- Staffing Solutions Organization (Albany, NY)
- … professional experience in public health insurance programs, including Medicaid , Medicare and/or Child Health Plus. Preferred candidates will also have ... reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) - Albany,...of Eligibility & Marketplace Integration (DEMI)** **Bureau of Program Compliance and Audit** **50% Onsite 50% Remote** **Duties:** The… more
- CVS Health (Nashville, TN)
- …leads cross-functional initiatives to support audit readiness and collaborates with Compliance , Legal, Medicaid Health Plans, Network Contracting, and Provider ... each and every day. **A Brief Overview** The Lead Director, Provider Data Compliance is responsible for overseeing the compliance of provider data operations… more
- State of Minnesota (St. Paul, MN)
- …billing, compliance , rates, and policy. They provide expertise in Medicaid and school mental health services, particularly in School Based Community Services ... + **Bargaining Unit/Union** : 214 - MN Assoc of Professional Empl/MAPE + **End Date** : 06/30/2027 + **FLSA...of billing processes and state-specific guidelines essential for ensuring compliance with regulations to maximize Medicaid funding… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …execution, and oversight of key strategic projects that support the performance and compliance of the Medicaid program. This role works cross-functionally with ... Medicaid Strategic Initiatives Manager Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4950841) Medicaid Strategic Initiatives Manager Salary… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …planning, regulatory compliance , policy development, innovations and policy review. The Medicaid CMO will provide leadership and consultation to the Division of ... Medicaid Chief Medical Officer Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4949306) Medicaid Chief Medical Officer Salary $118,414.40 -… more
- Humana (Hartford, CT)
- …development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root ... a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence… more
- Louisiana Department of State Civil Service (Alexandria, LA)
- MEDICAID ANALYST 1-3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5064232) Apply MEDICAID ANALYST 1-3 Salary $2,784.00 - $5,009.00 ... As aMedicaid Analyst, you will gain in-depth knowledge of Medicaid policy and use it to make accurate and...variety of benefits, and have access to a great professional development program: Insurance Coverage More information can be… more
- State of Indiana (Indianapolis, IN)
- Medicaid /Medicare Coordination Manager Date Posted: Sep 5, 2025 Requisition ID: 464717 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling ... the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a division within...ensure it meets federal and state policies and grants compliance . + Develop and supervise training of employees and… more
- Louisiana Department of State Civil Service (Lafayette, LA)
- MEDICAID ANALYST 1-3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5064536) Apply MEDICAID ANALYST 1-3 Salary $2,784.00 - $5,009.00 ... Louisiana. Learn more about the Louisiana Department of Health (https://ldh.la.gov/) The Medicaid Analyst (MA) is a position responsible for acquiring an extensive… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- DEPUTY DIRECTOR OF ELIGIBILITY ( MEDICAID DEPUTY DIRECTOR) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5062744) Apply DEPUTY DIRECTOR OF ... ELIGIBILITY ( MEDICAID DEPUTY DIRECTOR) Salary $7,540.00 - $14,792.00 Monthly Location...+ Develops and implements administrative and operational plansto ensure compliance with complex state and federal regulations governing more… more
- Humana (Montpelier, VT)
- …competences + Delivery focused - time, scope, quality + In-depth knowledge of Medicaid regulations, policies, and compliance requirements. + Proven experience in ... all delivery for their assigned state, supporting the business goals of the Medicaid IT program. + Identifies and implements best practice changes within their… more
- Commonwealth Care Alliance (Boston, MA)
- …health care reimbursement, public health care programs and reimbursement methodologies ( Medicaid and Medicare) + Medical Coding, Compliance , Payment Integrity ... under the direction of the Sr. Director, TPA Management and Claims Compliance , Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing… more
- Louisiana Department of State Civil Service (Monroe, LA)
- MEDICAID PROGRAM SPECIALIST 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5065781) Apply MEDICAID PROGRAM SPECIALIST 1-2 Salary ... Learn more about Louisiana Department of Health (https://ldh.la.gov/) Join our team as a Medicaid Program Specialist 1-2 and make a direct impact on the lives of… more
- Humana (Springfield, IL)
- …community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report information for end-users ... or data warehouse queries and scripts. The Senior Data and Reporting Professional work assignments involve moderately complex to complex issues where the analysis… more
- Centene Corporation (Jefferson City, MO)
- …analytics preferred. Certified in HealthCare Compliance (CHC) preferred. Certified Compliance & Ethics Professional (CCEP) preferred. Pay Range: $68,700.00 - ... lines of business. Responsibilities include intaking and triaging suspected issues of non- compliance , entry of compliance issues into GRC tool and… more
- Staffing Solutions Organization (Columbus, OH)
- …timelines. + Resolve provider concerns and identify work process improvements. + Ensure compliance with the Ohio Department of Medicaid by analyzing provider ... clients and the people they serve. **Onsite Reviewer (OH Department of Medicaid ) in Ohio** **(Location - Columbus and surrounding area)** The overarching… more
- Humana (St. Paul, MN)
- …a part of our caring community and help us put health first** The Medicaid Pricing Actuary provides actuarial support across a broad range of actuarial and business ... needs for Medicaid product lines. The Actuary works on problems of...degree, recent and relevant work experience, and/or other relevant professional designations + MAAA + Strong technical and communication… more
- Prime Healthcare (Ontario, CA)
- …in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare- Medicaid . This includes maintaining the ... new members to join our corporate team! Responsibilities The Senior Medicare- Medicaid Biller/Collector is responsible for both billing and collections, gathering and… more
- Prime Healthcare (Redding, CA)
- …in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare- Medicaid . This includes maintaining the ... For more information, visit www.shastaregional.com . Responsibilities The Senior Medicare- Medicaid Biller/Collector is responsible for both billing and collections,… more
- Elevance Health (Grand Prairie, TX)
- …validate Medicaid encounter data submissions for accuracy, completeness, and compliance with CMS requirements. + Collaborate with internal teams to gather ... **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating healthcare… more