- CVS Health (Northbrook, IL)
- … managed care organization. In partnership with and under the direction of the Chief Medicaid Compliance Officer and Medicaid Compliance leadership team, ... other key department projects and initiatives to improve and enhance Aetna's Medicaid Compliance program, and serve as the compliance representative on… more
- The Cigna Group (Bloomfield, CT)
- **Job Purpose/Description** The Legal Compliance Senior Director- Express Scripts Medicaid and Commercial is responsible for the development, implementation, ... administration, and oversight of the Pharmaceutical Benefit Manager (PBM) Medicaid and Commercial ...identify and mitigate compliance risks. The Legal Compliance Senior Director- Express Scripts Medicaid… more
- Sumitomo Pharma (Columbus, OH)
- …currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The Sr . ... , Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid … more
- Elevance Health (Tampa, FL)
- RN Utilization Management Nurse Sr . ( Medicaid -InPatient) JR130851 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This is ... Friday. **2 Holidays** per year and **occasional** weekends. The **Nurse Medical Management Sr ** serves as T **eam Lead** for nursing staff who collaborate with… more
- New York eHealth Collaborative (Albany, NY)
- …State's public health and Medicaid efforts. Position Summary: NYeC is seeking a Sr . Financial Planning & Analysis Manager who will collaborate with the Head ... Sr . Financial Planning & Analysis Manager ...financial aspects of contractual agreements and monitor contractors for compliance with regulatory and other requirements; + Manage cash… more
- Plante Moran (Columbus, OH)
- Healthcare Reimbursement - Consulting Sr . Manager + Location: United States, Ohio, Columbus + Location: United States, Ohio, Cleveland Make your mark. Our ... senior care healthcare consulting team focuses on our clients'...Lead and manage strategic engagements focused on preparation of Medicaid and Medicare cost reports + Prepare, review, and… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Senior Risk Manager Full-Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare ... a Forbes "Best Employer" seven times. Position Summary: The senior risk manager is responsible for the...Licensure Requirement: Current Tennessee RN license Apply/Share Job Title SR RISK MANAGER ID 4064924 Facility Covenant… more
- University of Miami (Miami, FL)
- …& Operations to work at the UHealth Medical Campus. Core Summary The Senior Manager , Facilities & Operations administers leadership for various projects, ... Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Sr . Manager , Facilities & Operations The department… more
- Elevance Health (Overland Park, KS)
- **Kansas Medicaid Compliance Consultant Senior ** **Location: Must be located in/a resident of Kansas** This position will take part in Elevance Health's ... and enforcement of those requirements and owns the Kansas Medicaid Compliance Committee. + Supports business development...Supports health plan leaders with business operational reviews with senior Medicaid leadership. + Meets with the… more
- Molina Healthcare (Columbus, OH)
- …Please identify this experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **Quality Improvement, HEDIS, Healthcare experience is very important… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** Waystar is seeking a smart and creative Senior Product Manager with hands on experience in Healthcare Revenue Cycle Management. We are ... closely with User Experience team and Technology teams. The Senior Product Manager will lead cross departmental...industry standards and staying up-to-date on industry changes and compliance issues + Gathering inspiration and ideas by visiting… more
- Access Dubuque (Dubuque, IA)
- Staff Accountant Sr -Financial Plan **UnityPoint Health Finley Hospital** 1 Positions ID: 31922523 Posted On 12/08/2023 **Job Overview** **Overview** Reporting to the ... VNA Director, the VNA Senior Staff Accountant provides all financial oversight of VNA...budgets and patient payments. + Grant billing for VNA Medicaid and insurance. + Reports monthly agency financials to… more
- New York eHealth Collaborative (New York, NY)
- Sr . MDM Engineer Job Details Job Location Albany or NYC Office - Albany or New York, NY Description New York eHealth Collaborative: Sr . MDM Engineer New York ... that the SHIN-NY provides services to support the State's public health and Medicaid efforts. Position Summary: NYeC is seeking aSr. Master Data Management (MDM)… more
- CareOregon (Portland, OR)
- Job Title Sr Accountant Exemption Status Exempt Department Finance Manager Title Accounting Supervisor - Ops Direct Reports n/a Requisition # 24549 Pay and ... Portland, Oregon or SW Washington. Job Summary This position performs senior level accounting functions for the organization. Primary responsibilities include… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- **38319BR** **Extended Job Title:** Sr Med Billing Assoc **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Employees in this position ... to process patient and/or insurance refunds for the Institutional Office of Compliance and/or Audit Services timely and accurately as defined by their audit… more
- Commonwealth Care Alliance (Boston, MA)
- …Program + Contribute towards the maintenance and enhancement of an effective Compliance Monitoring Program + Contribute towards the maintenance and enhancement of an ... effective Compliance Risk Assessment Program + Project manage regulator and...indicators **Additional Responsibilities** + Support Corrective Action Plan (CAP) Manager in communicating on new and existing CAPs emerging… more
- Molina Healthcare (Covington, KY)
- …facilitates process improvement efforts. Will lead re-engineering team and act as project manager in some cases. * Drives efficiency: looks for and documents ways to ... project requests and benefit value documentation including high level requirements, compliance implications and cost benefit analysis. * Responsible for business… more
- Molina Healthcare (NM)
- …and monitoring for key performance measurement activities. **Knowledge/Skills/Abilities** The Senior Specialist, Provider Engagement contributes to one or more of ... interventions (eg, removing barriers to care); preparation for Quality Improvement Compliance surveys; and other federal and state required quality activities. *… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- MaineCare Senior Contracts Manager Augusta , Maine , United States | Grants & Contracts | Full-time Apply by: Oct. 10, 2024 Apply with Linkedin Apply Department ... and in accordance with State and federal requirements. Core Responsibilities: The Senior Contracts Manager will promote the effective and efficient… more
- HCA Healthcare (Nashville, TN)
- …with purpose and integrity. We care like family! Jump-start your career as a Senior Project Manager I today with Parallon. **Benefits** Parallon, offers a total ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...vary by location._** Come join our team as a Senior Project Manager I. We care for… more