• Medicaid Management Systems

    Conduent (Richmond, VA)
    …matrixed teams to ensure project success?** **About the Role** We are seeking a ** Medicaid Management Systems Implementation Leader** to spearhead ... project success from start to finish. **Responsibilities** + Leading large Medicaid Management Systems implementation projects, ensuring success… more
    Conduent (11/23/24)
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  • Medicaid Program Manager 2

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    … Readiness work streams of Medicaid system modules. Sets portfolio implementation standards and directs management reviews to monitor and evaluate ... of LDH. The Portfolio unit is responsible for Product Management and Implementation oversight of MES Modules,...of Medicaid . Promotes and advocates modularity of Medicaid systems through participation in meetings, events,… more
    Louisiana Department of State Civil Service (11/22/24)
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  • Medicaid Policy Director Eugene S. Farley,…

    University of Colorado (Aurora, CO)
    …**Job Summary:** ** Medicaid Policy Director** **Examples of Work Performed** ** Medicaid Management /Strategy** + Monitor and assess developments in ... **Job Summary:** ** Medicaid Policy Director** **Examples of Work Performed** ** Medicaid Management /Strategy** + Monitor and assess developments in … more
    University of Colorado (10/23/24)
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  • Medicaid Children's Behavioral Health…

    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 ... Outsourcing and Operations + Strategy + Project and Grants Management + Assessments and Feasibility Studies PCG is looking...Studies PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children's… more
    Public Consulting Group (10/23/24)
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  • Medicaid Certification Consultant

    Public Consulting Group (Columbus, OH)
    …risk, and , stakeholder management activities, all while adding deep Medicaid and Medicaid Enterprise Systems (MES) experience and thought ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health,...Business Enablement + Business Solutions + Project Assurance The Medicaid marketplace is changing, and PCG is at the… more
    Public Consulting Group (10/16/24)
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  • Executive Director Health Equity…

    Providence (Seattle, WA)
    Medicaid and Health Equity Strategy including development and implementation of strategies, daily operations, initiatives/programs, and assuring financial ... strategy and services within our vision for a connected system of care for Medicaid . + Participates in the development, implementation and monitoring of the… more
    Providence (11/22/24)
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  • Medicaid Program Advisor

    Staffing Solutions Organization (Albany, NY)
    …quality and patient safety, fiscal oversight, technical assistance and fair hearing, Medicaid MLTC systems , and MLTC plan contractors. **Job Duties to ... Medicaid Program Advisor Albany, NY, USA Req #1065...in the DHPCO with a broad range of planning, implementation , reporting, evaluation and Plan Management activities.… more
    Staffing Solutions Organization (11/12/24)
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  • Medicaid Lead, Technology Solutions

    Humana (Columbus, OH)
    …of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid preferred + Comprehensive ... diverse scope and complexity ranging from moderate to substantial. The Medicaid Lead, Technology Solutions builds strategic partnerships and manages relationships… more
    Humana (11/13/24)
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  • Project Manager - D Medicaid

    RedMane Technology (Chicago, IL)
    …Lead the design, development, and implementation of large scale, state agency Medicaid focused systems delivery efforts. + Create, update and manage project ... Project Manager - Medicaid '2013 Chicago Company Description RedMane Technology LLC...RedMane Technology LLC is an application software consulting and systems integration company based in Chicago. We deliver software… more
    RedMane Technology (11/12/24)
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  • Senior HEDIS Medicaid Data Manager

    Humana (Columbus, OH)
    …The Senior Data Manager supports all aspects of configuration control, data management , and deficiency reporting. The Senior Data Manager work assignments involve ... deliver quality and value in a fast-paced, dynamic environment to support our Medicaid program through engaging in the transformation of clinical data to inform… more
    Humana (11/22/24)
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  • A/R Billing and Collections Specialist…

    Synergy Healthcare Solutions (FL)
    …Services - Remote | Full Time **A/R Billing and Collections Specialist - Medicaid (Florida)** **Perks and Benefits** + **Pay rate:** Competitive pay, along with ... fees. + **Access to online learning 24/7:** Our Learning Management System offers over 1,500 courses for senior care,...including documentation of all account activity performed in A/R systems + Bill all co-insurance accounts per payer specific… more
    Synergy Healthcare Solutions (10/25/24)
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  • Medical Director - Behavioral Health - Louisiana…

    CVS Health (Baton Rouge, LA)
    …meetings and other agency/stakeholder meetings when requested. * Oversight and implementation of the utilization management program for behavioral health ... of clinical practice standards, policies, and procedures. * Behavioral health care management performance and coordination with physical health care management .… more
    CVS Health (09/10/24)
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  • Manager, Technical Training Mid Level…

    Advanced Systems Design (Montgomery, AL)
    …design and learning content authoring tools. + Working knowledge of Learning Management Systems (LMS) and Learning Experience Platforms (LXP) + Demonstrated ... strength in organizational change management ; project management ; process implementation ;...skills. + Working knowledge of SCORM standards and learning management systems . + Assist with the definition… more
    Advanced Systems Design (09/14/24)
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  • Director of Healthcare Payment & Financing…

    City of New York (New York, NY)
    …related to healthcare system transformation and accountability: Engage with partners on implementation of city legislation related to healthcare systems strategy ... the Bureau of Health Equity Capacity Building, the Bureau of Equitable Health Systems and the Bureau of Finance, Administration and Services. The Bureau of Equitable… more
    City of New York (11/09/24)
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  • Information Systems Auditor (ISA) 1

    New York State Civil Service (Albany, NY)
    …for enhanced funding meet all state and federal guidelines; * Support the development, management and tracking of all Medicaid data sharing agreements, forms and ... NY HELP No Agency Health, Department of Title Information Systems Auditor (ISA) 1 - 89048 Occupational Category Administrative or General Management Salary Grade… more
    New York State Civil Service (11/23/24)
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  • Operations and Finance Manager

    University of Colorado (Aurora, CO)
    …updates; submission of journal entries; approval of fiscal transactions. + Oversee annual Medicaid audit preparation; management of Medicaid and medical ... updates; submission of journal entries; approval of fiscal transactions. + Oversee annual Medicaid audit preparation; management of Medicaid and medical… more
    University of Colorado (09/08/24)
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  • Senior Business Systems Analyst

    VNS Health (Manhattan, NY)
    …senior level Business Systems Analyst role. Works directly with senior management on highly visible projects to understand business needs and challenges of ... to meet those needs. Gathers requirements, performs analysis, designs new or enhanced systems to meet operational, business and clinical needs. Acts as lead Business… more
    VNS Health (11/15/24)
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  • Principal Systems Engineer

    Humana (Columbus, OH)
    …of our caring community and help us put health first** The Principal Systems Engineer is responsible for design, analysis, configuration and maintenance of complex ... systems software solutions, based on a thorough knowledge of systems engineering and programming concepts and techniques. Systems software… more
    Humana (10/29/24)
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  • Executive Director, Office of Mail Renewal (OMR),…

    City of New York (New York, NY)
    …MCP, and TPHI program issues in the areas of personnel resources allocation, financial management and control, and management systems development and a ... delivery systems comprised of Managed Care Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and… more
    City of New York (10/25/24)
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  • Lead Director, Network Management

    CVS Health (Springfield, IL)
    …successful track record negotiating contracts which includes experience within Network Medicaid management . Proven working knowledge of provider financial issues ... saving initiatives and/or settlement activities. Assists with the design, development, management , and or implementation of strategic network configurations and… more
    CVS Health (10/26/24)
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