- Humana (Lincoln, NE)
- **Become a part of our caring community and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and ... understanding the priorities of all delivery for their assigned state , supporting the business goals of the Medicaid...remain organized and aligned with delivery goals. + Guides Medicaid Technology Solutions teams in developing technical… more
- New York State Civil Service (New York, NY)
- …a complete application online at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) ... evidence to grand juries, and conduct evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of New… more
- New York State Civil Service (Mineola, NY)
- …a complete application online at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) ... evidence to grand juries, and conduct evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of New… more
- CVS Health (Hartford, CT)
- …high-impact leadership role, collaborating closely with Medicaid business teams, state CEOs, sales, technology , clinical, and digital product leaders. You'll ... and the populations it serves. + Experience working with state Medicaid agencies, managed care organizations, or... Medicaid agencies, managed care organizations, or Medicaid technology platforms. + Demonstrated ability to… more
- Highmark Health (Tallahassee, FL)
- …Business Solutions leadership in strategic activities to expand IT capabilities for Medicaid growth in the dental market by: Applying SME knowledge to analytical ... to identify business needs for growing and sustaining the Medicaid business. Apply SME knowledge and oversee multiple teams'...represent findings to stakeholders and own the outcome + Lead medium to large sized strategy work streams with… more
- Humana (Lansing, MI)
- …a Manager, Quality Assurance (External LTSS Oversight Team Manager) who will lead a team of Quality Assurance Professionals responsible for ensuring consistency of ... use and compliance to state and Humana requirements for Long-Term Services and Supports...more years of managed care experience in Medicare and/or Medicaid , specifically in the delivery of care for the… more
- Public Consulting Group (FL)
- …strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and ... leave, bereavement leave **Qualifications:** Required Skills/Experience * Experience with Medicaid Infrastructure Technology Architecture (MITA) * 5+ years… more
- Highmark Health (Pittsburgh, PA)
- …solutions with seamless omni-channel handoffs. As a key leader of the Medicaid Clinical organization, role is responsible for maximizing and optimizing value of ... operational excellence/administrative cost management. This requires the incumbent to lead their team through the implementation of alternative resourcing strategies… more
- New York State Civil Service (New York, NY)
- …who are seeking to expand their range of skills.The Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) seeks an experienced ... No Agency Attorney General, Office of the Title Attorney: Lead Complex Civil Fraud Investigations (3820) Occupational Category Legal...as well as litigate such matters in federal and state courts. The Medicaid program provides health… more
- Humana (Baton Rouge, LA)
- …with Humana operational leaders as well as externally with our business partners, the State Medicaid Office and/or the Centers for Medicare and Medicaid ... compliance risk exposure for the Company. As a Compliance Lead for our Medicaid business, you will...plans and document remediation activities. + Interpret and define state and federal regulatory and contract requirements for Humana… more
- Humana (Annapolis, MD)
- …of our caring community and help us put health first** The Business Intelligence Lead role, leads the design, development, and management of Power BI dashboards and ... analytics initiatives to support Medicare/ Medicaid care management programs. The role emphasizes project management, advanced DAX programming for Power BI, and… more
- Sanofi Group (Morristown, NJ)
- …the team responsible for the compliant management of government contracts including Medicaid State Supplemental Programs, State Pharmaceutical Assistance ... lead the development of voluntary government channel strategies and direct the State Medicaid Supplemental Program and the FSS Contracting process including… more
- Humana (Frankfort, KY)
- …with state or federal encounter data submission portals (eg, CMS, state Medicaid portals) and troubleshooting submission errors. + Proven track record ... us put health first** The DSNP Encounters Data Management Lead supports the Encounter Data Management team within the...(HQRI). This support includes submission of encounter data to Medicaid , Medicare, and DSNP states and will require the… more
- Humana (Lansing, MI)
- …and help us put health first** The Utilization Management Nurse Lead uses clinical knowledge, communication skills, and independent critical thinking skills ... treatment, care, or services for Enrollees. The Utilization Management Nurse Lead coordinates and communicates with Providers, Enrollees, or other parties to… more
- Humana (Richmond, VA)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's...experience to join this team. As an Insurance Strategy Lead , you will directly contribute to high-impact strategy projects,… more
- J&J Family of Companies (Raritan, NJ)
- …Johnson & Johnson's Family of Companies is recruiting for a **Government Pricing Lead Analyst (Part-time),** located in **Raritan, NJ** . **This is a part-time ... **About MedTech** Fueled by innovation at the intersection of biology and technology , we're developing the next generation of smarter, less invasive, more… more
- CVS Health (Boston, MA)
- …across Network platforms. The leader will work closely with business and technology stakeholders to understand and prioritize business needs, develop a strategic ... by serving as the business owner for duals capabilities across network platforms technology assets owning the technology strategy to advance duals processes and… more
- CenterWell (Savannah, GA)
- …do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness. ... those in the communities we serve, including our associates, lead their best lives. We support our associates in...(PA) in: + Maintaining Collaborative / Supervisory Agreements per state protocols + Assisting with panel management + Providing… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …Who We Are HII - Mission Technologies is seeking a full-time On-Site Operations Lead for the Division of Strategic Information (DSI) in the US Department of Health ... and Human Services Centers for Medicare and Medicaid Services (CMS) effort under HII's Decisive Mission Actions...Services (CMS) effort under HII's Decisive Mission Actions and Technology Services (DMATS) task order. This individual will work… more
- Humana (Louisville, KY)
- …and help us put health first** Humana seeks a strategic and results-driven Lead Product Manager to oversee the end-to-end lifecycle of the Patient Experience Survey ... contributing to an organization focused on continuously improving customer experiences. The Lead Product Manager will work to develop a product strategy that… more