- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- Lutheran (West Seneca, NY)
- Medicaid Managed Care Liaison Regular Full-Time West Seneca, NY, US Requisition ID: 1132 Apply GA Family Services is seeking a Medicaid Managed ... for children in foster care . This role coordinates with the Medicaid managed care plans as the liaison for GA and the youth enrolled in the … more
- New Directions Youth and Family Services (Amherst, NY)
- …physicians/Medical Director. 20. Acts as the liaison between youth, parent, New Directions Medicaid Managed Care Liaison , school and other community ... building relationships and helping the young people in our care , instead of being in an office all day....provides health-related services to the youth in our Foster Care and Residential programs may be a good fit… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …are contractually compliant and consistently providing reliable dental care to Iowa's Medicaid managed care members. The Dental Contract Manager is a ... liaison between the PAHPs and Iowa Medicaid and is the point of contact coordinating and...federal and state requirements and process requirements pertaining to Medicaid managed care and the… more
- EssilorLuxottica (Mason, OH)
- Manager- Business Data ( Medicaid Reporting) Date: Jun 4, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 816990 **Position:** ... than meets the eye. EyeMed is the fastest growing managed vision benefits company in the country with consistent...the way employers and their employees think about vision care . We want them to see life to the… more
- State of Colorado (Denver, CO)
- …health care policy issues, including federal and state regulations related to Medicaid ; managed care enrollment and eligibility processes; payment reform ... Managed Care Technology Unit Supervisor Print...Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other… more
- Elevance Health (Topeka, KS)
- …of 10 years experience, including minimum of 8 years in-depth experience in managed care operations; or any combination of education and experience, which ... ** Medicaid State Operations Director** **Location:** This position will...claims issues, contract configuration issues, etc. + Serves as liaison to Health Plan support services, which could include:… more
- Burrell Behavioral Health (St. Louis, MO)
- …Enrollment Representative I is responsible for enrolling and revalidating providers with various managed - care payers including Medicare and Medicaid in a ... Job Description: Job Title: Managed Care Enrollment Specialist Location: Remote...completing payer specific applications and reports, acting as a liaison between external organizations and providers, reporting to payers… more
- Prime Therapeutics (Columbus, OH)
- …duties as assigned. **Responsibilities** + Related professional experience in the managed care , healthcare, or insurance industries. + Analytical/problem solving ... we make. **Job Posting Title** Data & Reporting Business Analyst - Louisiana Medicaid **Job Description Summary** Serves as liaison between departmental team… more
- Bristol Myers Squibb (Boston, MA)
- …related experience (field liaison responsible for market access , worked for managed care organization, corporate or field HEOR, etc.) strongly preferred + ... Makers and Influencers, etc.) within payer organizations and to managed care professionals to ensure access to... accounts, covering all books of business (eg, Commercial, Managed Medicaid , Fee-for-Service, Medicare, PBMs, and Exchange… more
- Next Step Health Care (Woburn, MA)
- …and Insurance Case Managers. + Understanding of various insurance methodologies, including Medicare, Medicaid , and Managed Care insurance. We offer a ... or skilled nursing experience, preferred. + Experience in healthcare sales, clinical liaison , long-term care nurse or case manager. + Excellent communication… more
- Healthfirst (NY)
- …adherence to Protected Health Information (PHI) at all times. + Assist Intake and Care Teams in confirming Medicaid eligibility upon referral by Enrollment or ... Care Teams. + Document status of Medicaid and entitlement coverage in designated systems. + Prepare/submit...insurance, home care environment, acute, sub-acute, long-term care setting, or managed -long term care… more
- State of Colorado (Denver, CO)
- County & Tribal Liaison (Term-limited) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4552334) Apply County & Tribal Liaison ... Job Type Full Time Job Number UHA05751_06.2024 Department Department of Health Care Policy and Financing Division Policy and Communications Office Opening Date… more
- UPMC (Pittsburgh, PA)
- …related field required. + A minimum of 5 years of management experience; preferably with managed care . + Experience with Medicaid and/or Long-Term Care ... The Vice President has overall product ownership of the Managed Long-Term Services and Supports (MLTSS) program line of business, Community HealthChoices (CHC). In… more
- Centene Corporation (Baton Rouge, LA)
- …as a LPC or LCSW as well as 5+ years of experience in managed care , utilization management, case management, or quality improvement. **Position Purpose:** ... case management cycle + Communicate, identify, resolve, and prevent care problems, with other systems of care ,...completion are adhered to + Collaborate w/ LDH/OBH PASRR liaison + Attend state transition coordination meetings as needed… more
- Humana (Frederick, MD)
- …community and help us put health first** The Senior TRICARE Community Liaison (TCL) is a customer-facing Humana Military associate who is knowledgeable, ... eligibility, enrollment, billing, claims, referrals/authorizations, network operations, access to care , Defense Health Agency/TRICARE Health Plan policy, and other… more
- Boehringer Ingelheim (Portland, OR)
- …+ Knowledge of healthcare systems in the US, including managed care organizations,IDNs, PBMs, Medicare, and Medicaid . + Ability to use field-based ... Boehringer Ingelheim's high regard for our employees. The Sr. AD, Medical Science Liaison will manage a regional therapeutic area specific MSL team. The Sr. AD,… more
- New York State Civil Service (Albany, NY)
- …the ability to administer meetings. The incumbent will also interact and collaborate with Medicaid Global Cap, Managed Care Long Term (MLTC) rate setting, ... The candidate must also have knowledge of the NYS Medicaid program and have the ability to interact and...supervise financial and systems analysts within the Bureau of Managed Care Reimbursement within OHIP's Division of… more
- CVS Health (Austin, TX)
- …computer, keyboard navigation, and MS Office Suite applications Preferred Qualifications: + Managed care experience + Certified Case Manager (CCM) + Texas ... Level Framework and Texas contractual requirements. + Serves as liaison with regulatory and accrediting agencies and other health...matter expert with the Aetna Better Health of Texas Medicaid contract and contract deliverables. + Ensures Care… more
- AmeriHealth Caritas (Palm Beach Gardens, FL)
- …experience in healthcare delivery required with at least 5 years of experience in managed health care / Medicaid . + Minimum of 5 years managerial experience ... support AmeriHealth Caritas Florida. Candidates must reside in Florida. Medicaid experience a must. Your career starts now. We...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more