- 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 ... MEDICAID PROGRAM MANAGER 1-B Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4792686) Apply MEDICAID PROGRAM MANAGER 1-B Salary… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …support to the following Medicaid departments: Financial Management and Operations, Medicaid Program Budget, Managed Care Finance, Rate Setting and Audit . ... to define their work priorities, coordinate work activities, and monitor the progress of assignments. + Responsible for monitoring...state and federal rules and/or laws that impact the Medicaid program . + Undertakes numerous special studies… more
- Public Consulting Group (Baton Rouge, LA)
- …technology consulting services to help state and local agencies meet operational and program needs that enhance the lives of their user base. Services: + Strategy, ... and Procurement + Business Enablement + Business Solutions + Project Assurance The Medicaid marketplace is changing, and PCG is at the forefront. We are looking… more
- CVS Health (Baton Rouge, LA)
- …As the Manager, FP&A, you will report directly to Director of Finance and will monitor the end to end profit & loss statements, reporting and budget & forecasting ... will advise on latest updates from the state regarding rates, adjustments, determinations, program changes, and will report on the financial impact as well as… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …established by an approved DSCS Allocation Criteria Memorandum. Job Distinctions: Differs from Program Monitor --DHH and Program Monitor Supervisor--DHH ... and substance use disorders. The agency acts as a monitor and subject matter consultant for the behavioral health...provided through the Managed Care Organizations (MCOs) that comprise Medicaid 's Healthy Louisiana program , as well as… more
- Mathematica (Baton Rouge, LA)
- …challenges, such as how to leverage vast amounts of data, implement reporting systems to monitor program performance or how to assess and improve the quality of ... We are seeking a highly motivated person to join our team as an *IT Program Manager* in the Delivery Management practice in Health Solutions Insights. As an IT … more
- Public Consulting Group (Baton Rouge, LA)
- …by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and Billing Services + Applied Technology + ... tools to support the success. In addition, the Team Lead will monitor project performance and timelines, facilitate client meetings, track deliverables, monitor… more
- Centene Corporation (Baton Rouge, LA)
- …other systems of care, as well as government and community agencies. + Monitor and report on achievement of committed action plans + Facilitate on-going ... + Will serve as the LHCC representative for this program with the state + Participate in MCO workgroup...+ Support development and promote adoption of sustainable, THW-specific Medicaid reimbursement processes for THWs that can be used… more
- Prime Therapeutics (Baton Rouge, LA)
- …within strict timelines, under pressure. + Working knowledge of Medicare Part D, Medicaid , state healthcare product or program related regulations and/or Health ... successful execution of key components and elements of Prime's corporate compliance program . This position works closely with designated business areas, legal, and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …expenditures of approved services provided to eligible students via the Federal Medicaid Program . Professional Conduct + Demonstrate reliability and punctuality ... appraisal systems. + Provide for staff development. + Direct and monitor a comprehensive Energy Conservation Program for this facility. + Direct and monitor … more
- Prime Therapeutics (Baton Rouge, LA)
- …their designated areas. This role partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and ... program manuals are effectively followed and maintained. **Responsibilities** + Monitor , research, analyze, interpret laws, industry guidance and other regulatory… more
- Humana (Baton Rouge, LA)
- …work cross functionally with Fusion Center Analysts and Humana Safety & Security program leads to support the Fusion Center mission of avoiding disruptions, reducing ... Executive Support, Threat Management and Fusion Center teams to monitor for threats to Humana + Monitor ...to further support the development of Fusion Center risk program + Work on special projects or long-term initiatives… more
- Fresenius Medical Center (Denham Springs, LA)
- …working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient ... measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.… more
- Evolent (Baton Rouge, LA)
- …leadership and Evolent leadership to review key performance indicators in relation to program adherence, with a focus on clinical policy alignment + Serve as a ... and resolve provider issues when presented + Generate, interpret, and monitor practice performance trends to identify areas of improvement, training opportunities;… more
- Prime Therapeutics (Baton Rouge, LA)
- …their designated areas. This role partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and ... program manuals are effectively followed and maintained. **Responsibilities** +...or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more