- Health Care Service Corporation (Richardson, TX)
- …development. **Job Summary** This position is responsible for directing the Medicaid pharmacy operations team and responsible for analyzing and optimizing the ... Direct and manage the ongoing assessment and program maintenance updates for the Medicaid pharmacy operations program. In addition, assess, direct and manage to the… more
- Catholic Health Services (Rockville Centre, NY)
- …data analysis. The ideal candidate possesses in-depth knowledge of Medicare/ Medicaid reimbursement, managed care contracts, and healthcare finance. Key ... Responsibilities: + Prepare and review Medicare, Medicaid , and other third-party cost reports, ensuring accuracy and...NYS Online Portal. + Reviewing and updating Medicare and Medicaid Rate sheets for input into 3M software. +… more
- Molina Healthcare (Queens, NY)
- …achieving established goals improving Molina's enrollment growth objectives encompassing Medicaid programs. Works collaboratively with key departments across the ... "choice" rate. Works collaboratively with other key departments to increase the Medicaid assignment percentage for Molina. + Works closely with other team members… more
- Point32Health (Boston, MA)
- …The Postdoctoral Fellow will participate in studies that evaluate the effects of Medicaid policies and health care delivery models on access to and quality of ... proficient in Stata and/or SAS. Experience or interest in maternal health, Medicaid policy, and/or safety-net health systems is strongly preferred. The candidate… more
- Deschutes County (Bend, OR)
- …excluded (or Opt-out) from participation in the federal health care programs ( Medicaid , Medicare and other federally funded programs that provide health benefits); ... services must be eligible to be enrolled in Oregon Medicaid as a MH Provider within the first 30...Specialist II, Licensed, Deschutes County's Mental Health providers serving Medicaid members must be enrolled with the Oregon Health… more
- New York State Civil Service (West Seneca, NY)
- …may be barred from appointment.You are responsible for payment of all required fees. Medicaid and Medicare: In order to be eligible for appointment and to maintain ... or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any...for your services to be billed through Medicare and Medicaid . If you are appointed and lose the ability… more
- CareFirst (Washington, DC)
- …Market Operations provides leadership for the operation of a single jurisdiction Medicaid program including the strategic direction for the development and expansion ... to deliver the overall strategic plan for a single jurisdiction Medicaid program. Through collaboration with matrix leaders in marketing, finance, government… more
- MyFlorida (Largo, FL)
- …Health Insurance Billing (Long-term care). + Experience in Statewide Managed Care Medicaid program rules and regulations. + Experience in payment posting. POSITION ... follows: + Produce and maintain monthly billing for all Medicare A&B, Medicaid , and Medicaid Managed Care, 3rd party commercial insurers, and any other payor,… more
- University of Rochester (Rochester, NY)
- …+ Identify and confirm uninsured and underinsured patients for appropriate referral to Medicaid Enrollment & Outreach for possible Medicaid application and /or ... resources and investigational skills to solve unique and complex problems. + Re-check Medicaid eligibility every 30 days for active coverage. + May train or perform… more
- Centene Corporation (Austin, TX)
- …candidate will have:_** + **_Knowledge of Dual contract requirements (eg, Medicare- Medicaid plans)_** + **_Experience managing external audits and communicating with ... + Manage approval and submission of timely and accurate D-SNP State Medicaid Agency ("SMAC") contract and regulatory required report deliverables not limited to… more