- General Dynamics Information Technology (Fairfax, VA)
- …success of large-scale Medicaid programs. **Job Summary** The Technical Professional supporting Medicaid Management Systems will be responsible for ... of Medicaid Management Information Systems (MMIS). We are seeking talented technical professionals to join our growing team and contribute to the… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …to supervisor. + Provides support and manages administrative activities to support Medicaid policy development, interpretation and management . This includes the ... and coordinating related communications. The following are work products requiring support and management ; + State Plan Amendments (SPA) + Medicaid Waivers +… more
- MyFlorida (West Palm Beach, FL)
- …ROM for approval follow the Agency operating procedure and process. Provides technical assistance to staff in the interpretation Medicaid rules, procedures, ... MEDICAID WAIVER SUPERVISOR - 67013921 Date: Dec 15,...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the… more
- MyFlorida (West Palm Beach, FL)
- …Participates in workshops, training sessions and meetings as assigned. Provides technical assistanceto Medicaid waiver providersas needed/directed by the ... MEDICAID WAIVER LIAISON - 67016227 Date: Dec 5,...dynamics. This position with APD will serve staff and management across the Agency. Your work will impact the… more
- New York State Civil Service (New York, NY)
- …Category Other Professional Careers Salary Grade 18 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $53764 to $85138 ... NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title...they are required to apply and obtain approval through management in accordance with OMIG's Telecommuting Program Guidelines. Some… more
- Humana (Columbus, OH)
- …caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness ... to support modeling, reporting, and decision-making. Requires strong project management skills to evaluate the downstream impacts of data changes on actuarial… more
- New York State Civil Service (Hauppauge, NY)
- …Category Other Professional Careers Salary Grade 18 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $53764 to $85138 ... NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title...they are required to apply and obtain approval through management in accordance with OMIG's Telecommuting Program Guidelines. Some… more
- AmeriHealth Caritas (Charleston, SC)
- …set up. + Ensure that provider payment issues submitted by Provider Network Management or any other source are validated, researched and resolved within established ... guidelines, state/Plan policy and operational procedures to effectively provide technical expertise and business rules. + Participate in encounter rejection… more
- IQVIA (New Providence, NJ)
- …within one or more specific functional or technical workstreams (eg, Medicaid , Master Data Management , Chargebacks, Government Pricing, Testing, Managed Care ... a small-to-mid scale project, acts as Overall Lead, or Functional/ Technical Workstream Lead (eg, Purchase Based Contracts, Utilization Based...along with knowledge of others in this list: * Medicaid * Master Data Management * Chargebacks… more
- Humana (Lincoln, NE)
- …of our caring community and help us put health first** The Claims Risk Management Professional is responsible for ensuring payment quality of claims in ... payment accuracy and identify potential claim payment risks. The Claims Risk Management Professional is expected to provide accurate, actionable, and thorough… more
- Penn Medicine (Philadelphia, PA)
- …for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn ... of environment, and work practices Ensures deficiencies noted are corrected.Fiscal Management : Works with Administrative Director or Technical Manager to… more
- Penn Medicine (Philadelphia, PA)
- …for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn ... of environment, and work practices Ensures deficiencies noted are corrected. **Fiscal Management :** Works with Administrative Director or Technical Manager to… more
- State of Colorado (Jefferson County, CO)
- …it involves direct interaction rather than delegation or oversight. Case Management can involve assisting individuals with Medicaid /Social Security forms, ... HEALTH PROFESSIONAL V- QUALIFIED INTELLECTUAL DISABILITIES PROFESSIONAL (QIDP) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5158272)… more
- Elevance Health (Nashville, TN)
- …in planning, monitoring, and controlling a project budget. + Project Management Professional certification (PMP) strongly preferred. + Experience working ... ** Technical Project Manager** **CareBridge** Health is a proud...with moderate guidance and is responsible for applying project management knowledge, skills, tools and techniques to project deliverables,… more
- Humana (Concord, NH)
- …work environment-remote or in-person-and is deeply committed to employee well-being and professional growth. If this is you, APPLY TODAY! Humana is seeking a ... relevant work experience in lieu of degree requirement.** + **5+ years of technical HANDS-ON experience.** + Proven experience in technical product ownership… more
- MyFlorida (Doral, FL)
- …complex, technical , or confidential information. Efficient time management , organizational, and multi-tasking skills. Professional interpersonal skills ... 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
- New York State Civil Service (Queens Village, NY)
- …Category Health Care, Human/Social Services Salary Grade 22 Bargaining Unit PS&T - Professional , Scientific, and Technical (PEF) Salary Range From $86326 to ... Health Information Administrator (RHIA); and two years of full-time professional (post-RHIA) health information management experience.Transfer:Candidates must… more
- NTT America, Inc. (Baltimore, MD)
- …elicitation and verification of business requirements + Minimum of 5 years Medicaid Management Information System (MMIS) APD development and maintenance ... members to coordinate, track, monitor, create, and update the Medicaid APDs as needed. He/she will actively participate in...quality and completeness + PMI Certified Associate in Project Management (CAPM) or Project Management Professional… more
- Sonora Quest (Greeley, CO)
- …& experience. In accordance with State Pay Transparency Rules. Seeking **Lab Technical Supervisor** to work at Banner North Colorado Medical Center in **Greeley, ... In addition, this position may be eligible for our Management or Sales Incentive Programs as part of your...College of American Pathologists (CAP), Centers for Medicare and Medicaid Services (CMS), American Association of Blood Banks (AABB),… more
- MyFlorida (Tallahassee, FL)
- …payments to Medicaid providers. This position is responsible for specialized professional auditing, rate setting, and is an analysis position in the Bureau of ... staff in the Bureau of Medicaid Program Finance, the Bureau of Medicaid Contract Management . the fiscal agent contractor, and other departmental offices and… more