- Abt Global Inc. (Atlanta, GA)
- …and meaningful work? Now's your chance. **The Opportunity** Abt Global seeks an experienced Medicaid researcher ( Senior Associate) to play a leadership role ... on CMS-funded projects (including associated teams and budgets) to research Medicaid program and policy refinements, evaluate...and to work effectively in a team environment. + Senior Associate Level: Master's degree + 13 years of… more
- American Institutes for Research (MA)
- **Overview** Join AIR as a **Principal Researcher ** with ourHealth (https://www.air.org/our-work/health) team. AIR's Health Division specializes in research , ... federal agencies, including but not limited to the Centers for Medicare and Medicaid Services (CMS). Candidates hired for the position may work remotely within the… more
- Idaho Division of Human Resources (ID)
- Research Analyst Senior - Medicaid Posting Begin Date: 2024/04/19 Posting End Date: 2024/05/05 Category: Research Sub Category: Business Work Type: Full ... the health and well-being of Idaho residents? The Division of Medicaid is looking for a Research Analyst Senior to support our value-based care initiatives… more
- Humana (Louisville, KY)
- …capable of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical role in ... with the following attributes * Creative - Adept at research to determine the opportunity and a structured yet...Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager** plays a… more
- Mathematica (Columbus, OH)
- …We are seeking a motivated Client Solution Architect / Senior Client Solution Architect who is passionate about leading projects ... pipelines and perform analytics involving large secondary data sources such as Medicaid (T-MSIS, TAF) administrative claims data to effectively answer research … more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** Supports the delivery of all Medicaid billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing ... productivity performance standards, are familiar with the rules and regulations of Medicaid billing and are skilled at problem solving and account resolution. They… more
- Cleveland Clinic (Cleveland, OH)
- …respected healthcare organizations in the world. Our department is looking to add a Senior Financial Analyst to their dedicated team of caregivers. In this role, you ... the following experience: * Prepares and files Medicare and Medicaid cost reports on a timely and accurate basis...procedures. + Performs special projects and duties related to research , forecasting and conflict resolution as assigned. + Other… more
- NORC (Bethesda, MD)
- Principal Research Scientist - Health Care Program Integrity and Oversight: Medicare & Medicaid Programs Job no: 502272 Work type: Regular Full-Time Location: ... at the University of Chicago seeks an experienced Principal Research Scientist to direct program and policy projects, with...of ongoing projects. + Manage multiple project teams of senior , mid-level, and junior staff, and bring in experts… more
- Westat (Rockville, MD)
- **26825BR** **Job Title:** Senior Research Associate - Health Services - Research & Analysis **Location:** MD - Rockville **Job Description:** Westat is an ... **Job Summary:** Westat has an immediate opening for a Senior Research Associate conducting health services ...validation and evaluation for the Centers for Medicare & Medicaid Services (CMS) and other federal clients. + Independently… more
- Humana (Columbus, OH)
- …help us put health first** Humana's Clinical Analytics Team is seeking a Senior Research Scientist (Remote). Our team identifies opportunities and builds ... shape Humana's enterprise clinical strategies and initiatives. As a Senior Research Scientist on the team, you...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Tulsa, OK)
- …a part of our caring community and help us put health first** The Senior Claims Research & Resolution Professional manages claims operations that involve ... Approves all claim settlements both for and against the organization. The Senior Claims Research & Resolution Professional work assignments involve moderately… more
- Humana (Frankfort, KY)
- …of diverse scope and complexity ranging from moderate to substantial. The Medicaid Pharmacy Director, internally known as a Clinical Pharmacy Lead, Plans, directs, ... compliance supporting both the business and public relations strategies. Collaborates on research projects and develops proposals for research projects. Develops… more
- MyFlorida (Tallahassee, FL)
- …the entire bureau, Health Quality Assurance division, Agency personnel, as well as Medicaid providers. Effective research and analytical skills are vital in this ... 68039491 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST Date: Apr 29,...entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000… more
- MyFlorida (Alachua, FL)
- …, this position applies his or her legal expertise to handle litigation, to research federal and state Medicaid issues, to conduct legal discovery, and to ... 68064683 - SENIOR ATTORNEY Date: Apr 19, 2024 Location: ALACHUA,... program; interprets state and federal legislation related to Medicaid . Performs legal research concerning the interpretation… more
- Humana (Tallahassee, FL)
- …Professional serves as the designated market Compliance Officer for the Florida Medicaid contract. The Senior Compliance Professional will analyze business ... that minimizes compliance risk exposure for the Company. As a Senior Compliance Professional for our Medicaid business, you will be part of a fast-growing team… more
- CVS Health (Frankfort, KY)
- … markets and applies this to a growth strategy with the goal of expanding the Medicaid business. The Senior Manager will be a strategic and critical thinker who ... activity + Serve as a back-up leader for workstream meetings + Conduct research related to Medicaid business both new and existing Medicaid markets + Manage… more
- University of Michigan (Ann Arbor, MI)
- Reimbursement Analyst Senior Apply Now **How to Apply** A cover letter is required for consideration for this position, and it should be attached as the first page ... entities. The reimbursement analyst will maintain current knowledge of Medicare, Medicaid and other State and Federal regulations. The analyst also assists… more
- Fallon Health (Worcester, MA)
- …long term fiscal viability of its organization. The role requires the Senior to research , understand, interpret and operationalize accounting concepts (revenue ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission ... and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards via analysis of data, and… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …paragraph summarizes the general nature, level and purpose of the job. The Senior Vice President & Chief Government Relations Officer (SVP & CGRO) provides strategic ... with governmental and legislative bodies and individuals. Provides coordinated efforts, research , and activities in the legislative and political arenas on behalf… more