- Eisai, Inc (Miami, FL)
- …want to hear from you. The Access and Reimbursement Manager (ARM) will provide appropriate support for patient access to prescribed Eisai products, including through ... reporting into the Eisai Access and Reimbursement team under Patient Services /Market Access. Working closely with and reporting to the Associate Director,… more
- Humana (Lincoln, NE)
- …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 (Baton Rouge, LA)
- …partners, the State Medicaid Office and/or the Centers for Medicare and Medicaid Services (CMS). While working within assigned areas to optimize business ... compliance risk exposure for the Company. As a Compliance Lead for our Medicaid business, you will...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Cognizant (Everett, WA)
- …with cross-functional teams to integrate system enhancements that support Medicare and Medicaid Claims processing. + Provide technical guidance and support to ... + Ensure compliance with industry standards and regulations related to Medicare and Medicaid Claims. + Lead the troubleshooting and resolution of complex… more
- State of Minnesota (St. Paul, MN)
- …working knowledge of: + Minnesota Health Care Programs + Medical Assistance, Minnesota's Medicaid program. + Medicaid provider audits and investigations ... methods and procedures. + Medicaid provider screening and investigatory intake methods and procedures. + Recipient fraud investigations. + Experience… 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
- The Cigna Group (St. Louis, MO)
- …connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About ... **POSITION SUMMARY** The Medicaid /Marketplace Client Strategy Senior Advisor serves as the...support our clients. This client-facing position will take a lead role in sales support for current clients. Using… more
- State of Colorado (Denver, CO)
- …the state and federal funds dedicated to providing health care and medical services to Colorado Medicaid beneficiaries. + To hold individuals accountable for ... Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud Investigator… more
- Highmark Health (Pittsburgh, PA)
- …Inc. **Job Description :** **JOB SUMMARY** This job leads the overall performance of a Medicaid plan, for quality of care and service as well as financial ... provider partners within the market. Partner with and provide both strategic and tactical direction to the ...service and financial goals. As needed, engage in provider relations escalated service issues to achieve… more
- Molina Healthcare (Scottsdale, AZ)
- …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
- Highmark Health (Tallahassee, FL)
- …Business Solutions leadership in strategic activities to expand IT capabilities for Medicaid growth in the dental market by: Applying SME knowledge to analytical ... to identify business needs for growing and sustaining the Medicaid business. Apply SME knowledge and oversee multiple teams'...represent findings to stakeholders and own the outcome + Lead medium to large sized strategy work streams with… more
- Prime Therapeutics (Columbus, OH)
- …+ Collaborate with account leadership to build business cases, and at times, lead client-facing initiatives; provide input into, and client management support ... make. **Job Posting Title** Account Manager Sr - NC Medicaid - Remote Raleigh, NC **Job Description** The Senior...achievements. We value new ideas and work collaboratively to provide the highest quality of care and service… more
- Humana (Cheyenne, WY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Elevance Health (Atlanta, GA)
- **Director Medicaid Plan Marketing** **Location:** 2505 N HWY 360, Grand Prairie TX. Relocation assistance offered. This role requires associates to be in-office 3 ... employment, unless an accommodation is granted as required by law_ The **Director Medicaid Plan Marketing** is responsible for the planning and direction of specific… more
- Humana (Lansing, MI)
- …of use and compliance to state and Humana requirements for Long-Term Services and Supports (LTSS) eligibility determination and service authorization. The ... Support Assistants) staff and monitors compliance with Home and Community-Based Services (HCBS) eligibility determination, service authorization, and other key… more
- City of New York (New York, NY)
- …and program services , including New York City's three major social services benefit programs: Cash Assistance, Medicaid and the Supplemental Nutrition ... MUST BE PERMANENT IN THE ADMINISTRATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE...Medicaid , and Fair Fares Performance Management, who will: Provide and present executive leadership with management tools, develop… 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
- Public Consulting Group (FL)
- …streamline operations and achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- Elevance Health (Norfolk, VA)
- **Behavioral Health Medical Director- Psychiatrist Virginia Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of ... is responsible for the administration of physical and/or behavioral health medical services , to ensure the appropriate and most cost-effective medical care is… more
- Elevance Health (Woodbridge, NJ)
- **Behavioral Health Medical Director- Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a board-certified psychiatrist licensed and residing in ... New Jersey** is responsible for the administration of behavioral health medical services , to ensure the appropriate and most cost-effective medical care is received.… more
