- Public Consulting Group (Columbus, OH)
- …. Employee will be responsible for Medicaid , SNAP, WIC and other state government programs . They will be analyzing business requests, making ... + Experience with CMS, Medicaid , SNAP, WICK, and other state government programs **Supervisory Responsibility** + None **Working Conditions** + Remote… more
- Deloitte (Cleveland, OH)
- …our people, ideas, technology and outcomes - is designed for impact. Serving federal, state , & local government clients as well as public higher education ... with progression to FSA, FSA, or career ASA designation + Experience providing Medicaid consulting services to Government agencies + Experience with Medicaid… more
- Prime Therapeutics (Columbus, OH)
- …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
- Prime Therapeutics (Columbus, OH)
- …Qualifications** + Strong skills in developing comprehensive strategy to drive growth in government programs (Medicare and/or Managed Medicaid ) + Proven ... drives every decision we make. **Job Posting Title** VP Government Programs - REMOTE **Job Description** The...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
- WelbeHealth (Columbus, OH)
- …federal regulators and elected officials; experience at more than a single level of government (local, state , federal) preferred + Minimum of seven (7) years of ... care option to our most vulnerable senior population. The Director, Federal Government Affairs will lead a bold advocacy strategy to advance the WelbeHealth… more
- Elevance Health (Mason, OH)
- … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs . The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
- Elevance Health (Columbus, OH)
- … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs ._ The **Audit and Reimbursement ... Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of… more
- Elevance Health (Independence, OH)
- … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs ._ The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
- Prime Therapeutics (Columbus, OH)
- …This position is also responsible for the management of the Trade Client Strategy government programs team, which is responsible for the communication and pull ... Trade Relations is responsible for managing Prime's Trade Relations program (s) for medical and pharmacy formulary and market access...modeling and pull through execution activities. + Lead the government programs negotiator and client team. +… more
- Molina Healthcare (Columbus, OH)
- …a managed care organization ( Medicaid , Medicare, Marketplace and/or other government -sponsored program ), or medical office/hospital setting. * Completion of ... the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and… more
- Public Consulting Group (Columbus, OH)
- …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
- J&J Family of Companies (Columbus, OH)
- …submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and launch products. + Collaborate with ... and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care, Commercial). + Execute business in accordance with the… more
- CVS Health (Columbus, OH)
- …network issues, pharmacy and/or mental health parity. + Experience working with state and federal government agencies, healthcare laws and regulations. + ... for action to internal stakeholders and senior/executive management regarding federal/ state regulations in the healthcare industry. Serves as a subject… more
- Public Consulting Group (Columbus, OH)
- …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
- Cuyahoga County Board of Developmental Disabilities (Cleveland, OH)
- …Assist individuals in choosing providers as needed. + Assist with enrollment onto Medicaid waivers as appropriate. Complete all related paperwork accurately and in a ... services included in plans are funded through the DODD Medicaid Waivers. + Establish an individual's eligibility for services...home and 3 in-office and community) + A great government Pension through Ohio PERS. + Low Cost Major… more
- Trinity Health (Columbus, OH)
- …+ Respond to written and verbal requests for information from federal and local Government agencies such as CMS, or state department of insurance. + Monitors ... with Federal regulatory requirements and the Centers for Medicare and Medicaid Services (CMS). Responsible for ensuring the eligibility, demographic data, billing… more
- CVS Health (Columbus, OH)
- …vendor management experience (preferably benefit administrators)** **5+ years of experience in government programs ( Medicaid , Medicare)** **Adept at problem ... 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
- Humana (Columbus, OH)
- …help us put health first** The Software Engineer 2 within Humana Government Business codes software applications based on business requirements. The Software ... skills and teamwork abilities. + Successfully receive interim approval for government security clearance (NBIS- National Background Investigation Service) + Our… more
- Cleveland Clinic (Mayfield Heights, OH)
- …in working with Joint Commission, HFAP, CMS (Centers for Medicare and Medicaid : Government agency that provides reimbursement for accredited trainees) surveys ... and experience world-class healthcare at its best. Hillcrest Hospital provides state -of-the-art healthcare to all its patients. Cleveland Clinic is recognized as… more
- OhioHealth (Marion, OH)
- …implementing, communicating, managing and monitoring the needs of the physician contracting program . This role is a subject matter expert, with current knowledge of ... policies, procedures, compliance, fair market value acumen and state & federal rules and regulations. The depth of...is to: (a) lead and manage the physician contracting program by ensuring all individual physician and physician group… more