- Tris Pharma (Monmouth Junction, NJ)
- …reporting requirements for Federal and State programs including MDRP ( Medicaid Drug Rebate Program ), Medicare Parts B and D, Public Health Service/340B, ... operational workflowsDeep working knowledge of government pricing regulations including MDRP ( Medicaid Drug Rebate Program ), Medicare Part D, 340B, and VA… more
- TEKsystems (Montgomery, AL)
- Description Position Description The Alabama Medicaid Agency (AMA) is preparing for a major transition from a monolithic system with 14 different business functions ... comply with the Federal standards and regulations such as: Medicaid Information Technology Architecture (MITA), CMS Seven Conditions and...(HITECH act). There are two vendors already in the program and there are three more contracts being actively… more
- COOLSOFT (Raleigh, NC)
- …156257 Job title Specialist Job location in Raleigh, NC Skills required MMIS, State Government Experience., Medicaid , Project Management Experience Open Date ... requirement Job interview type Email Recruiter:coolsoft Job Description Specialist: MMIS, State Government Experience., Medicaid , Project Management… more
- Prime Therapeutics (Salem, OR)
- …and drives every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President ... Government Programs - Medicare & Managed Medicaid is...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
- Insight Global (Eden Prairie, MN)
- … Pharmacy initiatives or similar projects. Prior experience specifically with the Georgia Medicaid Program is necessary in order to be successful on this ... pharmacy initiatives or similar projects. -Familiarity with the Georgia Medicaid program , Pharmacoeconomics, and the integration points between vendors.… more
- RELX INC (Annapolis, MD)
- …The candidate will possess prior work history in senior roles across CMS or Medicaid programs as well as thought leadership experience across the federal ... essential partner in the assessment of risk. Within our Government vertical, our solutions assist government agencies...in the Baltimore/ Washington DC area as well as state Medicaid offices up to 50% of… more
- State of Michigan (Lansing, MI)
- …employees from working. More information is available at www.mi.gov/employeebenefits. Retirement Programs :The State of Michigan offers 401(k) and 457 plans ... Medicaid Utilization Analyst 12 - HSA Psychotropic Medication...The MDHHS mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment… more
- Louisiana Department of State Civil Service (Shreveport, LA)
- …with high call volumes. Medicaid eligibility is fundamental to the overall Medicaid program , and mastery of eligibility policy and procedure may be the ... most often by telephone. + Medicaid eligibility is fundamental to the overall Medicaid program , and the mastery of eligibility policy and procedure may be… more
- New York State Civil Service (New York, NY)
- …law enforcement agency charged with ensuring the financial integrity of New York state 's $96 billion Medicaid program by investigating healthcare providers, ... and legal support analysts to conduct complex, long-term healthcare fraud investigations.The Medicaid program provides health coverage to millions of New… more
- New York State Civil Service (Hauppauge, NY)
- …evidence to grand juries, and conduct evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of ... charged with ensuring the financial integrity of New York state 's $96 billion Medicaid program ...unit's investigations are conducted in coordination with other federal, state , or local government and prosecutorial agencies,… more
- State of Georgia (Fulton County, GA)
- …representation of the highest quality to the agencies, officers and employees of state government and by honorably and vigorously carrying out the constitutional ... Division. The Assistant Attorney General position will represent the State of Georgia in criminal prosecutions related to fraud...criminal prosecutions related to fraud committed against the Georgia Medicaid program . The Medicaid Fraud… more
- State of Georgia (Fulton County, GA)
- …team to investigate allegations of fraud against the Georgia Medicaid program ; 2. Contribute to joint federal- state investigations including the possible ... Assistant Attorney General 1 - Medicaid Fraud -Civil Georgia - Fulton - Atlanta...highest quality to the agencies, officers and employees of state government and by honorably and vigorously… more
- CareFirst (Baltimore, MD)
- …performance under the Medicaid contract and regulatory requirements and the overall state of compliance for Medicaid and Medicaid products. Reporting to ... to the law that may impact training and education and require updates to Medicaid Compliance training programs . + Directs all activities related to contractual… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …programs . Communicate to manager for key findings and changes to state programs . + Provide backup for Medicaid team members in any necessary functions and ... includes validating, verifying, disputing when necessary, and remitting payment for assigned state Medicaid agencies, SPAPs and Supplemental Rebates. Analyst is… more
- State of Colorado (Denver, CO)
- …Department of Personnel & Administration (DPA) is the foundation for dependable state government , leading with responsiveness, integrity, and teamwork. We ... with public service. Our professionals strive to support the state government and the residents of Colorado....OF COLORADO: Per the requirements of the Step Pay Program , any State employee must be paid… more
- MyFlorida (West Palm Beach, FL)
- …(https://compcalculator.myflorida.com/) AGENCY FOR PERSONS WITH DISABILITIES POSITION: HUMAN SERVICES PROGRAM SPECIALIST - Career Service WORKING TITLE: Medicaid ... responsibility for conducting medical necessity reviews for individuals served through the Medicaid waiver program , processing cost plan amendment requests for… more
- Humana (Indianapolis, IN)
- …direction, oversight, and administration of programs and services for our Medicaid program . Humana Healthy Horizons in Indiana market includes both Waiver ... programs , which provide long-term services and support to eligible...Medicare and Medicaid . They will lead the state Medicaid executive team and report directly… more
- State of Georgia (Fulton County, GA)
- …policies & procedures; (2) state laws and rules governing the Georgia Medicaid program ; and (3) criminal laws and other enforcement processes relating to ... representation of the highest quality to the agencies, officers, and employees of state government and by honorably and vigorously carrying out the… more
- HCA Healthcare (Mcminnville, OR)
- …+ Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Re-verifies benefits ... join an organization that invests in you as a Medicaid Eligibility Advocate? At Willamette Valley Medical Center, you...HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the… more
- HCA Healthcare (San Antonio, TX)
- …+ Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Re-verifies benefits ... and integrity. We care like family! Jump-start your career as a Medicaid Eligibility Advocate today with Parallon at Methodist Hospital. **Benefits** Parallon offers… more
