- Sumitomo Pharma (Columbus, OH)
- …a dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid ... other similar industry standard software. + Investigate, analyze information, and resolve business questions by applying information from various data sources, … more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Medicaid Program Manager 1--A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4670594) Apply Medicaid Program Manager 1--A Salary ... Health Services Financing (BHSF) that reports directly to the Medicaid Program Manager 1 B. This section...provider participation standards and recipient benefits. Analyzes multi-mullion dollar Medicaid claim data and project the fiscal… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Medicaid Program Manager 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4672063) Apply Medicaid Program Manager 2 Salary ... Function of Work: To administer medium size and moderately complex statewide Medicaid program(s). Level of Work: Manager . Supervision Received: Broad from… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Manager , Medicaid Compliance & Analytics Date: Sep 21, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57826 ... a difference, and new people to make a difference with. **The opportunity** The Manager of Medicaid Compliance and Analytics will manage operations of … more
- CVS Health (Northbrook, IL)
- …of internal corrective actions plans (iCAPs) at a national level across Aetna's Medicaid business . Additionally, the incumbent will lead and participate in other ... position is responsible for promoting compliant and ethical behavior for Aetna's Medicaid business , including timely implementation of compliant business … more
- CVS Health (Hartford, CT)
- …involvement with Revenue Integrity, a crucial revenue-generating initiative for the Medicaid Business Unit. This position's responsibilities will include (but ... and affordable. **Position Summary** Aetna is recruiting a Sr. Manager on the Medicaid Actuarial Growth and...integrity deliverables to create more easily digestible information from data . + Working with Informatics to explain the connection… more
- CVS Health (Phoenix, AZ)
- …the Lead HRBP to provide strategic and day-to-day HR support for the Aetna Medicaid organization. The Senior HR Business Partner will be expected to regularly ... and delivery (planning, delivering, and supporting) skills. + Adept at business intelligence and data analysis. **Education:** Bachelor's degree… more
- Elevance Health (Miami, FL)
- …lower-level staff. **How you will make an impact:** + Builds and monitors reports for Medicaid business . + Creates and maintains databases to track business ... ** Business Information Analyst Senior- Medicaid ** **Location:** This...is responsible for analyzing, reporting, and developing recommendations on data related to complex and varied business … more
- Teva Pharmaceuticals (Parsippany, NJ)
- …hoc analysis. **Essential Duties & Responsibilities** + Work with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each ... quarter and review to ensure completeness of information received. Upload data into Medicaid systems and authorize transactions. Document errors and perform… more
- Elevance Health (Miami, FL)
- …application software. **How you will make an impact:** + Manages reporting requirements for Medicaid business . + Works closely with analytical team to analyze ... ** Business Analyst III- Medicaid ** **Location:** This position...Medicaid data . + Analyzes complex end user...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CVS Health (Dallas, TX)
- …to helping you achieve your career goals._** **In this Texas Medicaid individual contributor role the contract negotiator:** + Negotiates competitive contracts ... supports the implementation of value-based contract relationships in support of business strategies. + Manages relationships with key providers and ensures… more
- CVS Health (Oklahoma City, OK)
- …more personal, convenient and affordable. **Position Summary** The Senior Contract Manager , Network Management negotiates, executes, conducts high level review and ... analysis and/or audits to identify issues and propose solutions to protect data , contract integrity and performance. * Manages contract performance and supports the… more
- Healthfirst (NY)
- …3 days a week._** **Duties & Responsibilities** + Partner with Finance Business Partner to support State Programs teams to monitor product financial performance ... dots and understand all the levers to improve product performance + Support business case development for new growth and market opportunities for the State Programs… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... the chart review life cycle from scheduling access, collecting images, coding chart and updating data software. The CRS must have the ability to code on both and INP… more
- AristaCare (Cranford, NJ)
- …have at least a few years of experience as a SNF Business Office Manager with thorough knowledge of the Medicaid process. Purpose of Your Job Position The ... and procedures related to billing and accounts receivable, census processing and Medicaid applications. The Business Office Manager processes facility… more
- HCA Healthcare (Nashville, TN)
- …the business user community. The Data solutions will cross all lines of business and the manager is expected to service all CSO lines of business ... join an organization that invests in you as a Manager Data Analytics and Integration? At Parallon,... analyst tool sets which include use cases, prototypes, data dictionaries, entity relationship diagrams, and business … more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Data Manager 2 supports all aspects of configuration control, data management, and ... deficiency reporting. The Data Manager 2 work assignments are varied and frequently require...Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a… more
- University of Colorado (Aurora, CO)
- Operations and Finance Manager - 34008 University Staff **Description** **University of Colorado Anschutz Medical Campus** **Department: Anesthesiology** **Job ... Title:** **Operations and Finance Manager ** **Position #:** **824226** **- Requisition #:** **34008** **Job...journal entries; approval of fiscal transactions. + Oversee annual Medicaid audit preparation; management of Medicaid and… more
- Molina Healthcare (Lexington, KY)
- …combination of education and experience **PREFERRED EXPERIENCE:** + Experience working with Medicaid , Medicare, and Marketplace enrollment data . To all current ... **Job Description** **Job Summary** Manages the activities of the Data Analytics and Reporting team. Performs research and analysis of complex healthcare claims … more
- Robert Half Finance & Accounting (Windsor, CT)
- …financial operations within the facility. Job Overview: As the Business Office Manager , you will be responsible for managing Medicaid and Medicare billing, ... Description Business Office Manager - Long Term...general ledger. + Ensure accurate and timely submission of Medicaid and Medicare claims, and manage follow-up and appeals… more