- HHS Technology Group, Inc. (Atlanta, GA)
- Technical Lead WHO WE ARE: At HHS Tech Group (HTG), our work matters, and each of us makes a difference in the lives of people every day. HTG is a leader in the ... and Certification reimbursement Open PTO policy Join us! WHO WE ARE HIRING: Technical Lead WHAT YOU WILL DO: HHS Technology Group is seeking a highly skilled and… more
- HHS Technology Group, Inc. (Atlanta, GA)
- Senior Integration Lead WHO WE ARE: At HHS Tech Group (HTG), our work matters, and each of us makes a difference in the lives of people every day. HTG is a leader in ... Join us! WHO WE ARE HIRING: A Senior Integration Lead WHAT YOU WILL DO: HTG has an exciting...with strong design and architectural skills and experience in Medicaid , MMIS, or State Government Health technical implementations. Responsibilities:… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …experience on IT Projects in health and human services programs (such as Medicaid , MMIS, claims processing, eligibility, HHS analytics, data warehouse, etc.) ... and Professional Requirements: 7+ years of Project Management experience delivering business value using technology solutions and managing staff in a matrix… more
- Marion County (Salem, OR)
- …will have experience supporting high performing, diverse teams and making data -driven decisions that support our department mission. A commitment to excellent ... regular feedback on performance to supervisors and their employees. Use reports and data to provide transparent, data -driven feedback on outcomes and performance… more
- CVS Health (Hartford, CT)
- …and monitoring of Medicaid network compliance requirements, focused first on Medicaid credentialing and provider data tasks. The role will collaborate cross ... over time. + Medicaid network compliance of Medicaid credentialing and provider data tasks. +...business interpretation of compliance requirements and consistently across business operations. + Lead department and cross… more
- Humana (Columbus, OH)
- …community and help us put health first** Humana Healthy Horizons is seeking a Medicaid Compliance Business Intelligence Lead who describes the tools, ... analyze, and present the Medicaid segment's compliance data to solve complex business problems, issues,...historical compliance information in their Market and others. The Medicaid Compliance Business Intelligence Lead … more
- Leidos (VA)
- …and key stakeholders in the Medicaid industry. The BD/Sales State Medicaid Lead will be responsible for driving business growth and expansion within the ... are seeking a highly motivated and experienced **BD/Sales State Medicaid Lead ** to join our team. The...will have a strong background in State and Local Business Development, with specific exposure to the Medicaid… more
- CVS Health (Hartford, CT)
- … LTSS RFP submissions and provide strategic guidance supporting initiatives across the national Medicaid LTSS line of business including but not limited to UM, ... determined by the plan leadership for NCQA and audits.* Lead the Medicaid markets national SAI ideation,...care industry. Preferred industry depth in a Medicare and/or Medicaid line of business * Strategic thinking with… more
- Humana (Richmond, VA)
- …of diverse scope and complexity ranging from moderate to substantial. The Medicaid Lead , Technology Solutions builds strategic partnerships and manages ... an effective strategy for executing and delivering on IT business initiatives. The Lead , Technology Solutions works...Humana IT's development timelines. + Serves as the 'Senior Business Architect' for Medicaid , with a strong… more
- Humana (Columbus, OH)
- …and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. ... of diverse scope and complexity ranging from moderate to substantial. The Lead Actuary, Analytics/Forecasting ensures data integrity by developing and executing… more
- Abt Global Inc. (Atlanta, GA)
- …The successful candidate will have extensive experience in Medicaid program operations, data , and policies. You will design and lead research projects and ... implement analyses using Medicaid claims and administrative data to meet project needs. + Lead ... development relationships with clients and external partners. + Lead business development activities including proposal writing… more
- Mathematica (Princeton, NJ)
- …of quantitative data , most commonly leveraging Medicaid and CHIP administrative data * Direct business development efforts and lead proposals for new ... In particular, we are looking for individuals who can lead current and emerging analytic work across several areas...analytic work on topics related to state and federal Medicaid and CHIP policy and data systems,… more
- Sumitomo Pharma (Marlborough, MA)
- …role with 2-3 days a week required in office. **Job Duties and Responsibilities** + Lead operations person for all Medicaid decisions as it relates to Model N ... other similar industry standard software. + Investigate, analyze information, and resolve business questions by applying information from various data sources, … more
- Humana (Richmond, VA)
- …in Virginia is seeking a Workforce Development Administrator (Workforce Management Lead ) who will be responsible for coordinating and overseeing workforce ... development activities for Humana Healthy Horizons in Virginia Medicaid plan. Through collaboration with Virginia DMAS, providers, and other key community… more
- CareOregon (Portland, OR)
- …Job Summary This position is responsible for managing actuarial analysis related to Medicaid and Medicare Advantage lines of business with a focus on ... goals for actuarial analysis of the financial performance of Medicaid and Medicare lines of business in...analysis, and drivers of revenues and expenses. + Provide Medicaid rate setting support through data analysis,… more
- CVS Health (Northbrook, IL)
- …Engagement , the Manager will work closely with cross-functional leadership across the Medicaid business to establish and champion local market culture committed ... an outstanding opportunity for an enthusiastic team player to lead local market Medicaid Provider Engagement risk...with supporting material to successfully align on strategy objectives. Data Analysis & Reporting 25% + Work closely with… more
- Humana (Louisville, KY)
- …Strategy Organization in order to support the strategic direction and growth of the Medicaid and Duals lines of business . This is a unique opportunity for ... services that meet the needs of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager** plays a… more
- Public Consulting Group (Columbus, OH)
- …looking for an experienced Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience is critical, as well as experience ... the public sector. To learn more, visit www.publicconsultinggroup.com. **Responsibilities** The Medicaid marketplace is changing, and PCG is at the forefront. We… more
- Humana (Columbus, OH)
- …services that meet the needs of Humana's customers while aligning with its business objectives. Responsibilities include: + Understand Humana Medicaid and Dually ... to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Be...Services (MPS) Product Management space with a focus on Medicaid Enrollment & Premium Reconciliation- Humana is seeking a… more
- PruittHealth (Norcross, GA)
- …knowledge of business processes and enabling technologies, specifically in a Medicaid Claims function * Ability to comprehend and retain information that can be ... **JOB PURPOSE:** Supports the delivery of all Medicaid billing services by final/higher level auditing, correcting,...and help foster an environment where continuous improvement in business processes and services is welcomed and recognized to… more
