- Elevance Health (TX)
- **Director Medicaid Plan Marketing** **Location:** This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of ... the Grand Prairie, TX Elevance Health PulsePoint location. The **Director Medicaid Plan Marketing** is responsible for the planning and direction of less complex,… more
- ZOLL Medical Corporation (Broomfield, CO)
- …the general direction of the RCM Compliance Director, the Quality Assurance Project Manager will organize, evaluate, and complete documentation reviews for ... are met and customers are aware of documentation requirements set by Medicare, Medicaid , and other payers. + Collaborate with customers to analyze various fields of… more
- Convey Health Solutions (Fort Lauderdale, FL)
- The Client Services Manager is instrumental in cultivating and sustaining long-term relationships between the company and its clients. This role encompasses the ... drive effective change. A subject matter expert in Medicare processes, the manager ensures services align with client goals and regulatory requirements. ESSENTIAL… more
- Molina Healthcare (Albuquerque, NM)
- …(EOE) M/F/ D /V. Key Words: health care, insurance, health insurance, Medicaid , Medicare, health coach, community health advisor, family advocate, health educator, ... membership growth and retention for Molina Healthcare of New Mexico Medicaid . + Build and maintain relationships with community-based organizations and healthcare… more
- Molina Healthcare (Columbus, OH)
- …and facilitates process improvement efforts. Will lead re-engineering team and act as project manager in some cases. * Drives efficiency: looks for and ... and business communication. * Assimilates and documents business needs for project requests and benefit value documentation including high level requirements,… more
- Molina Healthcare (Lexington, KY)
- …services, and community resources. (Bonus, but not required in Managed Care, Medicaid , Health Plan or Health Insurance etc.) **Preferred Experience:** + Solid work ... disconnected members with special needs. + Participates in ongoing or project -based activities that may require extensive member outreach (telephonically). + Guides… more
- Molina Healthcare (Louisville, KY)
- …social services, and community resources. (Bonus, but not required in Managed Care, Medicaid , Health Plan or Health Insurance etc.) + Be bilingual with great ... such as homeless shelters, etc.) + Participates in ongoing or project -based activities that may require extensive member outreach (telephonically and/or… more
- Public Consulting Group (Albany, NY)
- … management and oversight on large-scale IT projects. * Support the IV&V Lead project manager * Manage communications with client, vendors, and project ... Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance * Perform IV&V tasks & develop IV&V reports * Provide… more
- Molina Healthcare (Port Gibson, MS)
- …and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/ D /V. Key Words: Community Connector, Nonclinical Case Manager , Care ... such as homeless shelters, etc.) + Participates in ongoing or project -based activities that may require extensive member outreach (telephonically and/or… more
- Superior Ambulance Service (Elmhurst, IL)
- …team with data analysis, daily and monthly reporting, and responses to manager information requests. Strong ability to conduct critical process analysis, manage ... HCPC/ICD\-9 codes + Familiar with ambulance physician certification requirements for Medicare, Medicaid and Managed Care + Strong knowledge of Medicare, Medicaid … more
- CenterWell (Garland, TX)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based… more
- Molina Healthcare (Columbus, OH)
- …system requirements/features. + Performs other duties as assigned by the Analytics Manager . + Completes training courses, successfully, set forth by Analytics team ... manager . + May work independently or cooperatively with other...cooperatively with other software developers, often assuming technical and project leadership roles. + Acts as the technical authority… more
- Molina Healthcare (Columbus, OH)
- …Directs staff assigned to their projects, maintains internal work plans as well as project work plans to meet reporting needs of the Health Plan. Provides analysis ... Performs other duties as assigned by the SQL Development Manager . * Provides peer review and unit test scripts....cooperatively with other software developers, often assuming technical and project leadership roles. * May function as a technical… more
- Molina Healthcare (South Florida, FL)
- …Quality Improvement Compliance. + Acts as a lead specialist to provide project -, program-, and / or initiative-related direction and guidance for other specialists ... with and between other departments within the organization. + Evaluates project /program activities and results to identify opportunities for improvement. + Surfaces… more
- City of New York (New York, NY)
- …provided are intensive case management, direct linkages to Cash Assistance, Medicaid , Supplemental Nutrition Assistance Program (SNAP), Long Term Care. Homemaking, ... maintain stable, healthy lives. Under the direction of the HASA Regional Manager , with latitude for independent judgment, initiative and decision-making the Center… more
- United Therapeutics (Columbus, OH)
- …support data driven decisions + Facilitate quarterly data review with Contract Manager / National Account Directors to evaluate contract performance, data integrity ... will include data from Specialty Pharmacy distribution files, Medicare Part B and D , Commercial claims databases, syndicated data from 3rd parties, internal data on… more
- Molina Healthcare (MA)
- …with and between other departments within the organization. + Evaluates project /program activities and results to identify opportunities for improvement. + Surfaces ... to Manager and Director any gaps in processes that may...Experience** 1 year of experience in Medicare and in Medicaid . **Preferred License, Certification, Association** + Certified Professional in… more
- Molina Healthcare (Long Beach, CA)
- …experience + State QI experience. + Provider credentialing; PQOC review + Medicaid experience. + Supervisory experience. + Project management and team ... QI interventions and/or compliance activities in consultation with the Manager , Director, and / or AVP of the department....package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/ D /V. Pay Range: $69,477 - $135,480 / ANNUAL *Actual… more