- MyFlorida (Tallahassee, FL)
- …will support the fraud and abuse prevention efforts within the Bureau of Medicaid Program Integrity (MPI). MPI is organized by the functions that fall within ... complexity and scope of fraudulent and abusive behavior in the Florida Medicaid program, these units are responsible for developing novel methods and technologies… more
- Highmark Health (Buffalo, NY)
- …job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support ... to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value creation, cost control… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …and accuracy of the Buy-In System as it interfaces with the Louisiana Medicaid Eligibility Data System (LaMEDS), Medicaid Management Information System (MMIS) ... Managers to identify potential system issues and impacts. + Coordinates with Medicaid 's Technology teams and others to identify system issues and work towards… more
- Louisiana Department of State Civil Service (Lake Charles, LA)
- …Coordinator-1\_R-001672?q=R-001672) to apply. + Conduct general Medicaid policy training with a hands-on classroom ... experience for the Medicaid and Application Center staff through seminars and classes...Application Center staff through seminars and classes pertaining to Medicaid 's policies and procedures for the different State … more
- University of Rochester (Rochester, NY)
- …that include but are not limited to pre-certifications, Utilization Management, Medicaid Pending, third party payer issues, and denials/appeal processes. Involves ... with assigned area, Financial Assistance, Social Work, Utilization Management, Medicaid Enrollment & Outreach, patients, families, third-party payers, and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Department of Health (https://ldh.la.gov/) Join the leadership team of Louisiana's single state Medicaid agency and make a direct impact on the health of more than ... 1.8 million residents. As a key advisor to the State Medicaid Executive Director, the incumbent will help guide a program with over 1,000 employees and a budget… more
- Molina Healthcare (Fremont, NE)
- …Responsibilities:** + Drive membership growth and retention for Molina Healthcare Medicaid . + Build and maintain relationships with community-based organizations and ... promotion and advocacy. + Strong presentation skills and broad knowledge of Medicaid is helpful. **If you are passionate about community engagement and have… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …required deadlines. + Document eligibility research electronically in the required Medicaid system applications. + Prepare eligibility decision notices by inputting ... required data into the corresponding Medicaid application systems, as necessary. +... application systems, as necessary. + Maintain knowledge of Medicaid policies and procedures and ensure that any new… more
- State of Indiana (Indianapolis, IN)
- …across Indiana. About the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a division within the Family and Social ... staff that is fully engaged with this mission. Role Overview: Indiana Medicaid currently provides health coverage for over 2-million Hoosiers including children and… more
- MyFlorida (Tampa, FL)
- …Review Analyst position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Tampa, Florida or Orlando Florida, and involves auditing ... when applying the rules, regulations and laws of the Medicaid unit, both Federal and State. 40% Requires the...Requires the use of professional judgement and experience regarding Medicaid Laws and Regulations and the ability to provide… more