- AAOS (Rosemont, IL)
- …subject matter expertise. If this sounds like you, please read on The Senior Registry Analyst supports the Registry Department as part of the Combined Analytics ... extraction, quality assessment and analysis of the Registry Program data. The Senior Registry Analyst will develop formal policy and procedures for data retrieval… more
- Humana (Columbus, OH)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Medicaid Implementation Senior Business Project Manager to manage a ... change management and project management are best suited for this role. The Medicaid Implementation Senior Business Project Manager will serve as a… more
- CVS Health (Northbrook, IL)
- …This position is responsible for promoting compliant and ethical behavior for Aetna's Medicaid business , including timely implementation of compliant ... corrective actions plans (iCAPs) at a national level across Aetna's Medicaid business . Additionally, the incumbent will lead and participate in other key… more
- Commonwealth Care Alliance (Boston, MA)
- …is Important to Us:** **Position Summary:** Working under the direction of the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding ... Sr . Analyst will be responsible for developing prospective claims...applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for… more
- General Dynamics Information Technology (Fairfax, VA)
- …be a meaningful part of improving how agencies operate. Our work depends on a Sr ./ Lead Salesforce Developer joining our team to support Centers for Medicare & ... Medicaid Services (CMS) activities. This position is 100% remote...At GDIT, we foster a people-centric environment. As a Sr ./ Lead Salesforce Developer supporting CMS, you will be… more
- Humana (Columbus, OH)
- …Medicaid products and capabilities to support the strategic direction and growth of the Medicaid and Duals lines of business . This is a unique opportunity for ... Care Organization **OR** 2+ years of experience in strategy consulting supporting Medicaid managed care organizations. + Experience in business development or… more
- New York eHealth Collaborative (New York, NY)
- Sr . MDM Engineer Job Details Job Location Albany or NYC Office - Albany or New York, NY Description New York eHealth Collaborative: Sr . MDM Engineer New York ... that the SHIN-NY provides services to support the State's public health and Medicaid efforts. Position Summary: NYeC is seeking aSr. Master Data Management (MDM)… more
- Elevance Health (New Hyde Park, NY)
- …Success** is responsible for consulting with providers (Commercial, Medicare Advantage and Medicaid Lines of Business ) to assess and deploy appropriate ... Care Consultant Sr . (New York Provider Success) - JR126335 **Location**...continuous process of assessment, root cause analysis, strategy mapping, implementation and tracking to outcomes for each assigned provider.… more
- Access Dubuque (Dubuque, IA)
- Staff Accountant Sr -Financial Plan **UnityPoint Health Finley Hospital** 1 Positions ID: 31922523 Posted On 12/08/2023 **Job Overview** **Overview** Reporting to the ... VNA Director, the VNA Senior Staff Accountant provides all financial oversight of VNA...oversight of VNA agency budgets. Manages program budget, ensures implementation of quality improvement activities directed towards the enhancement… more
- Humana (Columbus, OH)
- …community and help us put health first** Humana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best in class provider ... Provider Education team through collaboration across existing and new Medicaid markets. The Senior Medicaid ...create provider materials, has interpersonal skills to work across business segments, and must be highly organized. **Key Role… more
- Elevance Health (Woodbridge, NJ)
- The Social Work Case Manager Sr will be dedicated to the NJ Healthy Homes program and will be responsible for ensuring coordination of Housing Services with all ... other services provided to NJ Medicaid members. This associate will work with the LTSS...Registered Nurse Care Managers and Management on the development, implementation , and progress of social work goals, and the… more
- Elevance Health (Lexington, KY)
- Care Consultant Sr . (Provider Success) - JR126256 **Location** : Prefer State of Kentucky residence. Those in bordering states will be considered. (Requires travel ... virtually up to 25% - 30% of the time.)** The **Care Consultant Sr .** for **Provider Success** is responsible for consulting with providers (Medicare Advantage and… more
- CareOregon (Portland, OR)
- Job Title Sr Accountant Exemption Status Exempt Department Finance Manager Title Accounting Supervisor - Ops Direct Reports n/a Requisition # 24549 Pay and Benefits ... Portland, Oregon or SW Washington. Job Summary This position performs senior level accounting functions for the organization. Primary responsibilities include… more
- Henry Ford Health System (Troy, MI)
- Under limited supervision from the Manager, Revenue Integrity or other more senior Revenue Integrity leaders, the Revenue Integrity Senior Specialist is ... skills, well-developed analytic and organizational skills. The Revenue Integrity Senior Specialist applies a variety of continuous improvement and process… more
- MyFlorida (Tallahassee, FL)
- SENIOR MANAGEMENT ANALYST SUPV - SES - 60046107 - ESS Medicaid Unit Date: Oct 1, 2024 The State Personnel System is an E-Verify employer. For more information ... Requisition No: 833201 Agency: Children and Families Working Title: SENIOR MANAGEMENT ANALYST SUPV - SES - 60046107 -...MANAGEMENT ANALYST SUPV - SES - 60046107 - ESS Medicaid Unit Pay Plan: SES Position Number: 60046107 Salary:… more
- Public Consulting Group (Columbus, OH)
- Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human ... and regulation. + Reviews and is an expert in business operations for service and efficiency improvements. + Develops...such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge… more
- Point32Health (Canton, MA)
- …optimize risk score accuracy for the Government business and Commercial business as necessary **Project Management** + Provide implementation support for ... click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** Under the oversight of the Senior Manager of Consulting and Operations, this individual will support the… more
- Amneal Pharmaceuticals (Washington, DC)
- Description: The Senior Director - Policy will lead "on the ground" development and advocacy for Amneal's positions on policies proposed and/or enacted by Congress, ... the Centers for Medicare and Medicaid (CMS), the US Food and Drug Administration, and...experts and company leadership across these work functions, the Senior Director will be responsible for soliciting, collating, drafting,… more
- Molina Healthcare (Columbus, OH)
- …for key performance measurement activities; and provides direction and implementation of NCQA accreditation surveys and federal/state QI compliance activities. ... Please identify this experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Interventions / QI Compliance contributes to one… more
- CVS Health (Oklahoma City, OK)
- … implementation of value-based contract relationships in support of business strategies. * Collaborates cross-functionally to manage provider compensation and ... health care more personal, convenient and affordable. **Position Summary** The Senior Contract Manager, Network Management negotiates, executes, conducts high level… more
