maintaining Collaborative / Supervisory Agreements per state protocols + Assisting with panel management + Providing… more
- Humana (Montpelier, VT)
- …caring community and help us put health first** The Privacy & Ethics Lead monitors compliance in accordance with government regulations relating to the Health ... automated technologies. As a trusted advisor across the enterprise, the Privacy Lead will ensure privacy principles are embedded within Humana's systems, processes,… more
- Humana (Jackson, MS)
- …organization and working across-departments, the Discovery and Strategic Partnerships Lead enables the enterprise to effectively and intentionally collaborate with ... to identify emerging opportunities in the Medicare clinical space. The Lead conducts targeted evaluations of vendor solutions that address defined business… more
- Humana (Richmond, VA)
- …of our caring community and help us put health first** We are seeking a Lead Product Designer to join our Identity & Access Management (IAM) product team. In this ... and secure user experiences. **Overview:** We are seeking a Lead Product Designer to join our Identity & Access...this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision-making… more
