- Staffing Solutions Organization LLC (Albany, NY)
- …to a diverse workforce, which is a reflection of our clients and the people they serve. Medicaid Program Advisor , Albany NY DPDM - 1422 50% Onsite / 50% ... a wide range of services and programs for children provided under the Medicaid program including the Children's Health Home program , the voluntary foster… more
- GSK (Media, PA)
- …team of the Senior Director, External Manufacturing Procurement and is a key advisor of the GSK global external manufacturing strategy. The ideal candidate should ... visit GSK US Benefits Summary to learn more about the comprehensive benefits program GSK offers US employees. Why GSK? Uniting science, technology and talent to… more
- GRIFOLS, SA (Kansas City, KS)
- …territory including major accounts and large players (ie, Commercial, Medicare, and Medicaid ) *Understanding of Hospital formulary with guidance of RSD and NAM/NAD ... customers. *Become a valued strategic partner as well as trusted advisor offering customer-centric solutions. Consistently demonstrate follow-through for the benefit… more
- State of Illinois (Chicago, IL)
- …unique opportunity to work at the intersection of law, policy, and program development-where your counsel drives innovation, compliance, and success across diverse ... operational areas. As a trusted advisor to senior leadership, the ideal candidate will provide...work schedule Flexible work schedules are available in many program areas. (Remote work may be an option for… more
- University of Iowa Hospitals & Clinics (Iowa City, IA)
- …medical necessity determinations and refers cases with failed criteria to the Physician Advisor or appeal as necessary in accordance with the UM plan. Collaborate ... reports as requested. Monitor effectiveness/outcomes of the utilization management program , identifying and applying appropriate metrics, supporting the evaluation… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor : Behavioral Health in Albany, NY** **Division of ... development and implementation. **Primary responsibilities include:** + Assisting Bureau Director, Medicaid Program Manager, and Integrated Care Team in… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) - Albany, NY** **Division of ... processes, and systems, while applying knowledge and experience of Medicaid regulations and program policies to system design and related business processes. +… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) - Albany, NY** **Division of ... system requirements related to eligibility and enrollment in New York's Medicaid program . The incumbent will be responsible for identifying planning and policy… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Levels 2 & 3) - Albany, NY** **Division of ... Bureau of Exchange Application Support, performing activities related to Medicaid expansion and eligibility initiatives, including consumer complaint processing and… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) - Albany, NY** **Division of ... Eligibility & Marketplace Integration (DEMI)** **Bureau of Program Compliance and Audit** **50% Onsite 50% Remote** **Duties:** The Bureau of Program Compliance… more
- Staffing Solutions Organization (Albany, NY)
- …to a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor in Albany, NY** Item 1148 50% Onsite / 50% ... Community Supports works to integrate health and human services within the Medicaid program . The bureau is composed of two units, Housing and Social Determinants… more
- Genesis Healthcare (Philadelphia, PA)
- …measure learning progress *Serve as the liaison between Business Office Managers, Market Medicaid Advisor , Market Floating Medicaid Specialists, and the ... making a meaningful impact in the communities we serve. Responsibilities The National Medicaid Eligibility Advisor is the subject matter expert on Revenue Cycle… more
- Elevance Health (Costa Mesa, CA)
- **Medical Director- Medicare and Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... Director** will be responsible for utilization review case management for Medicare and Medicaid in the California market while also assisting in the Washington … more
- CVS Health (Springfield, IL)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California, Florida, Illinois, ... "Work from Home" position primarily supporting the Aetna Illinois Medicaid plan and the UM team; but part of...Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a… more
- CVS Health (Frankfort, KY)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, California, Florida, Illinois, ... working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred Qualifications:**… more
- State of Michigan (Lansing, MI)
- Departmental Specialist 13 - Medicaid and Aging Supports Section Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4996557) Apply Departmental ... Specialist 13 - Medicaid and Aging Supports Section Salary $2,484.80 - $3,708.80...Grant, and Accounting offices; and serving as the technical advisor of financial/contractual operations for the Health Services Administration.… more
- Elevance Health (Indianapolis, IN)
- **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception ... The **Behavioral Health Medical Director** is responsible for reviewing cases for IN Medicaid members including child and substance use disorders, and all levels of… more
- Humana (Troy, MI)
- …role will report to the Plan Chief Executive Officer (CEO). The Strategy Advancement Advisor (HIDE-SNP Program Medicaid Liaison) will support Humana's Highly ... will act as a link between Humana, MDHHS, and Centers for Medicare & Medicaid Services (CMS). + Supports all priority health plan and care delivery integration… more
- Catholic Health Services (Melville, NY)
- …the implementation of CM processes and policies, as well as the Physician Advisor role, activities and expectations. Collaborates with CM and CDI departments at the ... to Physician Advisors through annual performance evaluation. Monitors Physician Advisor performance dashboard with Key Performance Indicators (KPIs). Responsible for… more
- Humana (Austin, TX)
- …caring community and help us put health first** The Strategy Advancement Advisor provides data-based strategic direction to identify and address business issues and ... segments or the company at large. The Strategy Advancement Advisor works on problems of diverse scope and complexity...UM annual evaluation + Lead activities related to UM Program Description **Data Analysis and Reporting:** + Utilize data… more
