- Winnebago Comprehensive Healthcare System (Winnebago, NE)
- …operations, including but not limited to electronic charting and prescriptions processing along with general pharmacy automation. Ability to collect, organize, ... pharmacy services. Guidelines: Guidelines available include: AAAHC, Conditions on Medicare- Medicaid Participation, Hospital Pharmacy Policy and Procedure manual, and… more
- Humana (Charleston, WV)
- …claims processing , enrollment, provider data management and clinical operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care ... caring community and help us put health first** The Medicaid Lead, Technology Solutions builds strategic partnerships and manages...Market needs within IT and ultimately the quality of delivery by representing the Market in IT forums. +… more
- State of Minnesota (St. Paul, MN)
- …Dept / DHS Central Office MMA + **Division/Unit** : Health Care Administration / Medicaid and Provider Services + **Work Shift/Work Hours** : Day Shift / 8:00am - ... for telework.** This position exists to supervise, provide leadership, and direct the delivery of the Direct Support Worker (DSW) team on provider enrollment … more
- Penn Medicine (Lancaster, PA)
- …procedures and workflows and provides coaching, consultation, and assistance with project implementation across the region, supporting nurse supervisors and clinical ... leadership team, plans, coordinates, and supports the implementation of the care delivery models, including Patient Centered Medical Home, as dictated by the… more
- Molina Healthcare (Provo, UT)
- …accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, and validating Medicaid ... QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in...and root cause analysis tied to COB and TPL processing logic. + Assist in developing and refining internal… more
- MSys Inc. (Baltimore, MD)
- …Medicaid and Qualified Health Plans preferred + Experience with or knowledge of Medicaid 8001 file processing or other inter agency transactional file ... 834 enrollment transactions, including Adds, Changes, Terminations, Cancellations, and error processing preferred + Experience working with the Project … more
- System One (Baltimore, MD)
- … Medicaid and Qualified Health Plans. + Experience with or knowledge of Medicaid 8001 file processing or other inter-agency transactional file processing . ... 834 enrollment transactions, including Adds, Changes, Terminations, Cancellations, and error processing . + Experience working with the Project Management Office… more
- NTT America, Inc. (Baton Rouge, LA)
- …care claims processing or eligibility system projects. + Experience with Medicaid , SNAP or TANF Terminology and Federal Requirements. + Bachelor's degree in IT, ... **Role Summary** : Oversees the overall engagement with stakeholders, ensuring project alignment with client objectives and maintaining high levels of satisfaction… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …* Lead the implementation of tools and methodologies that are used by the delivery teams to manage project scope, schedule, budget, risk and resource tracking ... **Technical Program Manager** **Category:** Project Management **Main location:** United States, Massachusetts, Canton **Position ID:** J0625-0873 **Employment… more
- LA Care Health Plan (Los Angeles, CA)
- …staff. Duties Responsible for providing ongoing CSC training on the core processing system, processing procedures, training regulatory changes that affect ... established procedures. Provide ongoing CSC training on the core processing system, processing procedures, training regulatory changes which will affect… more
- Corewell Health (Grand Rapids, MI)
- …deep expertise in healthcare operations and a strong command of project management principles. You will lead cross-functional efforts, ensuring interdependencies ... of business operations to achieve targeted outcomes. + Applying rigorous project management methodologies to drive execution. + Identifying and addressing savings… more
- HCA Healthcare (Oviedo, FL)
- …serving as a key HIM contact for facility implementation activities and project core team meetings. + Responsible for managing facility based HIM operations ... limited to, record pick up and reconciliation, release of information request processing , hardcopy retrieval of medical records, tumor and/or trauma registry, and … more
- HCA Healthcare (San Jose, CA)
- …serving as a key HIM contact for facility implementation activities and project core team meetings. + Responsible for managing facility based HIM operations ... limited to, record pick up and reconciliation, release of information request processing , hardcopy retrieval of medical records, tumor and/or trauma registry, and … more
- Molina Healthcare (Everett, WA)
- …results. Knowledge/Skills/Abilities + Independently manage and deliver Enrollment Enterprise wide project initiatives from inception through delivery + Subject ... executes plans, schedules, and deliverables. Monitors programs from initiation through delivery + Identify root cause, function and process improvement opportunities… more
- Texas A&M University System (Bryan, TX)
- …through transformative education, innovative researc h and team-based health care delivery . What we want The Community-Based Provider/Medical Assistant II, under ... general supervision, coordinates the planning, development, and implementation of assigned project in the College of Nursing. What you need to know Salary:… more
- Stony Brook University (Commack, NY)
- …entry for MCE in Symplr Provider credentialing software. Responsible for the timely processing and tracking of provider enrollment data eg Provider ID numbers and ... data entry for MCE in the electronic database. Responsible for the timely processing and tracking of facility demographic data, including services rendered at each… more
- Nuvance Health (Danbury, CT)
- …reports audits savings or losses for the facilities and medical groups, data processing errors, the performance of the hospitals and physician charging systems as ... charge codes are accurate and interfacing correctly from point of registration through delivery to bill. d. Investigates and documents any potential for new programs… more
- Marshfield Clinic (Marshfield, WI)
- …reimbursement rules. **Preferred/Optional:** Three years' experience in pharmacy claims processing . Experience in technical writing and project management. ... as appropriate, within the applications used to support patient-care delivery . **JOB QUALIFICATIONS** **EDUCATION** _For positions requiring education beyond a… more
- United Musculoskeletal Partners (Mcdonough, GA)
- …. Perform patient scheduling for DME product pick-up, fitting, education, order processing , delivery (if applicable), and courtesy call back. . Participate ... . Comply with all elements of HIPAA law, Medicare, Medicaid , and other required programs. . Participate in any...email . Ability to handle multiple priorities, tasks, and project management . Strong organizational skills with great attention… more
- Texas A&M University System (Bryan, TX)
- …education, innovative researc h and team-based h ealt h care delivery . Opportunities to Contribute + Clinical Responsibilities: Measures vital signs, interviews ... and assists supervisor with training and supervision of student workers. + Project Coordination/Communication: Works under the direction of the health care provider.… more
