- Sumitomo Pharma (Little Rock, AR)
- …dynamic, highly motivated, and experienced individual for the position of Sr. Manager , Medicaid Contract Administration. This position is responsible for ... managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting ...with internal departments (Internal Audit, Commercial Insights, Contracting, SOX Compliance , and Legal) to clarify policy compliance … more
- Humana (Little Rock, AR)
- …development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root ... a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence… more
- NTT America, Inc. (Little Rock, AR)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Senior Medicaid / T-MSIS Technical Analyst to join our team in little rock, ... team providing Business Operations Support (BOS) for a state Medicaid Program. Working under the direction of the team... Program. Working under the direction of the team manager , they will actively participate in the delivery of… more
- Prime Therapeutics (Little Rock, AR)
- … with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each State Medicaid ... passion and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position provides administrative… more
- Datavant (Little Rock, AR)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate combines deep healthcare analytics expertise with… more
- Humana (Little Rock, AR)
- …a part of our caring community and help us put health first** The Manager , Technology Solutions devises an effective strategy for executing and delivering on IT ... business initiatives. The Manager , We are seeking a highly skilled and motivated...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Little Rock, AR)
- …us put health first** We're seeking a strategic, results-driven Lead Product Manager to design and deliver innovative clinical solutions that improve health outcomes ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Cardinal Health (Little Rock, AR)
- …* Process all patient applications in accordance to set policy, procedures and PHI compliance * Speak with manufacturer field team members on case updates via phone ... benefits management experience preferred with specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred… more
- Arkansas Children's (Little Rock, AR)
- …collection. Advises guarantors of assistance and provide help in applying for Medicaid , prompt pay discounts, payment plans, etc. Provides prompt, accurate, and ... for amounts they are personally responsible for paying. 2. Acts in compliance with applicable collection laws and hospital policies/procedures related to personal… more
- CenterWell (Little Rock, AR)
- …CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and future models. Under general ... operations including program administration, contract oversight, process, performance improvement, compliance , governance, training, and more. Additionally, this role will… more
- State of Arkansas (Pine Bluff, AR)
- …take care of our employees so you can help care for others. Hiring Manager : Natasha Lucas Special skills or Preferences: + Knowledge of and experience working with ... + Applicant should have expanded knowledge of and experience working with LTSS Medicaid regulations and policy. + Knowledge of DDS and PASSE Programs that provide… more
- CenterWell (Little Rock, AR)
- …of outcome data, policy, procedure, and records issues. . Assure personal compliance with licensing, certification, and accrediting bodies. **Use your skills to make ... Medicine . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Excellent verbal and written communication skills . Superior… more
- Humana (Little Rock, AR)
- …campus and datacenters. The primary responsibility of the Network Operations Manager will be to provide the highest quality network infrastructure environment ... for future budget forecasting and planning needs. + Communicate status updates to Manager of IT and other Senior business leaders where necessary. + Research and… more
- Humana (Little Rock, AR)
- …information to the application at Humana's secure website. + Position reports to Manager , Technology Solutions, IT HPE - Digital Channels & Contact Centers + ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- State of Arkansas (Little Rock, AR)
- …take care of our employees so you can help care for others. Hiring Manager : Jay Hill / Rebecca Maggio The Health Program Coordinator (Dementia Services Coordinator) ... is required. PREFERENCES: + Knowledge of DHS Programs & Policies and Arkansas Medicaid Provisions and Waivers related to Aging & Dementia. + Strong preference for… more
- CenterWell (Little Rock, AR)
- …health and human services field + Prior experience with Medicare & Medicaid recipients + Previous experience with electronic case note documentation and experienced ... of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Evolent (Little Rock, AR)
- …Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the support services review process. ... state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person"...part of the application process. This is collected for compliance and security purposes and only reviewed if an… more