- Daiichi Sankyo, Inc. (Bernards, NJ)
- … management .Responsibilities- Lead drafting and negotiating contracts for commercial, Medicaid and Medicare coverage, as well as other government contracts, ... not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare, Medicaid , product pricing, and government price reporting. Coordination with, and… more
- CVS Health (Northbrook, IL)
- …or higher education with 5+ years of experience + 3+ years of Medicaid experience + 3+ years of project management experience **Preferred Qualifications** ... position that supports the compliance program activities and deliverables of a Medicaid managed care organization. In partnership with and under the direction of… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Location of Work: Department of Health and Hospitals. Job Distinctions: Differs from Medicaid Program Monitor by responsibility for administering small and less ... program(s). Examples of Work Supervises the auditing of eligibility enrollment of all Medicaid programs statewide. Reviews work of eligibility review staff for… more
- State of Georgia (Fulton County, GA)
- …to: * Work with DBHDD budget and finance team and programmatic officers to review monitor utilization trends and financial outputs against budgets for existing ... Budget and Financial Analyst - Office of Medicaid Coordination and Health Systems Innovation (OMC/HSI) Georgia... authority on any new Georgia initiatives, including project management for implementations; * Provide information and guidance on… more
- City of New York (New York, NY)
- …the City's Medicaid program. The oversight role involves the ongoing review financial projections and tracking of City expenditures. The unit also monitors ... Description TASK FORCE: Health UNIT: Health + Hospitals / Medicaid JOB TITLE: One (1) Assistant Analyst / Analyst...issues and operational developments related to these investments; - Review and monitor the capital budget, including… more
- Staffing Solutions Organization (Albany, NY)
- Medicaid Program Advisor Albany, NY, USA Req #943 Thursday, October 3, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC ... workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor - Albany, NY** **Item 1220** **Summary** The Medicaid … more
- The Arc Erie County NY (Williamsville, NY)
- …includes visits to program areas to observe plan implementation. + Assist with training management on staff action plans, monitor implementation and meet with ... progress notes are done contemporaneously to service provision. + Assist with training management on staff action plans, monitor implementation and meet with … more
- State of Georgia (Fulton County, GA)
- …Health, Financial Management Division, is seeking a qualified CISS/ACE Compliance Monitor 3 in the Budget Office. Under broad supervision, compiles reports of ... this role.. Please visit the DCH jobsite link to review the job posting and apply: https://www.governmentjobs.com/careers/dchga/jobs/4667991/ciss-compliance- monitor -3-00056560/apply?pagetype=jobOpportunitiesJobs… more
- Conduent (London, KY)
- …a culture where individuality is noticed and valued every day. **EL Review Specialist** **Remote- London, KY** **Pay Rate: $18/hr.** **Full-time with Full Benefits ... inspire you to be the best! **Position Purpose: Reporting** directly to the EL Review Supervisor, the EL Review Specialist ensures elements of the Quality… more
- MyFlorida (Tallahassee, FL)
- …and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, ... transparent, and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals with access to health… more
- MyFlorida (Tallahassee, FL)
- …Medicaid /statewide\_mc/index.shtml) as directed. The incumbent will track and monitor the routing and approval of all the aforementioned policy ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
- MyFlorida (Tallahassee, FL)
- …Managed Care Plans to communicate decisions and guidance. Ability to draft, review , interpret and monitor encounter claims submission requirements. Knowledge of ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
- MyFlorida (Tallahassee, FL)
- …be found on the Agency's administrative rule webpage at http://ahca.myflorida.com/ medicaid / review /index.shtml. 8. Providing technical assistance to ensure ... and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities,… more
- AristaCare (Cranford, NJ)
- …of experience as a SNF Business Office Manager with thorough knowledge of the Medicaid process. Purpose of Your Job Position The Business Office Manager must be ... procedures related to billing and accounts receivable, census processing and Medicaid applications. The Business Office Manager processes facility information and… more
- City of New York (New York, NY)
- …of the Medicaid Settlement Unit or Data Control overtime projects. Review sign in sheets, supervise staff during overtime hours, assign work, answer questions, ... on primary residences of recipients to obtain reimbursement of Medicaid or Cash Assistance. The unit also processes all...Data Control Unit Supervisor, who will: - Perform final review and signs off on cases prepared by the… more
- MyFlorida (Tallahassee, FL)
- …and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, ... is a condition of employment. Position Overview: The Florida Medicaid program is one of the five largest in...fact finding research. Ability to work independently. Ability to review and comprehend applicable federal and state laws, rules,… more
- Fallon Health (Worcester, MA)
- …**Summary of purpose:** This position works with both inpatient and outpatient Care Management nurses to monitor appropriate care and services in hospitals, ... + On-site, off-site and telephonic inpatient case management rounds + Outpatient case management rounds + Provider appeals review + Member appeals review … more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …necessary to ensure accountability and efficient and effective administration of the state's Medicaid program. The OMS Contracts Management team plays a critical ... The Office of MaineCare Services (OMS) within DHHS administers the State's Medicaid program, which provides free or low-cost health insurance coverage for low-income… more
- City of New York (New York, NY)
- … Medicaid . The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and ... CHANGE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to...developed to address/adhere to Federal/State/ City mandates. - Analyze, monitor and evaluate existing programs and policies relating to… more
- State of Nevada (NV)
- …compliance with Medicaid criteria prior to approving or denying requests. Review records from the fiscal agent, providers, clients and computer generated reports ... validate and ensure adequacy of services and resident care. Review health care providers and fiscal agents to ensure...to the medical services program and provide ongoing case management services to Medicaid eligible clients; evaluate… more
