• Medicaid Finance Subject

    DCCA (Ellicott City, MD)
    Medicaid Finance Subject Matter Expert Location Ellicott City, MD Job Code 2408 # of Openings 1 Apply Now ... and benefits package. Visit our website at: www.dcca.com Medicaid Finance Subject Matter Expert Candidate must have or be willing to obtain a… more
    DCCA (04/04/25)
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  • Medicaid Subject Matter

    DATAMAXIS (Springfield, IL)
    …Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations. + With the specialized ... knowledge of the Medicaid and Children's Health Insurance Programs, lead and guide...and third-party liability. + Proactively identify and understand state Medicaid agency data needs and determines the recommended solution… more
    DATAMAXIS (03/29/25)
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  • Medicaid Compliance Officer - State…

    Humana (Indianapolis, IN)
    …audits, and coordinate with regulators as needed. + Serve as the subject matter expert on the Indiana Medicaid statement of work/contract by providing ... Humana's mission to improve health outcomes and consumer experiences. The Medicaid Compliance Officer (Compliance Lead) serves as the primary regulatory compliance… more
    Humana (04/22/25)
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  • Project Manager- Medicaid Contracts…

    CVS Health (Columbus, OH)
    …system implementation, and performing post-release checkout + Act as Project Manager/ subject matter expert on Conga Medicaid Contracting for all ... Platform Solutions - Contracts & Pricing Team to support Medicaid Contracting IT projects in Conga and to provide...+ Maintain reports and dashboards for executive leadership and Medicaid Health Plans + Support of internal and external… more
    CVS Health (04/24/25)
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  • Medicaid Housing Administrator

    CVS Health (Tallahassee, FL)
    …State and local housing authorities + As the Aetna Better Health of Florida Housing Subject Matter Expert , collaborate with the RFP team and assist with ... day. *Must live in Miami or close surrounding area* The Medicaid Housing Administrator (Miami) builds strategic collaborative relationships with state agencies,… more
    CVS Health (04/25/25)
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  • Director Proposal Strategy - Medicaid

    Elevance Health (Manchester, NH)
    …interacting confidently with senior management and executive level stakeholders, as a subject matter expert and comfortable with influencing decision-making ... **Director Proposal Strategy - Medicaid ** **Location:** Alternate locations may be considered. This...equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this… more
    Elevance Health (04/23/25)
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  • Medicare and Medicaid Marketing Director…

    Intermountain Health (Murray, UT)
    …with demonstrated success. + 4+ years of marketing and communications experience as a subject matter expert for a defined product, function, or service. ... marketing and communications campaigns for Select Health's Medicare Advantage (MA) and Medicaid lines of business. This position will leads Marketing Manager and… more
    Intermountain Health (04/19/25)
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  • Sr Clinical Strategist - Aetna Medicaid

    CVS Health (Springfield, IL)
    …and desktops that would change how reporting functions. They will also act as a subject matter expert to build new reports and dashboards and will ... Clinical Strategist is a leader within the Program Integrity Team for Medicaid Care Management. The Sr Clinical Strategist provides clinical leadership and oversight… more
    CVS Health (04/20/25)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …development + Oversight and management of data asset development + Serve as product/domain subject matter expert + Manage and track timelines, action items, ... reflection of our clients and the people they serve. ** Medicaid Program Advisor - Albany, NY** **DDSA - 1176**...should be able to take on new tasks and subject areas, willing to work in a team environment,… more
    Staffing Solutions Organization (04/21/25)
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  • Sr Analyst, Medical Economics ( Medicaid

    Molina Healthcare (Columbus, OH)
    …to ad-hoc data analyses, development, and presentation of financial reports + Serve as subject matter expert on developing financial models to evaluate the ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina...of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans +… more
    Molina Healthcare (04/16/25)
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  • Certified Professional Coder - Full Time - Days…

    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 (04/19/25)
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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 (03/29/25)
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  • Lead Director, Corporate Compliance

    CVS Health (Oklahoma City, OK)
    …products and compliance specific tools such as Archer; maintain system documentation, serve as subject matter expert , train users of system, contribute to ... and oversight of the compliance program activities and deliverables of a Medicaid managed care organization operating in a highly complex regulatory environment.… more
    CVS Health (04/25/25)
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  • Senior Functional Business Consultant- REMOTE

    Prime Therapeutics (Columbus, OH)
    …Description** The Functional Business Consultant serves as a business system or business process subject matter expert with a high level of understanding of ... Represents assigned business system or business process as a subject matter expert in business...process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to… more
    Prime Therapeutics (04/25/25)
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  • Growth & Community Engagement Spc Tyler Texas area…

    Molina Healthcare (Tyler, TX)
    …to refer clients who may be eligible for other Molina products. + Viewed as a " subject matter expert " (SME) by community and influencers on the health care ... + Drive membership growth and retention for Molina Healthcare of Texas Medicaid . + Build and maintain relationships with community-based organizations and healthcare… more
    Molina Healthcare (04/30/25)
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  • Director of Government Pricing Analytics

    J&J Family of Companies (Raritan, NJ)
    …overall effectiveness of Government Pricing Analytics to serve J&J needs, particularly as a subject matter expert on government pricing and policies. This ... for performing government price calculations for Medical Device Operating Companies, providing Subject Matter Experts (SME) and analytical support to Johnson &… more
    J&J Family of Companies (04/27/25)
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  • Compliance Advisor III

    LA Care Health Plan (Los Angeles, CA)
    …risks to leadership through verbal and written reporting. The Advisor III serves as a Subject Matter Expert for the organization and assists business units ... but not limited to, the Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care...from a compliance perspective, as needed. Serve as a Subject Matter Expert for the… more
    LA Care Health Plan (04/11/25)
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  • Sr. Program Manager - Healthcare Enrollment…

    Molina Healthcare (Columbus, OH)
    …between the business, vendors , IT, and support Program Managers and Business Analyst in a subject matter expert capacity. May engage and oversee the work of ... Enterprise wide project initiatives from inception through delivery + Subject matter expert of enrollment...other business units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment… more
    Molina Healthcare (04/17/25)
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  • JIRA Framework Scrum Agile Development Analyst

    COOLSOFT (Columbia, SC)
    …including Project Directors/Project Managers, Technical Directors/Developers, Business and Technology Stakeholders/ Subject Matter Experts (SMEs) and other Agency ... used for interview(s) Description : SCDHHS is seeking an expert Quality Assurance Analyst - Project Lead to work...Project Lead to work directly with the OIM and Medicaid Enterprise System (MES) leadership teams to ensure the… more
    COOLSOFT (04/29/25)
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  • Community Engagement & Growth Specialist (Upstate…

    Molina Healthcare (Spencerport, NY)
    …to refer clients who may be eligible for other Molina products. + Viewed as a " subject matter expert " (SME) by community and influencers on the health care ... achieving established goals improving Molina's enrollment growth objectives encompassing Medicaid programs. Works collaboratively with key departments across the… more
    Molina Healthcare (04/25/25)
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