- InsideHigherEd (Columbus, OH)
- …Duties and Responsibilities Research excellence Initiates research with focus on engaging with state government leaders to identify policy needs that are best ... and implementing large-scale health services research projects Experience collaborating with state Medicaid agencies, public health departments, or mental health… more
- Public Consulting Group (Columbus, OH)
- …. Employee will be responsible for Medicaid , SNAP, WIC and other state government programs . They will be analyzing business requests, making ... + Experience with CMS, Medicaid , SNAP, WICK, and other state government programs **Supervisory Responsibility** + None **Working Conditions** + Remote… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President ... Government Programs - Medicare & Managed Medicaid is...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
- Deloitte (Columbus, OH)
- …our people, ideas, technology and outcomes - is designed for impact. Serving federal, state , & local government clients as well as public higher education ... with progression to FSA, FSA, or career ASA designation + Experience providing Medicaid consulting services to Government agencies + Experience with Medicaid… more
- Prime Therapeutics (Columbus, OH)
- …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... is responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and … more
- Intermountain Health (Columbus, OH)
- …Specialist is responsible for supporting and improving the quality performance of Government programs , particularly Medicare, with a strong focus on clinical ... is also tasked with identifying and engaging members in programs that enhance adherence and overall health outcomes, building...constructive and actionable feedback. + Represents the team in government meetings or special projects as assigned by a… more
- Molina Healthcare (Columbus, OH)
- …sufficient to meet requirements. + Responsible for reviewing internal dashboard of Value Based Programs & Contracts by state by LOB for assigned markets each ... value-based program & contract design and implementation for marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment,… more
- Elevance Health (Columbus, OH)
- … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs ._ The **Audit and Reimbursement ... Senior** will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of… more
- CenterWell (Columbus, OH)
- …to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on ... caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance...inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state … more
- Humana (Columbus, OH)
- …the HOS program in all aspects of Humana's Medicare Advantage government business segment. + Lead and manage strategic initiatives, including the development of ... caring community and help us put health first** The Senior Program Delivery Professional HOS Strategic Initiatives strategically identifies enterprise partners to… more
- Molina Healthcare (Columbus, OH)
- …a managed care organization ( Medicaid , Medicare, Marketplace and/or other government -sponsored program ), or medical office/hospital setting. + Completion of ... + Strong understanding of CMS regulations, Medicare MMP regulations and state specific requirements + Impeccable attention to detail + AOR/IRE understanding… more
- CVS Health (Columbus, OH)
- …network issues, pharmacy and/or mental health parity. + Experience working with state and federal government agencies, healthcare laws and regulations. + ... for action to internal stakeholders and senior/executive management regarding federal/ state regulations in the healthcare industry. Serves as a subject… more
- Public Consulting Group (Columbus, OH)
- …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
- Public Consulting Group (Columbus, OH)
- …better serve populations in need by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and ... and other tools. + Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid ,...strategies. + Ability to interpret and apply federal and state policy to financial planning and program … more
- Sumitomo Pharma (Columbus, OH)
- …Disease products to ensure access for patients through various payers (commercial and government payers to include FFS and Managed Medicaid ) and remove ... escalations as needed to ensure timely access for patients + Engage with government stakeholders, including state and federal health agencies, to ensure… more
- CVS Health (Columbus, OH)
- …vendor management experience (preferably benefit administrators)** **5+ years of experience in government programs ( Medicaid , Medicare)** **Adept at problem ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation… more
- Prime Therapeutics (Columbus, OH)
- …Word, and system operations (eg workflow processes and case management) + Government programs (Medicare) knowledge **Preferred Qualifications** + Contact Center ... of business to review the benefits of the MTM program . This position speaks with members to gather and...targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM… more
- Humana (Columbus, OH)
- …help us put health first** The Software Engineer 2 within Humana Government Business codes software applications based on business requirements. The Software ... skills and teamwork abilities. + Successfully receive interim approval for government security clearance (NBIS- National Background Investigation Service) + Our… more
- Prime Therapeutics (Columbus, OH)
- …management experience * PBM and/or health plan experience * Government Programs , Medicare Part D/B and/or Medicaid experience RxCLAIM experience **Minimum ... and other competing goals and risks, while still driving programs and initiatives to completion **Preferred Qualifications** * Project...status, or any other legally protected class under federal, state , or local law._ _ _ _We welcome people… more
- Evolent (Columbus, OH)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... + **This position is 100% Remote and can be completed from any state . Multiple opportunities for a flexible schedule and both part-time and full-time options… more
