- Prime Therapeutics (Little Rock, AR)
- …and drives every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President ... Government Programs - Medicare & Managed Medicaid is...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
- Prime Therapeutics (Little Rock, AR)
- …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... is responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and … more
- CenterWell (Little Rock, AR)
- …to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on ... caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance...inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state … more
- Magellan Health Services (Little Rock, AR)
- … programs and community resources. May act as a subject expert on Medicaid programs and benefits for internal and external stakeholders. + Develops a ... as information related to health, welfare, and social services or social assistance programs offered by the state or local communities. Organizes and attends… more
- Public Consulting Group (Little Rock, AR)
- …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
- Public Consulting Group (Little Rock, AR)
- …better serve populations in need by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and ... and other tools. + Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid ,...strategies. + Ability to interpret and apply federal and state policy to financial planning and program … more
- Sumitomo Pharma (Little Rock, AR)
- …Disease products to ensure access for patients through various payers (commercial and government payers to include FFS and Managed Medicaid ) and remove ... escalations as needed to ensure timely access for patients + Engage with government stakeholders, including state and federal health agencies, to ensure… more
- Humana (Little Rock, AR)
- …and behavioral health spectrum. They will also coordinate with other Medical Management programs (DM/PN) as needed, in addition to MTF UM / CM staff, physicians ... the Case Manager will collaborate with other care management programs until the beneficiary's needs are met, and case...and unrestricted Registered Nurse (RN) license in the (appropriate state ) with no disciplinary action. + An active designation… more
- CVS Health (Little Rock, AR)
- …**Preferred Qualifications** + **Experience working with healthcare payors** and/or government programs such as Medicare and Medicaid + CPA License + SQL ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation… more
- Prime Therapeutics (Little Rock, AR)
- …Word, and system operations (eg workflow processes and case management) + Government programs (Medicare) knowledge **Preferred Qualifications** + Contact Center ... of business to review the benefits of the MTM program . This position speaks with members to gather and...targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM… more
- Prime Therapeutics (Little Rock, AR)
- …management experience * PBM and/or health plan experience * Government Programs , Medicare Part D/B and/or Medicaid experience RxCLAIM experience **Minimum ... and other competing goals and risks, while still driving programs and initiatives to completion **Preferred Qualifications** * Project...status, or any other legally protected class under federal, state , or local law._ _ _ _We welcome people… more
- Evolent (Little Rock, AR)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... + **This position is 100% Remote and can be completed from any state . Multiple opportunities for a flexible schedule and both part-time and full-time options… more
- Evolent (Little Rock, AR)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... medical necessity guidelines, as well as other requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
- Evolent (Little Rock, AR)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
- Evolent (Little Rock, AR)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
- Humana (Little Rock, AR)
- …through service, organizations, volunteer work, or local events.. + Valid state **driver's license** and **proof of personal vehicle liability insurance** meeting ... at least 25/25/10 coverage limits (or higher, based on state requirements). **Preferred Qualifications** + **Active Life and Variable Annuity Insurance License** . +… more
- Datavant (Little Rock, AR)
- …health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining ... coding. + Experienced in HCC coding across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and… more