- HCA Healthcare (Lehigh Acres, FL)
- …organization that invests in you! We are reviewing applications for our Team Lead Medicaid Eligibility Advocate opening. Qualified candidates will be contacted ... HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Medicaid Eligibility Advocate Team Lead with Parallon you can be a… more
- Humana (Topeka, KS)
- …program implementations and for management of historical claims data. + Create and lead a Medicaid Data Governance Council, providing oversight for data quality, ... 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 (Madison, WI)
- …and serving as the primary financial liaison to the Wisconsin Medicaid agency. **Key Responsibilities** ** Provide market-specific financial leadership, ... WI market trend initiatives for all products within WI Medicaid ** ** Lead financial analytics, scenario planning, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Indianapolis, IN)
- …for the overall strategic direction, oversight, and administration of programs and services for our Medicaid program. Humana Healthy Horizons in Indiana ... market includes both Waiver programs, which provide long-term services and support to eligible...which serve members who qualify for both Medicare and Medicaid . They will lead the state … more
- Humana (Honolulu, HI)
- …understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid preferred ... 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 (Indianapolis, IN)
- …to adapt and the courage to innovate **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical Director ... members in the KY, OH, VA, WI and IN Medicaid market populations. May provide cross-coverage for...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Tallahassee, FL)
- … Service Operations is responsible for the daily activities for Florida Medicaid Contact Center Operations. The Manager, Consumer Service Operations works ... the state of Florida. Responsibilities of the Manager, Consumer Service Operations, Medicaid include: + Oversee and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- DATAMAXIS (Springfield, IL)
- …Reporting, quality measures, claims processing, Medicaid program eligibility, provider enrollment, third-party liability. * Understanding of fee-for- service , ... Primary Responsibilities: * Provide direction, guidance and recommendations supporting decision making...and operations. * With the specialized knowledge of the Medicaid and Children's Health Insurance Programs, lead … more
- MyFlorida (Fort Myers, FL)
- …FOR PERSONS WITH DISABILITIES POSITION:Human Services Program Specialist-Career Service WORKING TITLE: Medicaid Waiver Liaison POSITION NUMBER: 67014883 ... Title: MEDICAID WAIVER LIAISON - 67014883 Pay Plan: Career Service Position Number: 67014883 Salary: $37,264.07 to $40,990.56 Annually Posting Closing Date:… more
- Humana (Louisville, KY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... and help us put health first** The Vice President, Medicaid Clinical Economics & Quality provides strategic and operational...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Tallahassee, FL)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... put health first** The R-396181 Director Finance, Florida Comprehensive Medicaid (Florida Medicaid Market CFO) analyzes and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- State of Colorado (CO)
- CO Medicaid Enterprise Solution (CMES) Integration Business Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5148793) Apply CO ... Medicaid Enterprise Solution (CMES) Integration Business Analyst Salary $58,872.00...of our staff and providing culturally responsive programs and services . Therefore, we encourage responses from people of diverse… more
- Humana (Oklahoma City, OK)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... community and help us put health first** The Oklahoma Medicaid Market CFO analyzes and forecasts financial, economic, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Elevance Health (Indianapolis, IN)
- …+ Manages resolution of complex financial, legal, or other escalated issues. + Acts as lead to assigned shared services partners on behalf of the local market, ... ** Medicaid Contract Implementation Management Director** **Location** : Indianapolis,...actions to ensure compliance. + Manages operational support of provider organization partners; ensure members, network providers, and community… more
- Humana (Columbus, OH)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI). As a Health Insurance ... Directors on critical healthcare policy issues that impact billions in Medicare and Medicaid spending. Lead and coordinate the Center's highest priority projects… more
- Molina Healthcare (ID)
- …subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, ... or other issues related to medical care costs. + Work with clinical, provider network and other personnel to bring supplemental context/insight to data analyses, and… more
- Prime Therapeutics (Santa Fe, NM)
- …+ Collaborate with account leadership to build business cases, and at times, lead client-facing initiatives; provide input into, and client management support ... every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description**...through adoption and expanded use of Prime products and services + Facilitate regular meetings with client in the… 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
- Elevance Health (Indianapolis, IN)
- **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception ... The **Behavioral Health Medical Director** is responsible for reviewing cases for IN Medicaid members including child and substance use disorders, and all levels of… more