- Marion County (Salem, OR)
- …based on position and are approved by the Marion County Board of Commissioners.PandoLogic. Keywords: Healthcare Program Manager, Location: Salem, OR - 97308 ... Health & Human Services is looking for an adaptable, collaborative, and experienced Program Manager who will assist the department in achieving its mission: To… more
- Humana (Richmond, VA)
- …Department of Health partners. Applies keen insight regarding the current Medicaid healthcare regulatory environment and competitive environment, and how ... management experience utilizing strategic and business planning, accounting, and financial analysis * Experience working in healthcare and strong foundation… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Medicaid Program Integrity Reporting & Coding Oversight Officer Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4483704) Apply Medicaid ... Integrity & Compliance Bureau Chief, is responsible to ensure the integrity of the Iowa Medicaid program , as it applies to payments to providers. As the payment… more
- Public Consulting Group (Albany, NY)
- …degree + 8 years of professional experience **Ideally, the candidate will have:** + Healthcare experience in program policy, Medicaid and Medicare + Strong ... and enhancement of policies that impact the health of Medicaid members. The Medicaid program ...preferred + Familiarity/experience with scientific research literature and data analysis + Proficiency in Word, Excel and PowerPoint required… more
- CVS Health (Northbrook, IL)
- …Plans, executing comprehensive strategies aimed at fostering meaningful collaborations with healthcare providers and aligning the Medicaid Risk Adjustment ... position will be responsible for implementing and overseeing collaborative efforts with healthcare provider groups in the context of Medicaid risk adjustment.… more
- State of Indiana (Indianapolis, IN)
- …At least two years of work experience in public health coverage programs policy or Medicaid program operations, or a related field. + Able to comprehend the ... claiming. A Day in the Life: Provide school Medicaid claiming research, analysis , and public policy...well as vision and dental plans + Wellness Rewards Program : Complete wellness activities to earn gift card rewards… more
- UNC Health Care (Goldsboro, NC)
- … Medicaid screening, if the patient does not meet the criteria for a Medicaid program , then financial assistance referrals are given to the patient. 16. ... or equivalent required. Licensure/Certification None required. Experience Prior experience with Medicaid administration in a social services or healthcare … more
- Idaho Division of Human Resources (Boise, ID)
- …guidelines, and trends and make recommendations for policy changes related to healthcare billing and coding, Medicaid reimbursement activities, value care and ... Financial Specialist Sr. - Medicaid Reimbursement Analyst Posting Begin Date: 2024/04/23 Posting...include but are not limited to Division and Department program support staff as well as other state agency… more
- Mathematica (Chicago, IL)
- …Management Analysts with a strong interest in project management in our Medicaid project area. This role blends management and technical assistance. As such, ... passion for project management and an interest in improving public health insurance program operations and health care delivery. In particular, we are looking for… more
- Providence (Portland, OR)
- …population health initiatives related to accountable care activities for Medicaid Strategy and Sustainability including implementation of strategies, daily ... : + Provides internal leadership and leads development of program strategy and services within our vision for a...our vision for a connected system of care for Medicaid . + Participates in the development, implementation and monitoring… more
- Humana (Columbus, OH)
- …communication skills + Knowledge of the managed care industry including Medicare and Medicaid . + Possess analysis and interpretation skills with prior experience ... organization focused on continuously improving consumer experiences. Preferred Qualifications: + Medicaid managed care experience working with LTSS program … more
- Humana (Columbus, OH)
- …team of direct reports to implement operational processes, administer, and evaluate Medicaid VBP models to drive improved provider experience and achievement of ... function or segment. **Key Responsibilities:** + Oversee administration of Medicaid specialty VBP models, including provider reporting packages, settlements/reconciliations,… more
- Idaho Division of Human Resources (ID)
- …Bureau of Population Health. The data that will be analyzed will include Medicaid claims data, including claims for healthcare encounters and prescriptions, and ... Research Analyst Senior - Medicaid Posting Begin Date: 2024/04/19 Posting End Date:...with stakeholders to support the Healthy Connections Value Care Program . The ideal candidate will have experience analyzing health-related… more
- City of New York (New York, NY)
- …for the New York City Health + Hospitals system and the City's Medicaid program . The oversight role involves the ongoing review financial projections ... TASK FORCE: HEALTH UNIT: Health and Hospitals (H+H) / Medicaid JOB TITLE: One (1) Assistant Analyst / Analyst...of some of the country's foremost public health and healthcare agencies, including the Department of Health and Mental… more
- CVS Health (Houston, TX)
- …more personal, convenient and affordable. Position Summary In this Texas Medicaid individual contributor role the Network Management Senior Manager will negotiate, ... execute, and conduct high level review and rate analysis , dispute resolution and/or settlement negotiations of contracts with larger and more complex, regional based… more
- Humana (Frankfort, KY)
- …of diverse scope and complexity ranging from moderate to substantial. The Medicaid Pharmacy Director, internally known as a Clinical Pharmacy Lead, Plans, directs, ... operational, professional, and clinical activities for the purposes of pharmacy program development. Implements policies and procedures that ensure the pharmacy… more
- Humana (Richmond, VA)
- …overseeing workforce development activities for Humana Healthy Horizons in Virginia Medicaid plan. Through collaboration with Virginia DMAS, providers, and other key ... Lead) will support efforts to build, train, and retain a robust healthcare workforce, particularly direct care workers and home and community-based service providers… more
- CVS Health (Houston, TX)
- …Manager will negotiate, execute, and conduct high level review and rate analysis , dispute resolution and/or settlement negotiations of contracts with larger and more ... to meet accessibility, quality, financial goals and cost initiatives for our Medicaid products. * Negotiate and execute provider contracts, conduct high level review… more
- Humana (Columbus, OH)
- …work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable ... to understand business needs/issues, troubleshoots problems, conducts root cause analysis , and develops cost effective resolutions for data anomalies. Begins… more
- CVS Health (Hartford, CT)
- …Partner plays a key supportive strategic role as a thought partner to aligned Medicaid leadership and the broader HRBP team. The HRBP is responsible for building ... shares key insights and actions based on HR data and metrics analysis .* In partnership with Talent Acquisition, implements proactive staffing strategies to ensure… more
