- General Dynamics Information Technology (Fairfax, VA)
- …healthcare solutions. Our team is dedicated to improving the efficiency and effectiveness of Medicaid Management Information Systems (MMIS). We are ... will be responsible for the implementation, maintenance, and optimization of Medicaid Management Information Systems (MMIS). This role involves… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Management Information Systems (MMIS) Supervisor** **Job Class: Systems Supervisor** **Agency: Minnesota IT Services** + ... illness, chemical dependencies, and physical or developmental disabilities. As the Medicaid Management Information Systems Supervisor, you will supervise… more
- PruittHealth (Norcross, GA)
- …data system 8. Verify Medicaid eligibility or continued eligibility via the Georgia Medicaid Management Information Systems (MMIS) 9. Maintains ... Waiver Program (EDWP) clients who do not have active Medicaid eligibility [Potential Medicaid Assistance Only (PMAO)...and census data. 2. Coordinates with Home First Case Management agencies in determining EDWP clients' MAO or PMAO… more
- Cayuse Holdings (Austin, TX)
- …. + 7 Required Experience with Medicaid Enterprise Systems , including Medicaid Management Information Systems (MMIS). + 7 Required Ability ... + Minimum of three (3) years of progressive broad-based information systems , system integration and project delivery...management organization. + 3 Preferred Knowledge of Texas Medicaid programs. + 2 Preferred Experience with Texas Health… more
- State of Minnesota (St. Paul, MN)
- …degree for six (6) months. **Preferred Qualifications** + Experience supporting or enhancing Medicaid Management Information Systems (MMIS) or other ... you will provide advanced professional knowledge and skills in information systems problem identification, requirements definition and determination… more
- CareFirst (Baltimore, MD)
- …experience, inclusive of at least 5 years Medicare Part C and/or Medicaid compliance experience. + 3 years Management experience. **Preferred Qualifications:** ... for directing all aspects related to the monitoring of performance under the Medicaid contract and regulatory requirements and the overall state of compliance for … more
- CVS Health (Annapolis, MD)
- …with heart, each and every day. **Position Summary** The Manager of Claims Management is responsible for overseeing Medicaid claims operations, inventory ... compliance monitoring. This role ensures timely and accurate processing of Medicaid claims in accordance with state and federal regulations, contractual… more
- Idaho Division of Human Resources (Boise, ID)
- …in a managerial/administrative role which required in-depth knowledge of health care delivery systems . + Good knowledge of Medicaid laws and regulations related ... Medicaid Policy Program Analyst - MED Posting Begin...We have one of the Nation's best state retirement systems (https://www.persi.idaho.gov/members-1/) (PERSI) that offers a lifetime benefit at… more
- Humana (Tallahassee, FL)
- …Resource principles + Six Sigma or Lean experience + Medicaid and Medicaid programs experience is preferred. **Additional Information ** To ensure Home or ... Service Operations is responsible for the daily activities for Florida Medicaid Contact Center Operations. The Manager, Consumer Service Operations works within… more
- CVS Health (Annapolis, MD)
- …complex contracting options, financial/contracting arrangements and regulatory requirements. + Medicaid Network Management experience, preferably Maryland ... contracting and re-contracting discussions with providers, provider groups and/or health systems . + May participate in various internal and/or external meetings,… more
- University of Rochester (Pittsford, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... equity considerations._ **Responsibilities:** GENERAL PURPOSE In addition to the duties of Medicaid Enrollment and Outreach Specialist (MEOS I), MEOS II supports the… more
- NTT DATA North America (Montgomery, AL)
- …**:** + 8+ Years of experience running multiple concurrent projects + 6+ Years of Medicaid Systems or operations project management experience + 4+ Years of ... (developing RFIs/RFPs, vendor selection and evaluation, etc.) + Experience with Medicaid Information Technology Architecture (MITA) 3.0 including the maturity… more
- OhioHealth (Columbus, OH)
- …Min: Proficiency in Microsoft applications, knowledge of clinical & financial patient management systems , demonstrated ability in financial analysis and cost ... Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be… more
- NTT DATA North America (Montgomery, AL)
- …in project management processes and performance metrics + Analyzes source systems and identifies potential data gaps + Provide project management support, ... adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery, Alabama (US-AL), United… more
- Humana (Washington, DC)
- …Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other ... medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- University of Rochester (Rochester, NY)
- …+ _Benefit Management :_ MEOS I apply for benefits via computer systems and/or paper application and may accompany or represent the patient at eligibility ... Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States...is responsible for accurate and timely documentation in requisite systems : Financial Assistance Module (FAM), EPIC, NY State of… more
- Molina Healthcare (ID)
- …QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics, Math, Healthcare Management , Computer Science, Information Systems , or ... **Preferred Education** Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems , or related field. **Preferred Experience** + 3… more
- CVS Health (Lansing, MI)
- …every day. **Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and ... of contracts with larger and more complex, regional based hospital systems , large physician groups, and ancillaries in accordance with company standards.… more
- CVS Health (Baton Rouge, LA)
- …it all with heart, each and every day. **Position Summary** The Utilization Management Manager of Prior Authorization oversees a team of clinical professionals to ... ensure the efficient, compliant, and high-quality delivery of utilization management processes. This leader supports organizational goals by implementing best… more
- CVS Health (Frankfort, KY)
- …and every day. **Position Summary** Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems , physician groups, and behavioral ... years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral health experience preferred. + Proven working knowledge of… more