- Humana (Topeka, KS)
- …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 (Topeka, KS)
- …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
- Elevance Health (Topeka, KS)
- **Nurse Appeals Lead - Medicaid Appeals** Location: This position will work a hybrid model (remote and in office). The ideal candidate will live within 50 miles of ... + **Atlanta, GA** + **Tampa, FL** The **Nurse Appeals Lead ** is responsible for serving as a team ...grievances and appeals requests from members and providers and provide leadership and work direction to other appeals staff.… more
- Public Consulting Group (Topeka, KS)
- …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 (Topeka, KS)
- …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 (Topeka, KS)
- …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 (Topeka, KS)
- …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 (Topeka, KS)
- …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 (Topeka, KS)
- …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
- Conduent (Topeka, KS)
- Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating ... of a culture where individuality is noticed and valued every day. ** Medicaid Eligibility Trainer** **Hourly rate $19.82/hr** Conducts training classes for employees… more
- Elevance Health (Topeka, KS)
- **Medical Director- Kansas Medicaid ** **Location: This is a hybrid position. Candidates** **MUST** **live within 50 miles of an Elevance Health location.** **Build ... impact.** Responsible for the administration of physical and/or behavioral health medical services , to ensure the appropriate and most cost-effective medical care is… more
- Centene Corporation (Topeka, KS)
- …for assigned territory through a consultative/account management approach. Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit ... Ratio (HBR), HEDIS/quality, cost and utilization, etc. Evaluates provider performance and develops strategic plan to improve performance. Performs detailed HBR… more
- Humana (Topeka, KS)
- …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 (Topeka, KS)
- …at DHA, and potential coordination with providers and/or vendors. The Program Delivery Lead will provide briefings on the status of the pilot/demonstration ... 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 (Topeka, KS)
- …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 (Topeka, KS)
- …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 (Topeka, KS)
- …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 (Topeka, KS)
- …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 (Topeka, KS)
- …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 (Topeka, KS)
- …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