- Staffing Solutions Organization (Albany, NY)
- …analysis, special projects, policy knowledge and implementation. The BMLTCP is seeking a passionate Medicaid Program Advisor to support the team in its ... Program Development and Management (DPDM) Item 1225** ** Medicaid Long Term Care Policy (BMLTCP)** **50% Remote...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Centene Corporation (CA)
- …benefits including a fresh perspective on workplace flexibility. We're Hiring: Remote Medical Directors Centene Corporation is a leading provider of ... government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and… more
- Staffing Solutions Organization (Albany, NY)
- …Long-Term Care (MLTC) Cost Reporting** **50% Remote 50% Onsite** **Summary:** The Medicaid Program Advisor will support the New York Department of ... reflection of our clients and the people they serve. ** Medicaid Program Advisor in Albany, NY** **Division...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Staffing Solutions Organization (New York, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 1 or 2) - Health Related Social Needs ... Program Development & Management (DPDM)** **Item 1208** **50% Remote 50% Onsite** **Summary:** The Bureau of Social Care...works to integrate health and human services within the Medicaid program . The bureau is composed of… more
- Staffing Solutions Organization (Albany, NY)
- …special projects, and policy knowledge and implementation. The BASP is seeking a passionate Medicaid Program Advisor to support the team in its mission ... reflection of our clients and the people they serve. ** Medicaid Program Advisor 1 in Albany, NY**...needs. **Specific responsibilities include:** Works with the Health Home Program team to support Health Home operations… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor 1 in Albany, NY** **Strategic Operations & Planning ... policy and program innovation in New York's Medicaid program . As part of the Project...Medicaid programs. **Key Responsibilities:** + **Drive High-Impact Initiatives:** Support the execution of Medicaid priorities, including… more
- Staffing Solutions Organization (Albany, NY)
- …to provide system requirements related to eligibility and enrollment in New York's Medicaid program . The incumbent will be responsible for identifying planning ... training, then transitioning to 50% in office & 50% remote schedule **Summary:** Within the Division of Eligibility and...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor 1 in Albany, NY** **Strategic Operations and Planning ... applications, and an understanding of governmental operations and the Medicaid program would be preferred. **Basic Qualifications:**...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Staffing Solutions Organization (Albany, NY)
- …Onsite 50% Remote ** **Duties:** + Apply knowledge and experience of Medicaid regulations, program policy, current system design and integration with other ... reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3)...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Staffing Solutions Organization (Albany, NY)
- …of Eligibility & Marketplace Integration (DEMI) Executive Team** **50% Onsite / 50% Remote ** **Summary:** The Medicaid Program Advisor will be part ... reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3)...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Staffing Solutions Organization (Albany, NY)
- …governing a wide range of services and programs for children provided under the Medicaid program including the Children's Health Home program , the voluntary ... Medicaid Registered Nurse in Albany, NY** **Division of Program Development & Management (DPDM)** **Bureau of Specialized Services...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Manager 2 in Albany, NY** **Division of Eligibility & Marketplace ... Integration (DEMI)** **Bureau of Division Support (BDS)** **Hybrid - 50% Onsite 50% Remote...15 Bureaus across five locations Statewide. The Bureau provides support and assistance in advancing critical program … more
- Stanford Health Care (Palo Alto, CA)
- …detailed review of medical records. Ensure compliance with Medicare, Medicaid , third-party guidelines, Local Coverage Determinations (LCD), National Coverage ... departments to gather necessary information and clarify clinical documentation to support appeals. + Collaboration with Management: Identify and escalate denial… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager, in collaboration with the Sr Director of Delegation Partnerships and ... a focus on value-based arrangements and network-wide engagement strategies. The program manager is responsible for managing and implementing key population health… more
- Commonwealth Care Alliance (Boston, MA)
- …this position does not have direct reports. Essential Duties & Responsibilities: - Support LTSS network program operations o Developing agendas, taking, and ... o Maintain training agendas, presentations, and attendance sheets o Support LTSS Program Manager in times of...that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Familiarity with and full support… more
- Commonwealth Care Alliance (Boston, MA)
- …on performance metrics (eg, HEDIS, readmissions, community tenure) and follow up to support improvement efforts. Program and Partnership Support - Partner ... in alignment with clinical licensure. - Strong understanding of Medicare, Medicaid (MassHealth), and dual-eligible program operations, including regulatory and… more
- Commonwealth Care Alliance (Boston, MA)
- …and value-based contracting programs through data analysis and performance oversight. ** Program Operations and Development** + Support the design, ... behavioral health, and/or social needs. + Strong understanding of **Medicare, Medicaid (MassHealth), and dual-eligible program operations** , including… more
- Staffing Solutions Organization (Albany, NY)
- …**Community Enrollment and Eligibility Processing (CEEP)** **Hybrid: 50% Onsite 50% Remote ** **Item 1255** **Summary:** The Healthcare Program Associate will ... of social services and providers to receive applications for Medicaid and any applicable documentation. + Preparing materials for...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Oregon State University (Portland, OR)
- …the Oregon Health Authority ( OHA ). DURM supports the Oregon Fee-for-service Medicaid program by administering the OHA's Pharmacy & Therapeutics (P&T) ... This position will support and expand education and outreach efforts to Medicaid providers, with a focus on mental health medications. 15% Scholarship Engage in… more
- Staffing Solutions Organization (Albany, NY)
- …governing a wide range of services and programs for children provided under the Medicaid program including the Children's Health Home program , the voluntary ... of Specialized Services for Children (BSSC)** **50% Onsite 50% Remote ** **Summary:** The Bureau of Specialized Services for Children...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
