- Public Consulting Group (Lansing, MI)
- …. Summary: We are seeking a senior-level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant to join our team. This role involves ... background in data science, healthcare analytics, and a deep understanding of Medicaid waivers. **Duties and Responsibilities** + Serves as project manager and… more
- Molina Healthcare (Sterling Heights, MI)
- …Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, ... Care Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare, or equivalent combination of relevant education and experience… more
- Prime Therapeutics (Lansing, MI)
- …segment. **Responsibilities** + Provide leadership and oversight to the Medicare and Medicaid teams and ensure the development and execution of goals that guarantee ... vision, set objectives for advancing Prime's position in the Medicare/ Medicaid markets, and drive the development of products and...Sales Team to drive growth in the Medicare and Medicaid markets and influence product adoption + Manage financial… more
- Molina Healthcare (Ann Arbor, MI)
- …with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other ... in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid , National Committee...for Medicare and Medicaid Services (CMS), state Medicaid , National Committee for Quality Assurance (NCQA) and/or other… more
- State of Michigan (Lansing, MI)
- …. This position provides technical support within the MDHHS Medicaid Enrollment Services Section, with a primary focus on the ... Medicaid Special Disenrollment for Cause and Medical Exception processes....03 Do you possess knowledge or experience related to Medicaid managed care enrollment policies and procedures including experience… more
- Humana (Lansing, MI)
- …help us put health first** The Strategy and Visualization team with Humana's Medicaid Business intelligence organization solves complex data and process gaps to help ... actionable operational insights. We support innovation and governance across Medicaid 's reporting ecosystem, ensuring that analytics, automation, and visualization… more
- Humana (Lansing, MI)
- …our Humana members. The Provider Directory Configuration team works with both Medicare and Medicaid lines of business. **Where you Come In** As a part of the ... of 1 year of healthcare related background with an understanding of Medicare and Medicaid + Minimum of 1 year of experience in provider data management, provider… more
- Humana (Lansing, MI)
- …help us put health first** The Acquisition Integration Advisor manages all aspects of Medicaid State Implementation, from start to finish, so that it is completed on ... models. + Designing, communicating, and executing the implementation approach for Medicaid State Implementations. + Monitoring progress and performance for the… more
- Humana (Lansing, MI)
- …cross functional teams such as clinical, operational, and financial to support Medicaid -wide initiatives. **Use your skills to make an impact** **Required ... across multiple settings and with multiple providers. + Experience working in Medicaid . + Proficiency in Microsoft applications including Word, Advanced Excel, and… more
- Humana (Lansing, MI)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... plays a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's total revenue and earnings.… more