- MyFlorida (Fort Lauderdale, FL)
- …and planning entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000 health care facilities, ... and high-quality health care system in the nation. The Medicaid program provides low-income families and individuals with access...the delivery of health care services through the Florida Medicaid Program. This position requires a candidate who is… more
- MyFlorida (Miami, FL)
- …This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami, Florida. Pay: $47,668.14 - $50,744.20 Annually ... or who have prior investigative work experience in a Medicaid Fraud Control Unit and/or 5 years of work...limited to the following: This position is in the Medicaid Fraud Control Unit enforcing all matters addressed in… more
- State of Colorado (Denver, CO)
- …Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health ... Office ensures that the Department's public health care programs-including Colorado Medicaid and the Child Health Plan Plus (CHP+)-are administered efficiently,… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicaid and CHIP Services (CMCS), Children & ... leadership. Responsibilities Lead the development, coordination and implementation of national Medicaid , CHIP and BHP program policy. Develop, interpret, and apply… more
- State of Colorado (Denver, CO)
- …Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health ... the Managed Care Unit. * Provides oversight for the Medicaid Managed Care and Dual Special Needs program (DSNP)...and is a resource for managed care for the Medicaid mental and physical health contracts. * Provides direction… more
- 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