- University Health (Hondo, TX)
- …(3) years' related work experience in clinical data analysis is preferred. Project management experience with medical chart review and clinical data abstraction ... scrubbing, data normalization, and validation is highly desirable. Knowledge of Medicaid and Medicare, community resources, alternate funding programs, Texas Health… more
- COOLSOFT (Columbia, SC)
- …larger project of minimal to moderate complexity and risk. The Project Manager will report to the Medicaid IT Services Deputy Director. This is an ... SYSTEM OF SC THIS POSITION INVOLVES LEADING MMIS PROJECT EFFORTS WITH SC DHHS MEDICAID IT...UNIVERSITY. DAILY DUTIES / RESPONSIBILITIES: Under limited supervision, the Project Manager manages and coordinates all tasks… more
- COOLSOFT (Raleigh, NC)
- …for Project management within the Unit. Description : The Provider Operations Project Manager will assume project management duties in Provider ... Communications, Training, and Healthy Opportunities (PM/Comm/Training/HO). The Provider Operations Project Manager will: . Assisting to identify, evaluate,… more
- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing ... foster strong, collaborative relationships with provider partners serving dual-eligible (Medicare- Medicaid ) members. This role ensures providers are well-informed, engaged,… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... alignment with CCA's model of care and strategic objectives. The Manager fosters effective clinical and programmatic collaboration with provider partners,… more
- Katmai (Usaf Academy, CO)
- …worker license in good standing. + Extensive knowledge of TRICARE, Medicare/ Medicaid services and benefits is mandatory. + Knowledge of professional care ... May be required to work additional hours as needed to complete assignment or project . **TRAVEL:** All Market contractors are subject to working at a duty location at… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Experience or… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and ... focus on value-based arrangements and network-wide engagement strategies. The program manager is responsible for managing and implementing key population health and… more
- Commonwealth Care Alliance (Boston, MA)
- …Program Specialist will have a wide range of responsibilities including project management support, data review, documentation, and assisting external partners. ... interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS Program, this position supports the… more
- Commonwealth Care Alliance (Boston, MA)
- …Lead ongoing communication efforts, working closely with Provider Communications Manager , to keep providers informed of organizational objectives, regulatory ... and regulatory benchmarks. - Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. - Lead initiatives to streamline provider… more
- DESC (Seattle, WA)
- …and problem solving. The FCS Data Analyst will work closely with the Senior Manager of Policy and Program Analytics to ensure programs leveraging Medicaid Waiver ... to scope, design, and validate recurring and ad hoc reports. + Document project details and maintain report specifications that clearly describe how the report… more
- Tidelands Health (Myrtle Beach, SC)
- …Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager , is responsible for overseeing daily coding workflow in the assignment of ... other stakeholders regarding the coding and charge capture process. Assists coding manager with coding-related projects and staff oversight. **What you will do** +… more
- Commonwealth Care Alliance (Boston, MA)
- …, Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including onboarding, orientation ... strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role in helping CCA achieve its mission and… more
- NTT DATA North America (Montgomery, AL)
- …an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Project Manager - PMP Certified to join our team ... forward-thinking organization, apply now. We are currently seeking a Project Manager to join our team in...experience running multiple concurrent projects + 6+ Years of Medicaid Systems or operations project management experience… more
- Insight Global (Eden Prairie, MN)
- …Description An employer is looking for a highly-skilled Unified Preferred Drug List (PDL) Project Manager to join one of our largest national healthcare clients ... (FFS) program and the newly contracted Care Management Organizations (CMOs).The Unified PDL Project Manager reports to the Account Director and works closely… more
- Humana (Tallahassee, FL)
- …Consumer Service Operations is responsible for the daily activities for Florida Medicaid Contact Center Operations. The Manager , Consumer Service Operations ... center team of up to 200+ associates and leaders supporting the Florida Medicaid plan. The manager will oversee strategic planning, staff leadership development,… more
- Prime Therapeutics (Santa Fe, NM)
- …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior ... Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- OhioHealth (Columbus, OH)
- …Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be ... responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is primarily responsible for… more
- NTT DATA North America (Montgomery, AL)
- …BA will support both the current MMIS and plan for the future CPMS takeover project working with the Project Manager , client and vendor development team ... forward-thinking organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery,...team meetings and calls with State + Assist the Project manager in project management… more
