- Marion County (Salem, OR)
- …care programs ( Medicaid , Medicare and other federally funded programs that provide health benefits); AND must not be excluded from participating in federal ... County Adult Behavioral Health is seeking an experienced behavioral health RN to provide direct nursing care to adults diagnosed with serious mental illnesses, some… more
- CVS Health (Lansing, MI)
- …located in MI- This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project management, ... coordination and collaboration amongst of work for Network Operations-Intake and triage, provider data assignments, claim pend assignments.-Will be lead for work… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Provider Audits and Investigations Supervisor** **Job Class: Human Services Supervisor 3** **Agency: Human Services Dept** + **Job ID** ... by providing benefits, support resources, and training and development opportunities. Medicaid Provider Audits and Investigations Supervisor **_*This position is… more
- Guidehouse (Mclean, VA)
- …Will Do** **:** Guidehouse is seeking a motivated, passionate, organized, and detail-oriented Medicaid Data Senior Consultant to support the analysis of State ... Medicaid data . The ideal candidate will have a client service background, demonstrates flexibility, acute attention to detail, experience with Medicaid … more
- CVS Health (Richmond, VA)
- …corporate risk.Required Qualifications- 1+ years of Credentialing experience -1+ years of Provider Data Service experience Demonstrated track record of ... issues.- Provides issue resolution for providers/producers, during the credentialing or data management processes.- Responds to network or provider /producer… more
- Idaho Division of Human Resources (Boise, ID)
- … provider reimbursement rate adjustment activities, including reviews of a provider 's financial and utilization data , direct care worker wages, state-by-state ... Reimbursement Audit Specialist - Medicaid Posting Begin Date: 2024/06/28 Posting End Date:...assist in the research, operations, and analysis of the provider reimbursement rate review and provider reimbursement… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- MEDICAID PROGRAM SPECIALIST 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4550994) Apply MEDICAID PROGRAM SPECIALIST 1-2 Salary ... within the Louisiana Department of Health / Medical Vendor Administration / Medicaid Enterprise Systems / East Baton Rouge Parish Announcement Number: MVA/SP/196401… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …strong organizational skills; demonstrated team leadership; and experience in advanced data analytics, Medicaid and/or health care administration, health, health ... compliance with program regulations. Administers the day-to-day operational functions of the Medicaid fee for service programs. Assures that program policy and… more
- MyFlorida (Fort Pierce, FL)
- …. Requisition No: 831784 Agency: Children and Families Working Title: MEDICAID FILE COORDINATOR Pay Plan: Career Service Position Number: ... the required college education. This includes, + Previous experience in Florida Medicaid Eligibility determination, file coordination, data entry, or related… more
- Mathematica (Columbus, OH)
- …related to monitoring and improving the following Medicaid programs: * Medicaid payment and financing policies (fee-for- service base and supplemental ... rigorous analytic thinking to the collection and interpretation of quantitative and qualitative data , including analysis of Medicaid administrative data and… more
- New York State Civil Service (Albany, NY)
- …of permanent or contingent-permanent service in a title eligible for transfer to Medicaid Redesign Analyst 2, Grade 23, under Section 70.1 or 70.4 of the Civil ... Service Law.Open to the Public: This title is part...other benefits- Assists with and provides oversight of new provider enrollment into NYS Medicaid - Performs… more
- Humana (Louisville, KY)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our ...federal and state government to define health plan covered service packages and eligible cohorts. + Communicate covered services… more
- Conduent (Columbia, SC)
- …culture where individuality is noticed and valued every day. Call Center Customer Service Representative - Medicaid Member Support Interested in supporting ... in South Carolina? Conduent has immediate openings for Onsite Call Center Customer Service Representatives. This is a great opportunity to learn about Medicaid … more
- Conduent (Columbia, SC)
- …is noticed and valued every day. **Remote Bilingual Spanish Customer Service Representative - Medicaid Member Support** **$17.50/Hourly** **Paid Training** ... **Equipment Provided** **Full-Time with Benefits** Interested in supporting Medicaid members in South Carolina? Conduent has immediate openings for Remote Call… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Data & Reporting Business Analyst - Louisiana Medicaid **Job Description Summary** ... empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- CVS Health (Hartford, CT)
- …term Care. In addition, this position will serve as a SME to all Medicaid LTSS RFP submissions and provide strategic guidance supporting initiatives across the ... as externally to ensure aligned, cohesive progress across technology, marketing, and service operations* Working closely with data analytics team and develops… more
- State of Indiana (Indianapolis, IN)
- Medicaid /Medicare Coordinator Date Posted: Jun 25, 2024 Requisition ID: 445663 Location: Indianapolis, IN, US, 46202 Work for Indiana Begin a fulfilling career with ... the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a division within...and assessing new opportunities at the federal level to provide summary and recommendations to OMPP leadership for consideration.… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …policies and procedures are drafted and best practice is defined. To ensure the Iowa Medicaid is providing the best service to the citizens of Iowa, applicants ... and interpret federal and state requirements and process requirements pertaining to Medicaid managed care and the Fee-for- Service dental program. * Detail… more
- Public Consulting Group (Columbus, OH)
- …new streamlined modular certification (SMC) and outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction for scope, ... the public sector. To learn more, visit www.publicconsultinggroup.com. **Responsibilities** The Medicaid marketplace is changing, and PCG is at the forefront. We… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …providers and provider qualifications and reimbursement policies for the Iowa Medicaid dental program. The position serves as the subject matter expert (SME). As ... from the community, business interests, politics, national agencies, federal agencies, and service providers. The Iowa Medicaid Dental Policy Program manager… more
