- New York State Civil Service (Hauppauge, NY)
- …a complete application online at ag.ny.gov/job-postings/attorneysThe Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) ... evidence to grand juries, and conduct evidentiary hearings and trials in New York state courts.The Medicaid program provides health coverage to millions of New… more
- State of Colorado (CO)
- …institution on your transcripts. PREFERRED QUALIFICATIONS + Previous relevant professional state experience + Masters degree in Information Technology OR ... CO Medicaid Enterprise Solution (CMES) Integration Business Analyst Print...of Announcement This position is open only to Colorado state residents. Primary Physical Work Address 303 E 17th… more
- Humana (Madison, WI)
- …Senior Market Finance Professional supports more than half of Humana's Medicaid business, providing technical financial analysis and data-driven insights to drive ... with Market CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and… more
- Humana (Columbus, OH)
- …caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness ... data changes on actuarial models, reporting tools, and financial results. Lead and manage data-related projects from scoping through post-production validation,… more
- Highmark Health (Pittsburgh, PA)
- …solutions with seamless omni-channel handoffs. As a key leader of the Medicaid Clinical organization, role is responsible for maximizing and optimizing value of ... operational excellence/administrative cost management. This requires the incumbent to lead their team through the implementation of alternative resourcing strategies… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Technology Implementation Lead is the strategic connector between our clients and internal ... technology teams. You will lead technical onboarding...contractors who live and work from home in the state of California will be provided payment for their… more
- Humana (Raleigh, NC)
- …companies and in the development and implementation of IT integration plans. The Lead , M&A IT Integration drives end-to-end technology integration activities for ... Planning & Execution** + Conduct baseline assessments of people, processes, and technology across acquired clinics. + Build integration plans, tasks, milestones, and… more
- Humana (Helena, MT)
- …a part of our caring community and help us put health first** The Lead , Technical Product Owner requires someone known for creative problem solving. This role solves ... that support quality measurement, reporting, and compliance. **Key responsibilities:** + ** Technology strategy and roadmap of Business and Data Products:** Define… more
- Humana (Frankfort, KY)
- …with state or federal encounter data submission portals (eg, CMS, state Medicaid portals) and troubleshooting submission errors. + Proven track record ... us put health first** The DSNP Encounters Data Management Lead supports the Encounter Data Management team within the...(HQRI). This support includes submission of encounter data to Medicaid , Medicare, and DSNP states and will require the… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …and overseeing premium billing and collections, as well as administering the State Medicaid Buy-In program. Benefits for unclassified employees are determined ... to resolve escalated issues, alongside and/or independent of team lead (ie Coordinator 3) and/or Program Managers. + Monitors...identify potential system issues and impacts. + Coordinates with Medicaid 's Technology teams and others to identify… more
- Humana (Salem, OR)
- …when needed + Coordinates establishing connections to SFTP sites in collaboration with the State Technology Market Lead + Coordinates resolution of resolving ... of our caring community and help us put health first** The Technology Solution Implementation Professional delivers new technological solutions to meet business… more
- AmeriHealth Caritas (West Chester, PA)
- **Role Overview** The **Application Support Specialist** will support a state government healthcare system (LTSS). In this role, you will lead a team that helps ... must live in EST or CST time zones **Responsibilities:;** + Oversee and lead a team of production staff, including assigning tasks, monitoring workload &… more
- J&J Family of Companies (Titusville, NJ)
- …a Johnson and Johnson Company, is recruiting for a Principal Scientific Account Lead , Value and Evidence Scientific Engagement - Field Based to support Primary ... innovations for population health decision makers. The Principal Scientific Account Lead (SAL), V&ESE - Field, is responsible for providing fair-balanced, objective,… more
- NTT America, Inc. (Baltimore, MD)
- …will work as part of a team providing Business Operations Support (BOS) for a state Medicaid Program. Working under the CIO, they will actively lead ... especially MS Excel **Preferred Skills** **:** + Understanding of State Medicaid Manual and 45 CFR 430,...a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global… more
- Humana (Pierre, SD)
- …available technology including hardware, software, databases, and peripherals. The Lead Solutions Architect works on problems of diverse scope and complexity ... **Become a part of our caring community and help us put health first** The Lead Solutions Architect works with user groups to solve business problems with… more
- Veterans Affairs, Veterans Health Administration (Denver, CO)
- …compliance with The Joint Commission requirements, Centers for Medicare & Medicaid Services (CMS), and/or health record documentation guidelines. Distributes and ... requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state -issued dentification cards that are not REAL ID compliant… more
- CenterWell (Savannah, GA)
- …do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness. ... those in the communities we serve, including our associates, lead their best lives. We support our associates in...(PA) in: + Maintaining Collaborative / Supervisory Agreements per state protocols + Assisting with panel management + Providing… more
- CVS Health (Albany, NY)
- …given to candidates residing in the eastern time zone._ **Position Summary** The Lead Director of Product Operations will assume full ownership of Mental Well Being ... operational excellence, and strategic alignment across the MWB portfolio. The Lead Director will lead post-implementation monitoring, drive cross-functional… more
- Humana (Olympia, WA)
- …a part of our caring community and help us put health first** The Lead Product Manager Conceives of, develops, delivers, and manages products for customer use. The ... Lead Product Manager works on problems of diverse scope...decisions. + **Cross-Functional Collaboration:** Partner with clinical, operational, and technology teams to ensure solutions meet patient needs and… more
- Waystar (Atlanta, GA)
- …talented, dedicated individuals to help drive our continued success. As an Integration Engineer Lead , you will be an essential part of the team ensuring our clients' ... may be right for you. **WHAT YOU'LL DO** + ** Lead with Vision and Innovation** : Serve as the...improvement. + Strong technical background in healthcare informatics, software technology , and data integration. + Bachelor's degree in Healthcare… more