- Louisiana Department of State Civil Service (Baton Rouge, LA)
- Medicaid Program Manager 1--A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4729342) Apply Medicaid Program Manager 1--A Salary ... Job Concepts Function of Work: To administer small and less complex statewide Medicaid program(s). Level of Work: Program Manager . Supervision Received: Broad… more
- CVS Health (Hartford, CT)
- …**Position Summary** The **Senior** ** Manager , Reporting & Insights - Network Medicaid Ops** will apply expertise in data analysis, analytical tools, and ... stakeholder management skills to ensure efficient data management, promote data -driven insights, and decision... sets, key business metrics, trends, and drivers across Medicaid operational areas supported. + Provide leadership… more
- Staffing Solutions Organization (Albany, NY)
- …improvement efforts that span the Medicaid enterprise.The Medicaid Program Manager will work within the Division of Data Services & Analytics (DDSA) ... Medicaid Program Manager One Commerce Plaza,...program, whose mission is to transform the way that Medicaid data is organized, understood, and leveraged.… more
- RedMane Technology (Chicago, IL)
- Project Manager - Medicaid '2013 Chicago Company Description RedMane Technology LLC is an application software consulting and systems integration company based ... just our tool. The Role RedMane has a full-time opportunity for an experienced Project Manager with proven Medicaid expertise as we continue to grow our Chicago… more
- Healthfirst (NY)
- **Scope of Responsibilities:** + Monitor experience for Healthfirst's Medicaid lines of business. + Analyze and interpret impacts of premium rate changes and other ... and other trends underlying the financial performance of the Medicaid lines of business. + Research, evaluate, and analyze...landscape to support strategic planning for the business. + Provide input and assistance to other actuarial functions such… more
- Insight Global (Montgomery, AL)
- Job Description We are looking for a Medicaid Data Analyst to support one of our Healthcare Insurance clients in Montgomery, AL! This role will support a massive ... We are looking for someone who has a strong Medicaid or MMIS background, must be data ... provide on-site helpdesk support, support Analytical staff, provide data analysis at the request of… 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 ... and review to ensure completeness of information received. Upload data into Medicaid systems and authorize transactions....for key findings and changes to state programs. + Provide backup for Medicaid team members in… more
- Sutherland Global Services (Torrance, CA)
- …accountable, dynamic & people person to join us as an Associate Manager to oversee customer deliverables, process maintenance & improvement, and people management ... Line: Produce solid and effective strategies based on accurate and meaningful data reports and analysis and/or keen observations. + Define Sutherland's reputation:… more
- Educational Alliance, Inc. (New York, NY)
- …to ensure proper cash is recorded. + Investigate denials with Medical Billing Manager . + Track NYS Medicaid Recoupments. + Interact with clinical staff ... Position : Medicaid Accounts Receivable Specialist Location: New York City,...AND ACCOUNTABILITIES + Work with Millin (outsourced Billing Management Provider ) to create AR Reports on a monthly basis.… more
- City of New York (New York, NY)
- …live telephone agents who speak to callers directly and are able to provide case specific information. Constituents can call the Infoline telephone service line for ... Team Supervisor, with some latitude for independent judgement, the Medicaid Helpline Agent is responsible for providing information to...from the client regarding their case. - Review pertinent data from New York State EMEDNY system in order… more
- Staffing Solutions Organization (Albany, NY)
- …Medicaid Program Advisor - Albany, NY** **DDSA - 1304** **Summary** The **Program Manager ** will work within the Division of Data Services & Analytics (DDSA) ... Medicaid Program Advisor One Commerce Plaza, Albany, 99...Unit, including resource management and prioritization. + Maintain the Data Categorization workplan and provide updates or… more
- Staffing Solutions Organization (Albany, NY)
- Medicaid Program Advisor One Commerce Plaza, Albany, 99... Specialist in Albany, NY** **Item 1303** The Project Manager will work within the Division of Data ... successfully. **Skills and Qualifications:** + 2 years of experiencemanaging/administering/reporting data + Maintaining and monitoring project plans, project schedules,… more
- Conduent (Denver, CO)
- …and valued every day. **Job Description:** + Performs business support, using data organizing and coordination skills. + Assists in development of process and ... + Evaluates QA methodology + Works with the project manager /coordinator to incorporate QA tasks in the project work...required, but is a plus + Experience working with Medicaid programs a plus Pay Transparency Laws in some… more
- LA Care Health Plan (Los Angeles, CA)
- …and routinely relay information about additions, deletions, or changes to the LAC Provider Network Management (PNM) Provider Data Management department. ... and Federal requirements for all product lines of business ( Medicaid , Medicare, and Commercial). The Account Manager ... strategies; and assist in improving the quality of provider data . Perform other duties as assigned.… more
- Highmark Health (Buffalo, NY)
- …to provide subject matter experts to the Organization Entity, provider network, innovations and partnership department, provider relations, and Highmark's ... highly functioning subject matter experts in the Organization's Primary Care Provider government programs and continuous improvement models in a matrix management… more
- LA Care Health Plan (Los Angeles, CA)
- …information about additions, deletions, or changes to the LAC PNM and Provider Data Management (PDM) department. Researches and resolves contractual ... and Federal requirements for all product lines of business ( Medicaid , Medicare, and Commercial). The Account Manager ... strategies; and assist in improving the quality of provider data , as needed. Applies subject expertise… more
- Molina Healthcare (Port Arthur, TX)
- …when providers have issues or complaints (eg, problems with claims and encounter data , eligibility, reimbursement, and provider website). * Serves as a resource ... * Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid … more
- CVS Health (Columbus, OH)
- …provider meetings. + May collaborate cross-functionally on the implementation of large provider systems, to manage cost drivers, data reports and execute ... of the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid , Ohio RISE will help struggling children and their families by focusing on the… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Manager , Provider Installation position will manage a Provider Activation Team ... within the Provider Network Operations area under Provider Process & Services. The Manager role...leadership role within a highly complex operational environment + Provider Experience related to data , contracting, network,… more
- Molina Healthcare (MS)
- …negotiations. Maintains critical Complex provider information on claims and provider databases. Synchronizes data among multiple claims systems and ... business rules as they apply to each database. Validate data to be housed on provider databases...contracting, etc. * Working experience with various managed healthcare provider compensation methodologies, primarily across Medicaid and… more