- TEKsystems (Monroe, NC)
- …Systems /Solutions Architects for these specific openings. Overall Skills Architecture, Enterprise Architecture, Healthcare , Medicaid , Cloud, data ... Enterprise Architecture specialization. They are not seeking ...ArchiMate, TOGAF, MITA, data architecture Must-have Skills Details Architecture, Enterprise Architecture, Healthcare / Medicaid , Cloud, data… more
- DATAMAXIS (IL)
- Functional Description: This role requires significant expertise of Medicaid Enterprise System modules and data warehouse or decision support systems . This ... Responsibilities: * Provide input and direction supporting decision making for large Medicaid data warehouse implementation and operations. * Provide Medicaid … more
- Molina Healthcare (Columbus, OH)
- …Experience, Knowledge, Skills, and Abilities:** + 5+ years of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or ... business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …healthcare administration, (ie, leadership, management, and administration of public health systems , healthcare systems , hospitals, hospital networks, or ... who thrives while contributing to a fast paced and high-functioning team. Iowa's Medicaid Director must have demonstrated experience in healthcare , Medicaid … more
- State of Montana (Helena, MT)
- …a Medicaid data system such as Medicaid Management Information Systems (MMIS), or a similar high-level enterprise Medical claims interface. o Preference ... and Budget Analyst on development, tracking and projecting the divisions Medicaid budget expenditures. The Operations Research Section Supervisor assists the… more
- CVS Health (Blue Bell, PA)
- …and accuracy of provider data that is critical for seamless access to healthcare services for our government programs members. This role creates and maintains the ... and other cross functional teams to understand data requirements, workflows, and systems to ensure the accuracy of provider data throughout the entire lifecycle.… more
- Humana (Columbus, OH)
- …application and/or solution architect or technical lead in large company spanning multiple enterprise systems . + 8 or more years design, development, and testing ... you IT Professional obsessed with a business-centric outlook? At the Humana Enterprise Architecture unit, our mission is to deliver a perfect member/patient… more
- State of Massachusetts (Quincy, MA)
- …EOHHS is seeking an experienced professional to lead and manage their Enterprise Data Management and Engineering (EDME) team as a *Deputy Director*. This ... with ACIOs, Program Directors, and the Assistant Secretary for Medicaid as required. The primary work location for this...optimal delivery of data and analytics solutions across the enterprise . * Enable creation of data pipelines and analytic… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …hospital revenue cycle risk areas highlighted by the OIG, Medicare, State Medicaid , State Insurance Fraud; Managed Care or Governmental Value-Based payment programs ... reviews, internal and external third party claims payment peer analysis systems to detect provider-billing trends, potential fraudulent or abusive billing practices… more
- Staffing Solutions Organization (Albany, NY)
- …data driven policy agendas and program improvement efforts that span the Medicaid enterprise ._ Compensation for roles at Staffing Solutions Organization LLC ... of our clients and the people they serve. **Principal Healthcare Data Analyst - Albany, NY** **DDSA - 1167**...Solutions Architect is responsible for designing and implementing AI systems that can solve complex business problems and provide… more
- HCA Healthcare (Nashville, TN)
- …and find out what it truly means to be a part of the HCA Healthcare team. **Benefits** Parallon, offers a total rewards package that supports the health, life, ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Prime Healthcare (Farmers Branch, TX)
- …basic navigation of systems as a minimum + Experience with Change Healthcare products (Relay Assurance) + Ability to work with large data sets, extremely ... Overview Prime Healthcare is an award-winning health system headquartered in...annually. It is one of the nation's leading health systems with nearly 50,000 employees and physicians. Fourteen of… more
- Molina Healthcare (WI)
- **JOB DESCRIPTION** **Job Summary** Working closely with Molina enterprise Clinical Operations and Health Plan healthcare services leaders, and Medical Economics ... Experience** + 3+ years supervisory/management experience in a managed healthcare environment. + Medicaid /Medicare Population experience with increasing… more
- HCA Healthcare (Overland Park, KS)
- …leading large, enterprise -scale projects or programs preferred + Healthcare , hospital systems , hospital, supply chain, workforce management, financial ... and programs to successful completion across multiple hospitals, business offices, or health systems , preferably in healthcare revenue cycle + Minimum of 5 years… more
- HCA Healthcare (Asheville, NC)
- …leading large, enterprise -scale projects or programs preferred + Healthcare , hospital systems , hospital, supply chain, workforce management, financial ... and programs to successful completion across multiple hospitals, business offices, or health systems , preferably in healthcare revenue cycle + Minimum of 5 years… more
- Molina Healthcare (Columbus, OH)
- …Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems , quality improvement, medical utilization management, ... contracts * Assist the BH MD lead trainers in the development of enterprise -wide teaching on psychiatric diagnoses and treatment * Provides second level BH clinical… more
- University of Miami (Hialeah, FL)
- …state and federal programs, inclusive of the Centers for Medicare and Medicaid Services. Maintains fluency of provider workflows across UHealth that influence ... of performance measures in relation to best practices for the healthcare service industry and internal business objectives. + Provides performance indicator… more
- Molina Healthcare (Southaven, MS)
- …in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (eg, ... network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with… more
- HCA Healthcare (Wichita, KS)
- …Wesley Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** Wesley Medical Center, offers a total ... on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny… more
- Molina Healthcare (Columbus, OH)
- …ED** **U** **C** **A** **TI** **O** **N** **:** Bachelor's Degree in Business, Healthcare , Computer Science, Information Systems or 10 years of related field ... **C** **A** **TI** **O** **N** **:** Master's Degree in Computer Science, Information Systems or Healthcare related field **PR** **E** **FE** **R** **RED E**… more