- DCCA (Ellicott City, MD)
- Medicaid Finance Subject Matter Expert Location Ellicott City, MD Job Code 2255 # of Openings 1 Apply Now ... and a competitive compensation and benefits package. Visit our website at: www.dcca.com Medicaid Finance Subject Matter Expert Candidate must have or be… more
- Centene Corporation (Springfield, IL)
- …with formulating and updating departmental policies and procedures + Serve as a subject matter expert on assigned functions, products, or analytic domains in ... mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. Master's degree… more
- AbbVie (Mettawa, IL)
- …of data flows required to ensure minimal revenue leakage, and serve as the key Finance subject matter expert dedicated to 340B at an enterprise level. ... as well as coordinating with multiple pricing stakeholders (Commercial Contracting, Medicaid , Price Forecasting, Price Accounting). Additionally, the Finance … more
- Humana (Columbus, OH)
- …processes and identify solutions to solve problems. + **Role Overview** + Serve as Medicaid subject matter expert in VBP contract template development ... amendment negotiation processes. This important role serves as the subject matter expert on Medicaid ...financial terms with Medicaid VBP leadership and Medicaid Market Finance + Work with network… more
- Humana (Frankfort, KY)
- …objectives and accomplishments to upper management. + Serves as a subject matter expert for error corrections teams for Medicare/ Medicaid trading partners + ... ensure successful submission and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards… more
- Kedrion Biopharma (Fort Lee, NJ)
- …financial analysis or data analysis with at least 2 years in a role as the subject matter expert within Gross to Net Commercial within Pharma industry + Prior ... will be the key point of contact within KBI Finance in relation to Net Sales & also be...through pricing changes, Early Pay Discounts, Chargebacks, Government pricing ( Medicaid , Medicare, Tricare programs), Distributor Fees, Rebates, Data Fees… more
- Humana (Columbus, OH)
- …decisions on resources, approach and operations of day-to-day focus, and establishes team as subject matter experts when it is related to the resolution of ... ensure successful submission and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards… more
- Guidehouse (Mclean, VA)
- …staff + Effectively manage client interaction and managing client expectations + Provide subject matter expertise, as requested and appropriate + Help develop ... experience and knowledge of national healthcare reform and its impact on state Medicaid , public health or state and local health and human services programs,… more
- MyFlorida (Alachua, FL)
- …be extraordinarily detail oriented. Specific Duties and Responsibilities include: + Serves as Subject Matter expert for the BNet program. + Reviews existing ... Budget Commission's Social Services Estimating Conferences. + Develops long range Medicaid , utilization or state health office programs, fiscal and cost… more
- Public Consulting Group (Columbus, OH)
- …multiple public health care projects, including Medicaid programs + Serve as a subject matter expert in health care finance , actuarial methods and ... and primary client contact for one or more projects relating to healthcare finance + Reviews business operations for service and efficiency improvements + Evaluates… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …government on a variety of Medicaid managed care issues. Serves as a subject matter expert and team leader, assuming responsibility for the development of ... in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of the Actuary (OACT), Medicare and Medicaid Cost… more
- CareFirst (Baltimore, MD)
- …with a focus in Quality and Cost of Care. **ESSENTIAL FUNCTIONS:** + Provide subject matter expertise in a particular area (including but not limited to ... programs. + Build trusted relationships within and across CareFirst to deepen subject - matter expertise, find opportunities to synchronize, and ensure close… more
- New York State Civil Service (Albany, NY)
- …atmosphere on important issues affecting New Yorkers. The Analyst is expected to become a subject matter expert on the fiscal or budget policy areas within their ... Committee is seeking candidates for Budget Analyst positions. Current openings ( subject to change) include Health/ Medicaid , Mental Health and public protection.… more
- Humana (Columbus, OH)
- …alignment with segment strategy and goals. The Value-Based Programs Lead will be a subject matter expert in VBP and have advanced technical knowledge and ... with roadmap for new VBP model development to ensure compliance with Medicaid contractual requirements and RFP commitments. + Analyze financial, utilization, and… more
- HCA Healthcare (Nashville, TN)
- …and documentation, utilizing standards tools and processes. + Serves as a subject matter expert for business continuity planning by demonstrating strong ... on Parallon's business continuity program. + Serving as the subject matter expert and administrator within Parallon...need:** + BS or BA degree preferred; Accounting, Business, Finance , or Healthcare Administration degrees a plus. + Certified… more
- Molina Healthcare (MI)
- …ad-hoc data analyses, development, and presentation of financial reports + Serve as subject matter expert on developing financial models to evaluate the impact ... provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to...performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina… more
- Molina Healthcare (WI)
- …to predict future trends in cost, utilization, and performance. + Act as a subject matter expert in HEDIS reporting and provide trainings as required. Stay ... automated analytical as well as Reporting modules related to Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. + Analysis and reporting related to Managed… more
- Humana (Columbus, OH)
- …(PPT, Excel). This person must be comfortable working collaboratively with senior leaders and subject matter experts alike and should have a high degree of ... from internal and external sources. The candidate should bring expertise or identify subject matter experts in support of multi-functional efforts to identify,… more
- State of Indiana (Indianapolis, IN)
- …in a similar role. Additional qualifications: + Specialized knowledge in program subject matter obtained through experience and/or education. + Extensive ... Institutional Care for the Elderly and Disabled) and administration of two Medicaid waiver programs providing home- and community-based services for older adults and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …review responsibilities for grant management and reporting. + Serve as the financial subject matter expert (SME) for programmatic reporting and policy changes ... one year of supervisory experience. + Knowledge of Louisiana Medicaid policies & procedures. + Proficient in the use...DESIRED: + Advanced degree or Bachelor's Degree in Accounting, Finance , Business Administration or a related field. + Minimum… more