- CVS Health (Tampa, FL)
- … managed care organization. In partnership with and under the direction of the Chief Medicaid Compliance Officer and Medicaid Compliance leadership team, ... other key department projects and initiatives to improve and enhance Aetna's Medicaid Compliance program, and serve as the compliance representative on… more
- Sumitomo Pharma (Columbus, OH)
- **Title: Sr . Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... currently seeking a dynamic, highly motivated, and experienced individual for the position of ** Sr . Manager , Medicaid Contract Administration.** The Sr . … more
- Plante Moran (Columbus, OH)
- Healthcare Reimbursement - Consulting Sr . Manager + Location: United States, Ohio, Columbus + Location: United States, Ohio, Cleveland Make your mark. Our ... senior care healthcare consulting team focuses on our clients'...Lead and manage strategic engagements focused on preparation of Medicaid and Medicare cost reports + Prepare, review, and… more
- Molina Healthcare (TX)
- …and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality ... more of these quality improvement functions: Quality Interventions and Quality Improvement Compliance . + Acts as a lead specialist to provide project-, program-, and… more
- University of Miami (Miami, FL)
- …Time, Manager , Facilities & Operations to work at UHealth. The Senior Manager , Facilities & Operations administers leadership for various projects, programs, ... chief consultant to satellite practices and leased facilities for continuous and ongoing compliance with the Center of Medicare & Medicaid Services Conditions of… more
- Waystar (Lehi, UT)
- **ABOUT THIS POSITION** Waystar is seeking a smart and creative Senior Product Manager with hands on experience in Healthcare Revenue Cycle Management. We are ... closely with User Experience team and Technology teams. The Senior Product Manager will lead cross departmental...industry standards and staying up-to-date on industry changes and compliance issues + Gathering inspiration and ideas by visiting… 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...budgets and patient payments. + Grant billing for VNA Medicaid and insurance. + Reports monthly agency financials to… 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
- CareOregon (Portland, OR)
- Job Title Sr Accountant Department 3006 - Finance Exemption Status Exempt Requisition # 24296 Direct Reports n/a Manager Title Accounting Operations Manager ... Portland, Oregon or SW Washington. Job Summary This position performs senior level accounting functions for the organization. Primary responsibilities include… more
- University of Miami (Miami, FL)
- …Radiology Imaging Services. + Ensures open lines of communication with Supervisor/ Manager /Director regarding all scheduling issues. + Assists the supervisor with ... and yearly basis. + Edit UCHART/EPIC Radiant template as needed when supervisors, manager are un available. Scheduling Functions: + Scheduling all types of complex… more
- Elevance Health (Chicago, IL)
- **Associate General Counsel Senior - Commercial Transactions** **Preferred Locations:** Atlanta, GA or Indianapolis, IN Elevance Health supports a hybrid workplace ... of our Elevance Health PulsePoint locations. The **Associate General Counsel Senior ** is responsible for supporting complex enterprise-wide sourcing and supply… more
- Healthfirst (NY)
- …Determinations **Preferred Qualifications:** + Bachelors degree + Knowledge of compliance and regulatory guidance/regulations across the Medicaid , Medicare, ... Director and/or UM Clinical Director requests. + Collaborate with the Regulatory, Compliance , Legal and Clinical departments to ensure deliverables adhere to local,… more
- Commonwealth Care Alliance (Boston, MA)
- …Program + Contribute towards the maintenance and enhancement of an effective Compliance Monitoring Program + Contribute towards the maintenance and enhancement of an ... effective Compliance Risk Assessment Program + Project manage regulator and...indicators **Additional Responsibilities** + Support Corrective Action Plan (CAP) Manager in communicating on new and existing CAPs emerging… more
- Molina Healthcare (Owensboro, KY)
- …facilitates process improvement efforts. Will lead re-engineering team and act as project manager in some cases. * Drives efficiency: looks for and documents ways to ... project requests and benefit value documentation including high level requirements, compliance implications and cost benefit analysis. * Responsible for business… more
- Molina Healthcare (AZ)
- …position will require occasional travel to provider offices. **Knowledge/Skills/Abilities** The Senior Specialist, Provider Engagement contributes to one or more of ... interventions (eg, removing barriers to care); preparation for Quality Improvement Compliance surveys; and other federal and state required quality activities. *… more
- CVS Health (Richmond, VA)
- …VA if possible- This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project management, and ... will focus on coordination and collaboration amongst different work efforts for Medicaid provider activities. -Primary work will be around coordination of VA… more
- Idaho Division of Human Resources (ID)
- Program Manager Medicaid Posting Begin Date: 2024/06/06 Posting End Date: 2024/07/07 Work Type: Full Time Remote: Flexible Hybrid Location: Statewide, ID, United ... The Bureau of Population Health in the Division of Medicaid is seeking a program manager to...have experience in healthcare, project management, quality management, and compliance . We are seeking an individual who is adept… more
- HCA Healthcare (Nashville, TN)
- …opportunity. We want your knowledge and expertise! **Job Summary and Qualifications** The Medicaid Eligibility Advocate Team Leader assists the Manager by giving ... Live in the FL Area** Introduction Do you have the career opportunities as a Medicaid Eligibility Advocate Team Lead you want with your current employer? We have an… more
- Option Care Health (Chicago, IL)
- …fully vaccinated, or your employment will be terminated. **Job Description Summary:** The Senior Manager , Compliance Auditing, Monitoring and Analytics is ... and abuse, including but not limited to HIPAA, Anti-Kickback, Stark, Medicare/ Medicaid reimbursement. Experience evaluating information to determine compliance … more
- CVS Health (Austin, TX)
- …diversity and are dedicated to helping you achieve your career goals. The Senior Manager , Care Management develops, implements, supports, and promotes health ... healthcare to Aetna Better Health of Texas members. The Sr . Manager is responsible for oversight and...Preferred Qualifications: + Managed care experience + Certified Case Manager (CCM) + Texas Medicaid experience -… more