• Novo Nordisk Inc. (WA)
    …intellectual property. Manages relationships with select government agencies. Serves as a subject matter expert . Solicits internal stakeholder insights to ... of significance to NNI. Essential Functions Achieve deep understanding of, and serve as a subject matter expert on, assigned policy areas and the potential… more
    HireLifeScience (06/03/25)
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  • Medicaid Data Warehouse Specialist

    TEKsystems (Springfield, IL)
    Our Enterprise Client is seeking highly experienced and knowledgeable Medicaid Subject Matter Expert (SME) to support a State Enterprise Data Warehouse ... and the State Medicaid program. This role requires deep expertise in ...data systems. Key Responsibilities: + Provide strategic direction and subject matter expertise for the implementation and… more
    TEKsystems (07/24/25)
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  • National Medicaid Revenue Cycle Advisor

    Genesis Healthcare (Philadelphia, PA)
    …communities we serve. Responsibilities The National Medicaid Eligibility Advisor is the subject matter expert on Revenue Cycle Management Medicaid ... strives to improve the quality of all revenue cycle management Medicaid Eligibility related functions, from patient pre-admission to discharge, optimizing revenue… more
    Genesis Healthcare (06/25/25)
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  • Medicaid Analyst 1-2

    Louisiana Department of State Civil Service (Monroe, LA)
    …through the Medicaid program. As a Medicaid Analyst, you'll become a subject matter expert in Medicaid eligibility policies and procedures - ... MEDICAID ANALYST 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5019749) Apply  MEDICAID ANALYST 1-2 Salary $2,784.00 - $5,009.00… more
    Louisiana Department of State Civil Service (07/25/25)
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  • Medicare/ Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment ... - AAPC + Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing-related certifications **Required Experience (must have):** + 3+ years in healthcare… more
    Commonwealth Care Alliance (05/31/25)
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  • Nutrition Education Navigator

    Cornell Cooperative Extension (Watertown, NY)
    …and program activities to deliver the 1115 Medicaid Nutrition Program. + Serve as subject matter expert in the area of Nutrition to staff and ... making recommendations for programmatic offerings, enhancements or improvements. + Apply subject matter knowledge to develop educational strategies. + Research,… more
    Cornell Cooperative Extension (07/23/25)
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  • Medicaid Program Advisor - Behavioral…

    Staffing Solutions Organization (Albany, NY)
    …well as Medicaid policy, regulations, and guidance. + Serve as lead advisor and subject matter expert on behavioral health, with a focus on addiction, ... providers, advocates, and professional associations. + Provide technical assistance and subject matter expertise to providers, advocates, and state agencies.… more
    Staffing Solutions Organization (07/16/25)
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  • Strategy Advancement Director (Market Development…

    Molina Healthcare (Nampa, ID)
    …partners with the VP Market Development to provide thought leadership and subject matter expertise, identifying trends, providing insights, and continuously ... advancing Molina's growth strategy and positioning the company for success in Medicaid , CHIP, DSNP, and Marketplace procurements. Reporting to the Vice President,… more
    Molina Healthcare (06/14/25)
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  • Senior Medicaid & Medicare Reimbursement…

    OhioHealth (Columbus, OH)
    …analysis, regulatory and financial reporting. * The Senior Reimbursement Consultant will be a subject matter expert in the following areas, S-10, Wage Index, ... is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This...reimbursement functions. Knowledge in the following areas: Reimbursement functions: Subject matter expert on CMS… more
    OhioHealth (06/07/25)
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  • Medicaid Program Advisor - System QA…

    Staffing Solutions Organization (Albany, NY)
    …in related field + 10 years of professional experience + 5 years of subject matter expert experience + Supervisory experience **Desired Characteristics:** ... reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) - Albany,...make recommendations for improvement. + Follow up with DOH subject matter experts (SMEs), system vendors and… more
    Staffing Solutions Organization (07/24/25)
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  • Medicaid Program Advisor - Eligibility…

    Staffing Solutions Organization (Albany, NY)
    …in related field + 10 years pf professional experience + 5 years of subject matter expert experience + Supervisory experience **Desired Characteristics:** ... reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) - Albany,...change management support for the rollout of the new Medicaid eligibility system designed for New York's Complex … more
    Staffing Solutions Organization (07/18/25)
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  • Sr Medicaid Reimbursement Regulatory…

    Zelis (Plano, TX)
    …including institutional, as well as professional payment systems. This position is an internal subject matter expert supporting staff and clients and will ... that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis...a plus + Ability to manage/oversee pricer program. + Subject matter expertise in prospective payment systems… more
    Zelis (07/12/25)
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  • Medicaid Program Advisor - Exchange…

    Staffing Solutions Organization (Albany, NY)
    …+ Bachelor's degree + 10 years of professional experience + 5 years of subject matter expert experience + Supervisory experience **Desired Characteristics:** ... workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Levels 2 & 3) - Albany, NY** **Division of Eligibility &… more
    Staffing Solutions Organization (07/18/25)
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  • Medicaid Program Advisor - Compliance…

    Staffing Solutions Organization (Albany, NY)
    …+ Bachelor's degree + 10 years of professional experience + 5 years of subject matter expert experience + Supervisory experience **Desired Characteristics:** ... 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 &… more
    Staffing Solutions Organization (07/18/25)
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  • Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    … Services (CMS) and other State Medicaid Agencies (SMAs). * Participate in a Subject Matter Expert role with the FX vendors for joint application design ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
    MyFlorida (07/24/25)
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  • Medical Policy Program Manager

    Iowa Department of Administrative Services (Des Moines, IA)
    …Provides consultation and advice to the Medicaid program in full and is the subject matter expert for Medical policy. + Plan and coordinate the ... Number 25-03293 Agency 400 Health & Human Services - Medicaid Opening Date 07/29/2025 Closing Date 8/8/2025 11:59 PM...Department of Health and Human Services (HHS), Division of Medicaid , Bureau of Quality Innovation and Medical Policy is… more
    Iowa Department of Administrative Services (07/30/25)
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  • Lead Analyst, Configuration Oversight - Payment…

    Molina Healthcare (Provo, UT)
    …SOPs and audit tools related to COB claim reviews. + Act as subject matter expert for Medicaid COB claim adjudication, configuration testing, and QNXT ... and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and… more
    Molina Healthcare (07/24/25)
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  • Certified Professional Coder - OBGYN - Full Time…

    Emanate Health (Covina, CA)
    …the requirements of Medicare and Medicaid programs. Serves as the coding subject matter expert for the physicians. **Job Requirements** **Minimum ... Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives.… more
    Emanate Health (06/28/25)
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  • THR VP Gov Reimb Medcaid Pmts

    Texas Health Resources (Arlington, TX)
    …consistent with requirements for reporting and achieving payment. + Serves as a liaison and subject matter expert in support of entity leaders and staff to ... This VP Government Reimbursement & Medicaid Supplemental Payments directs, administers and coordinates activities...ensuring adherence to specifications. This includes working collaboratively with subject matter experts within THR (ie, THR's… more
    Texas Health Resources (06/27/25)
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  • Recovery - Coordinator 1

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    …Coordinator-1\_R-001662?q=R-001662) to apply + May serve as the subject matter expert in Third-Party ... escalated matters. + Develops an advanced working knowledge of Medicaid and Eligibility policy to interpret Medicaid ...of Medicaid and Eligibility policy to interpret Medicaid claims. + Participates in the development and implementation… more
    Louisiana Department of State Civil Service (07/19/25)
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