- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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 (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
- 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
- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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