- Deloitte (Columbus, OH)
- …leveraging data-driven insights and exceptional delivery execution. Work you'll do As a Project Delivery Medicaid Processing Lead, you will: + Guide ... supporting eligibility IT systems + Experience managing and leading teams in Medicaid case processing operations + Must be legally authorized to work in the… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …new capabilities and streamline business, IT, and operational processes through the delivery of enterprise-wide projects and project management services. This ... financial management and external vendor management driving successful execution of the project through high quality product and service delivery . * Responsible… more
- State of Colorado (Denver, CO)
- …and vendors while guiding the Software Development Life Cycle to ensure successful project delivery . Option 2: Education and Experience: Bachelors Degree in ... Medicaid and Child Health Plan Plus (CHP+) claims processing and payments in an environment of rapid policy...guiding the Software Development Life Cycle to ensure successful project delivery . Appropriate education will substitute for… more
- CVS Health (Indianapolis, IN)
- …abilities **Preferred Qualifications** Clinical Coding Experience - Content Manager Claim Processing Medicaid Working with SQL Application Experience managing a ... Medicaid Claim Editing Content Management team. Must oversee ongoing content delivery and maintenance across Medicaid claim editing vendors on QNXT,… more
- Waystar (Atlanta, GA)
- …Operations is the first point of contact to configure clients for credit card processing including hardware delivery and configuration. These delivery areas ... The Manager, Payment Operations is responsible for ensuring high quality processing related to credit card payment transactions and overseeing teams responsible… more
- NTT America, Inc. (Baton Rouge, LA)
- …care claims processing or eligibility system projects. + Experience with Medicaid , SNAP or TANF Terminology and Federal Requirements. + Bachelor's degree in IT, ... **Role Summary** : Oversees the overall engagement with stakeholders, ensuring project alignment with client objectives and maintaining high levels of satisfaction… more
- Highmark Health (Latham, NY)
- …ancillary provider networks, independent physician organizations and health systems/integrated delivery networks, to ensure success in value-based programs (VBR). ... initiatives with providers. Educate providers on changes to reimbursement policies, processing requirements, and new technology offerings. Meet with contacts at… more
- LA Care Health Plan (Los Angeles, CA)
- …other staff. Duties Responsible for providing ongoing training on the core processing system, Appeals and Grievance (A&G) processing procedures, training ... changes that affect established procedures. Provide ongoing training on the core processing system, A&G processing procedures, training regulatory changes which… more
- ICF (Reston, VA)
- …practices, and cloud-based infrastructure, our dynamic work environment involves multiple project teams collaborating toward a common vision of delivering an ... is eager to apply computer science, software engineering, databases, and distributed/parallel processing frameworks to prepare big data for the use of data analysts… more
- City of Norfolk, Virginia (Norfolk, VA)
- …or higher 05 How many years of experience do you have in processing SNAP and Medicaid applications, paraprofessional, clerical, or similar capacity including ... new personnel assigned to the unit. + Monitors service delivery by ensuring cases comply with federal, state and...in credit union and employer provided parking. + Special project /grant employees are generally eligible for the same benefits… more
- HCA Healthcare (Tamarac, FL)
- …serving as a key HIM contact for facility implementation activities and project core team meetings. + Responsible for managing facility based HIM operations ... limited to, record pick up and reconciliation, release of information request processing , hardcopy retrieval of medical records, tumor and/or trauma registry, and … more
- HCA Healthcare (Fredericksburg, TX)
- …serving as a key HIM contact for facility implementation activities and project core team meetings. + Responsible for managing facility based HIM operations ... limited to, record pick up and reconciliation, release of information request processing , hardcopy retrieval of medical records, tumor and/or trauma registry, and … more
- HCA Healthcare (Aurora, CO)
- …serving as a key HIM contact for facility implementation activities and project core team meetings. + Responsible for managing facility based HIM operations ... limited to, record pick up and reconciliation, release of information request processing , hardcopy retrieval of medical records, tumor and/or trauma registry, and … more
- HCA Healthcare (Oviedo, FL)
- …serving as a key HIM contact for facility implementation activities and project core team meetings. + Responsible for managing facility based HIM operations ... limited to, record pick up and reconciliation, release of information request processing , hardcopy retrieval of medical records, tumor and/or trauma registry, and … more
- HCA Healthcare (North Richland Hills, TX)
- …serving as a key HIM contact for facility implementation activities and project core team meetings. + Responsible for managing facility based HIM operations ... limited to, record pick up and reconciliation, release of information request processing , hardcopy retrieval of medical records, tumor and/or trauma registry, and … more
- Molina Healthcare (Everett, WA)
- …results. Knowledge/Skills/Abilities + Independently manage and deliver Enrollment Enterprise wide project initiatives from inception through delivery + Subject ... executes plans, schedules, and deliverables. Monitors programs from initiation through delivery + Identify root cause, function and process improvement opportunities… more
- CenterLight Health System (Stilwell, OK)
- …+ Act as the direct supervisor of the care plan formulation and the proper delivery of it by each discipline for the community PCP participants; the care plan must ... skills. + Ability to manage multiple projects and meet project deadlines. + Basic Computer Skills in Microsoft office....engaging in direct participant contact. + Must have a Medicaid Provider ID and a Medicare Provider ID in… more
- Elevance Health (KS)
- …inquiries from executives, ensuring timely and accurate communication. + Handle the processing and management of Payment Integrity waivers. + Assist in preparing ... with preparing presentations, ensuring they are polished and ready for delivery . + Review and approve performance guarantees, ensuring compliance with standards.… more
- NorthWest Senior & Disability Services (Salem, OR)
- …in Long Term Care Facilities which are closing and no longer operate under Medicaid to find alternate care + Carry enhanced care facility cases and manage the ... developed 3. Implement, monitor, and adjust transition plan + Coordinate the delivery of services identified + Arrange care setting, medical supplies, equipment,… more
- Marshfield Clinic (Marshfield, WI)
- …reimbursement rules. **Preferred/Optional:** Three years' experience in pharmacy claims processing . Experience in technical writing and project management." ... as appropriate, within the applications used to support patient-care delivery . **JOB QUALIFICATIONS** **EDUCATION** _For positions requiring education beyond a… more