- Humana (Columbia, SC)
- …Based Services , Medicaid and Medicare integration, D-SNPs, and Self-Directed Services . The Capture Lead , Medicaid Clinical & Population Health ... clients and populations served in target growth markets. The Lead , Medicaid Clinical & Population Health Strategy,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Columbia, SC)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Lead , Medicaid Provider Services Implementation, for new market ... implementation, operations, contract compliance, and federal contract application submissions. The Lead , Medicaid Provider Services Implementation role… more
- Wider Circle (Columbia, SC)
- …and other national service alumni are encouraged to apply!* Responsibilities You will lead the Wider Circle Medicaid program in your assigned area, using the ... We partner with health plans and physician groups in neighborhoods nationwide to provide fun and educational in-person and virtual programs for members who share… more
- Public Consulting Group (Columbia, SC)
- …is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and ... achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services...Medicaid Consultant to join our team and help lead our growth efforts. Deep Medicaid experience… more
- Humana (Columbia, SC)
- …and working in matrixed environments. The Associate Director, Medicaid Provider Services Key Role Objectives: + Lead a dynamic and agile team responsible ... first** Humana Healthy Horizons is seeking an Associate Director, Medicaid Provider Services to serve...subject matter expert on provider relations and provider engagement/performance improvement. + Provide oversight of… more
- Humana (Columbia, SC)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider ... internal processes and markets (as needed) to support the Medicaid Provider Education team through collaboration across...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Public Consulting Group (Columbia, SC)
- …behavioral health services . _Key responsibilities include:_ _Project Management_ + Lead the planning, execution, and monitoring of Medicaid consulting ... services and child welfare and juvenile justice services . This role requires strong Medicaid policy...new and emerging opportunities in growth industries related to Medicaid . _Leadership_ + Provide leadership, guidance, and… more
- Mathematica (Columbia, SC)
- …related to monitoring and improving the following Medicaid programs: Medicaid payment and financing policies (fee-for- service base and supplemental payments, ... managed care capitation rates, and state approaches to provider payment).** * Responsibilities: * * Participate actively and...will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff… more
- Humana (Columbia, SC)
- …us put health first** Humana Healthy Horizons is seeking an Associate Director, Medicaid Implementation (Business Project Management) to lead within a specific ... and project management are best suited for this role. The Associate Director, Medicaid Implementation (Business Project Management) will provide oversight to the… more
- Humana (Columbia, SC)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... , requested level of care, or requested site of service should be authorized, with all work occurring within...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Columbia, SC)
- …lines of business, and various domains across Insurance like Enrollment, Product, Claims, Provider , Clinical and Customer Service , etc., to set the future ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Columbia, SC)
- …and service offerings. Assesses the compatibility and integration of products/ services proposed as standards in order to ensure an integrated architecture across ... provider PaaS and SaaS offerings (eg Azure Kubernetes Service , Application Service Environment, etc.) Data Center...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Columbia, SC)
- …strategies, architecture, systems solutions and roadmaps for various enterprise and cloud provider environments. The Lead Architect provides strategic advice and ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Public Consulting Group (Columbia, SC)
- …of intersection and overlap between our Special Education/Case Management and school-based Medicaid services work within a state; regularly engage with ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- Humana (Columbia, SC)
- …and help us put health first** CenterWell's Value-Based Organization is an integrated homecare service provider focused on meeting the needs of Health Plans by ... deals with health plans and other risk-bearing groups to provide home health, DME, and home infusion services...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Columbia, SC)
- …processes, such as claims processing, policy administration, and customer service operations. + **Technical Leadership:** Provide expert guidance ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Columbia, SC)
- …development and modification of specifications. Develops specifications for new products/ services , applications, and service offerings. Assesses the ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Columbia, SC)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... help us put health first** Humana is seeking a Lead Solutions Architect to join our team that is...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Columbia, SC)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... us put health first** The Financial Planning & Analysis Lead analyzes and forecasts financial, economic, and other data...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Columbia, SC)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... help us put health first** Humana is seeking a Lead Cognitive/Machine Learning Professional to join our Fortune #40,...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more