- Molina Healthcare (Fort Worth, TX)
- …operational departments and functional business unit stakeholders to lead or support various Provider Contracting functions. This role primarily leads negotiations ... Committees. * Manages and reports network adequacy for Medicare, Marketplace, and Medicaid services. * In conjunction with direct management and senior leadership,… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor, Albany NY** **DPDM - 1422** **50% Onsite / 50% ... of services and programs for children provided under the Medicaid program including the Children's Health Home...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Humana (Sterling Heights, MI)
- …to the Plan Chief Executive Officer (CEO). The HIDE-SNP Program Medicaid Liaison (Strategy Advancement Advisor) will support Humana's Highly Integrated Dual ... This role will have a dotted line reporting relationship into the National Medicaid Integrated Operations Team which will support coordination with all… more
- Highmark Health (Indianapolis, IN)
- …and CHIP contracts. The position actively manages the day-to-day operations of the Medicaid Compliance Program , and contributes to the operational workflow for ... operational workflows, and performance standards are met. **ESSENTIAL RESPONSIBILITIES** + ** Medicaid Compliance Program Oversight & Operational Integration:** +… more
- Public Consulting Group (MA)
- …role supports the evolving project and business development needs of PCG Health's Medicaid Program Integrity and Provider Oversight teams. The Business Analyst ... will support the success of client engagements that help PCG's...sets to identify trends, gaps, or opportunities related to Medicaid program oversight efforts, and to improve… more
- CVS Health (Harrisburg, PA)
- …Writer for Medicaid is a key member of the Medical Policy & Program Solutions Team. The Medicaid Medical Coding Policy Writer is an individual contributor ... support the written communications shared with our state Medicaid Health Plans to complete the required State and...business needs and accomplish goals. This is a fully remote position. Eligible candidates may live anywhere in the… more
- Ochsner Health (Lafayette, LA)
- …to, interviewing self pay patient referrals, explaining the significance of the program to patients, completing and submitting the Medicaid application, updating ... fill our hallways.** **At Ochsner, whether you work with patients** **every day** **or support those who do, you are making a difference and that matters. Come make… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor in Albany, NY** Item 1148 50% Onsite / 50% ... works to integrate health and human services within the Medicaid program . The bureau is composed of...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Genesis Healthcare (NM)
- …Office (CBO) collectors and CBO supervisor to address denial issues related to Medicaid authorization. *Provide support to the nursing enters when issues arise ... Bring your financial savvy to our team in this remote position as a Revenue Cycle Specialist where you...plans *Tuition, Travel, and Wireless Service Discounts *Employee Assistance Program to support mental health *Employee Foundation… more
- Conduent (Denver, CO)
- …is noticed and valued every day. **Enterprise Data Warehouse, Account Management - Medicaid ** Remote | Full-Time Location: Colorado Do you have a proven ... the successful delivery and growth of a new Medicaid Enterprise Data Warehouse client account in Colorado. In...and strategic business reviews + Travel as needed to support client relationship and program success **Flexible… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... and provides outreach services to patients requiring public benefits including Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- Public Consulting Group (Sacramento, CA)
- …technology consulting services to help state and local agencies meet operational and program needs that enhance the lives of their user base. Services: + Strategy, ... + Analyzes client requests for proposals and providing development support of proposal responses + Ensures quality work products...of relevant industry experience + Public sector experience + Medicaid experience + Must be located in the western… more
- Public Consulting Group (FL)
- …technology consulting services to help state and local agencies meet operational and program needs that enhance the lives of their user base. Services: + Strategy, ... input and guidance that supports efficiencies to the client and project. * Support the client and stakeholders in the planning and strategy discussions on the… more
- Centene Corporation (Jefferson City, MO)
- …workplace flexibility. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. **Position Purpose:** ... and gather evidence of remediation; update GRC tool to support corrections reporting. + Collaborates with compliance and business...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Molina Healthcare (Detroit, MI)
- …Quality gaps, MACs, and member facing initiatives and communications. We focus on Medicaid and MMP, and support MHI Medicare and Marketplace programs. Highly ... a Member Engagement, Senior Specialist. This role is primarily remote with some travel for local events in or...with enrollees and providers to facilitate the provision of Medicaid benefits and ensure enrollee's rights are upheld. Helps… more
- Humana (Lincoln, NE)
- …is looking for several extraordinary individuals to join our ever-growing team to support us during the Annual Enrollment Period (AEP). We are looking for ... industry. This year, Humana is offering a variety of different assignments to support our members during AEP. Each assignment is focused on supporting our members… more
- Molina Healthcare (Everett, WA)
- …candidate would act as the liaison between the business, vendors , IT, and support Program Managers and Business Analyst in a subject matter expert capacity. ... issues and remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr. Business Analyst skills. Responsibilities include… more
- Marshfield Clinic (Marshfield, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... **Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!** **Job Title:** Revenue Management Educator (… more
- Prime Therapeutics (Washington, DC)
- …every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible for the successful ... client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & Experience** + Bachelor's… more
- Magellan Health Services (Baton Rouge, LA)
- …Quality Improvement Program , including development of tool This is a remote position based anywhere in Louisiana, and requires candidates hold an active ... The Early Childhood Supports and Services (ECSS) program is a newly implemented, statewide behavioral health initiative funded by Louisiana Medicaid . ECSS… more