- Humana (Honolulu, HI)
- **Become a part of our caring community and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and ... understanding the priorities of all delivery for their assigned state , supporting the business goals of the Medicaid...remain organized and aligned with delivery goals. + Guides Medicaid Technology Solutions teams in developing technical… more
- New York State Civil Service (Hauppauge, NY)
- …a complete application online at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) ... evidence to grand juries, and conduct evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of New… more
- State of Minnesota (St. Paul, MN)
- …can include: + Experience as a supervisor, lead worker, team lead , project lead ; + Completion of a State of Minnesota leadership program (eg ELI, L4); + ... **Working Title: Medicaid Provider Audits and Investigations Manager** **Job Class:...do is more than just a job.** At the State of Minnesota, employees play a critical role in… more
- NTT America, Inc. (Little Rock, AR)
- …will work as part of a team providing Business Operations Support (BOS) for a state Medicaid Program. Working under the direction of the team manager, they will ... and team members, making applicable recommendations * Participate and/or lead in the creation of presentations and other materials...Minimum 2 years of experience supporting one or more state Medicaid Programs / MMIS, including Electronic… more
- Public Consulting Group (FL)
- …strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and ... of personnel so classified.** **Qualifications:** Required Skills/Experience * Experience with Medicaid Infrastructure Technology Architecture (MITA) * 5+ years… 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
- Humana (Raleigh, NC)
- …companies and in the development and implementation of IT integration plans. The Lead , M&A IT Integration drives end-to-end technology integration activities for ... Planning & Execution** + Conduct baseline assessments of people, processes, and technology across acquired clinics. + Build integration plans, tasks, milestones, and… more
- Humana (Bismarck, ND)
- …a part of our caring community and help us put health first** The Lead , Technical Product Owner requires someone known for creative problem solving. This role solves ... that support quality measurement, reporting, and compliance. **Key responsibilities:** + ** Technology strategy and roadmap of Business and Data Products:** Define… more
- Humana (Frankfort, KY)
- …with state or federal encounter data submission portals (eg, CMS, state Medicaid portals) and troubleshooting submission errors. + Proven track record ... us put health first** The DSNP Encounters Data Management Lead supports the Encounter Data Management team within the...(HQRI). This support includes submission of encounter data to Medicaid , Medicare, and DSNP states and will require the… more
- Abt Global Inc. (Cambridge, MA)
- …in delivering digital health products for US government agencies (eg, CMS, state Medicaid programs, other federal health agencies). + Strong understanding ... Solutions Principal focused on the Centers for Medicare and Medicaid Services (CMS), you will be responsible for developing... capabilities, and driving differentiation in the market. + Lead the technology solution assessment and response… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …and overseeing premium billing and collections, as well as administering the State Medicaid Buy-In program. Benefits for unclassified employees are determined ... to resolve escalated issues, alongside and/or independent of team lead (ie Coordinator 3) and/or Program Managers. + Monitors...identify potential system issues and impacts. + Coordinates with Medicaid 's Technology teams and others to identify… more
- AmeriHealth Caritas (West Chester, PA)
- **Role Overview** The; **Application Support Specialist Lead ** ;will support a Healthcare Care Management System platform for a state government market product, ... Long Term Services & Support (LTSS). ;In this role you will lead a technical production support team focused on environment stability, processing optimization and… more
- The Cigna Group (Bloomfield, CT)
- **Product Management Lead Analyst** The Product Management Lead Analyst is responsible for the oversight of multiple processes, resources and tools that support ... Regulated Markets (RM) Division. Regulated Markets include support provided to Medicare, Medicaid , Marketplace and Commercial lines of business subject to state … more
- New York State Civil Service (Albany, NY)
- …a complete application online at ag.ny.gov/job-postings/otherThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is ... charged with ensuring the financial integrity of New York state 's $96 billion Medicaid program by investigating...five (5) years of progressive experience in a senior-level technology role, with at least three (3) or more… more
- Humana (Annapolis, MD)
- …available technology including hardware, software, databases, and peripherals. The Lead Solutions Architect works on problems of diverse scope and complexity ... **Become a part of our caring community and help us put health first** The Lead Solutions Architect works with user groups to solve business problems with… more
- CenterWell (Atlanta, GA)
- …do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness. ... those in the communities we serve, including our associates, lead their best lives. We support our associates in...(PA) in: + Maintaining Collaborative / Supervisory Agreements per state protocols + Assisting with panel management + Providing… more
- COOLSOFT (Columbia, SC)
- SANS-GIAC IT Experience FISMA Health Information Technology NIST Analyst (Jobs in Requirement id 156004 Job title Analyst Job location in Columbia, SC Skills ... required ISC2 Certified, SANS-GIAC, IT Experience, FISMA Health Information Technology NIST Open Date 18-Nov-2025 Close Date Job type Contract Duration 12 Months… more
- Veterans Affairs, Veterans Health Administration (Bay Pines, FL)
- …of the Business Office at the Bay Pines VA Healthcare System (BPVAHCS). The Lead MRT Coder assists in the planning, development, implementation, and maintenance of a ... coding quality assurance program. Responsibilities The Lead Medical Records Technician (Coder) Outpatient duties include, but are not limited to the following,… more
- Humana (Little Rock, AR)
- …community and help us put health first** As an Enterprise Transformation Lead within Humana's Shared Services organization supporting the Insurance Segment, you will ... influence accountability, foster continual improvement, and align people, processes, and technology with organizational objectives. As a subject matter expert, you… more
- State of Georgia (Fulton County, GA)
- …of almost 10 million people. DCH serves as the lead agency for Medicaid , oversees the State Health Benefit Plan (SHBP), and includes Healthcare Facility ... seeking a qualified Organizational Change Management (OCM) Manager . This role will lead DCH's Office of Information Technology 's OCM team in driving successful… more