• Medicaid Certification Consultant

    Public Consulting Group (Salt Lake City, UT)
    …is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and ... Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience...outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction… more
    Public Consulting Group (03/21/24)
    - Save Job - Related Jobs - Block Source
  • Advisor, Medicaid Provider & Network…

    Humana (Salt Lake City, UT)
    …( Medicaid ) provider & network market entry strategy for its Medicaid growth markets. This strategist will lead data-driven research oriented strategic ... community and help us put health first** The Advisor, Medicaid Provider & Network Strategy will be...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (05/25/24)
    - Save Job - Related Jobs - Block Source
  • Senior Project Manager ( Medicaid Network…

    Humana (Salt Lake City, UT)
    …This includes network contracting, provider operations, value-based payment, and provider services areas. + Partner with cross functional and matrixed ... and process flow diagrams in partnership with subject matter experts. + Lead provider and network implementation preparation, including identifying business… more
    Humana (05/25/24)
    - Save Job - Related Jobs - Block Source
  • Medicaid Researcher (Remote Eligible)

    Mathematica (Salt Lake City, UT)
    …areas related to monitoring and improving Medicaid programs such as: Medicaid payment and financing policies (fee-for- service base and supplemental payments, ... manage multiple priorities, sometimes simultaneously, under deadlines * Understanding of Medicaid payment and financing, home and community-based services , or… more
    Mathematica (05/01/24)
    - Save Job - Related Jobs - Block Source
  • Medicaid HCBS Consultant/Sr Medicaid

    Mathematica (Salt Lake City, UT)
    …soliciting candidates with experience successfully improving state Home- and community-based services within the state's Medicaid or HCBS administrative agencies ... monitor, and advise on state policy and programs. * Provide consulting services to state and local...local, state or federal agency, a foundation, a healthcare provider , a Medicaid managed care plan or… more
    Mathematica (05/03/24)
    - Save Job - Related Jobs - Block Source
  • Medical Director - North Central Region…

    Humana (Salt Lake City, UT)
    …population with a strong lens on intersecting behavioral and social health needs. + Provide support to Medicaid markets within the region, aiding in case review, ... Typically reports to a Regional Vice President of Health Services , Lead , or Corporate Medical Director, depending...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
    Humana (04/25/24)
    - Save Job - Related Jobs - Block Source
  • Behavioral Health Medical Director - N. Central…

    Humana (Salt Lake City, UT)
    …innovate **Additional Information:** Typically reports to a Regional Vice President of Health Services , Lead , or Corporate Medical Director, depending on size of ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (04/09/24)
    - Save Job - Related Jobs - Block Source
  • Senior Client Solution Architect / Client Solution…

    Mathematica (Salt Lake City, UT)
    …Staff in our Health unit will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts will ... candidate will have strong knowledge of SQL, Python, Databricks, and Amazon Web Services (AWS). Individuals with an interest in confronting the challenges of working… more
    Mathematica (05/19/24)
    - Save Job - Related Jobs - Block Source
  • Decision Support Analyst - Medicaid

    Highmark Health (Salt Lake City, UT)
    …+ Provide assistance and, depending on skill and experience, lead with interpretation of raw data, statistical results or otherwise compiled information, ... projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions; translates requirements… more
    Highmark Health (05/10/24)
    - Save Job - Related Jobs - Block Source
  • Senior Decision Support Analyst - Medicaid

    Highmark Health (Salt Lake City, UT)
    …+ Provide assistance and, depending on skill and experience, lead with interpretation of raw data, statistical results or otherwise compiled information, ... projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions; translates requirements… more
    Highmark Health (05/10/24)
    - Save Job - Related Jobs - Block Source
  • Lead Solutions Architect

    Humana (Salt Lake City, UT)
    …in and delivery leaders in Insurance segment to make a major impact on the Medicaid and Specialty space by provide world-class, best of breed solutions! **Job ... and Clinical etc., to deliver solutions for new Medicaid State implementations and market enhancements. The Lead...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (05/12/24)
    - Save Job - Related Jobs - Block Source
  • Value Based Program - Data & Reporting Lead

    Humana (Salt Lake City, UT)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... help us put health first** The Value Based Programs Lead generates ad hoc reports and regular datasets and/or...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (04/12/24)
    - Save Job - Related Jobs - Block Source
  • Lead Proposal Writer

    Humana (Salt Lake City, UT)
    …development of Medicaid RFP content to effectively represent the products, services , brands, and/or the organization to customers. **The Lead , Content ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (04/19/24)
    - Save Job - Related Jobs - Block Source
  • Patient Services & Field Reimbursement…

    Takeda Pharmaceuticals (Salt Lake City, UT)
    …employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ... Oversee the development and design of a fit-for-purpose patient services and access solutions model for all Takeda Oncology...Reimbursement. + Oversee the generation of customer insights, conduct service gap analyses and the design of new patient… more
    Takeda Pharmaceuticals (05/19/24)
    - Save Job - Related Jobs - Block Source
  • Lead Solutions Architect

    Humana (Sandy, UT)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... help us put health first** Humana is seeking a Lead Solutions Architect to join our Fortune #40, Best...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (05/05/24)
    - Save Job - Related Jobs - Block Source
  • Network Management Lead Director (IC)

    CVS Health (Salt Lake City, UT)
    …and value at sales finalist presentations). + Proficient in Network Management, Provider Contracting and/or Medicaid Health Plan Operations + Experience with ... sends a personal message that how we deliver our services is just as important as what we deliver....Utah or Nevada + 8+ years related experience in provider contracting and network development, command of financials and… more
    CVS Health (05/21/24)
    - Save Job - Related Jobs - Block Source
  • IT Cloud Procurement Category Lead

    Humana (Salt Lake City, UT)
    …Humana's business segments to drive enterprise-wide value. Focusing on the Cloud provider space, the Lead Category Manager investigates available products, ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (04/14/24)
    - Save Job - Related Jobs - Block Source
  • Organization Effectiveness & Change Management…

    Humana (Salt Lake City, UT)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... and help us put health first** The Organization Effectiveness Lead optimizes the effectiveness of a company, business unit,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (05/23/24)
    - Save Job - Related Jobs - Block Source
  • Business Intelligence Valuation Lead

    Humana (Salt Lake City, UT)
    …business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    Humana (05/24/24)
    - Save Job - Related Jobs - Block Source
  • Digital Business Intelligence Lead

    CenterWell (Salt Lake City, UT)
    …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Digital Performance team is looking for a Business Intelligence Lead to join us in transforming healthcare. In this...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
    CenterWell (05/09/24)
    - Save Job - Related Jobs - Block Source