• LTSS Program Specialist, Hybrid

    Commonwealth Care Alliance (Boston, MA)
    …management, (c) coordination of onboarding and training of related CBO staff, (d) data review, reporting and analysis, and (e)assistance to these external ... in meetings/calls with ASAPs and LTSC Agencies * Performance reporting / data management support o Link with CCA's...that CCA implements. * Working knowledge of Medicare and Medicaid (MassHealth) * Familiarity with and full support of… more
    Commonwealth Care Alliance (10/18/25)
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  • Director, Government Pricing (Managed Markets…

    Ascendis Pharma (Princeton, NJ)
    …of monthly, quarterly, and annual GP reports to CMS, VA/DoD, and state Medicaid agencies, and any programs requiring price reporting , per legislative ... Guide the design and enhancement of automation tools and dashboards to streamline data aggregation, analytics, and executive reporting for government pricing +… more
    Ascendis Pharma (09/30/25)
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  • Admission Specialist

    WestCare Foundation (Milwaukee, WI)
    …+ Knowledge of WestCare Mission, goals and values + Knowledge of Incident Reporting + Knowledge of HIPAA, Professional Ethics, Consumer Rights and ... + Maintain proper balance regarding source of payment (fee for service, Medicaid , public, private, and third-party payers) + Responsible for educating clients on… more
    WestCare Foundation (10/23/25)
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  • Lead Analyst, Payment Integrity - REMOTE

    Molina Healthcare (Columbus, GA)
    …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** ... Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits,… more
    Molina Healthcare (11/20/25)
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  • Payment Integrity Program Manager - Health Plan…

    Molina Healthcare (Carson City, NV)
    …goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits & ... with finance and compliance to develop business cases and support reporting that ties operational outcomes to financial targets. **Applied Analytical Support**… more
    Molina Healthcare (10/30/25)
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  • Client Care Coordinator

    Wheeler Clinic (Hartford, CT)
    …position provides timely and accurate completion of all DOC or CSSD-related correspondence, reporting and data entry as required by program, and may maintain ... data in CDCS as required. The Client Care Coordinator...system, adhering to contract guidelines. If program specified, tracks Medicaid application process via CSSD Reporting system… more
    Wheeler Clinic (11/11/25)
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  • Program Manager, LTSS Contract Operations

    Commonwealth Care Alliance (Boston, MA)
    …and outcomes, and leads performance evaluation and improvement efforts. Through reporting , data analysis, and partnership management, the LTSS Program ... and data accuracy, including roster reconciliation, payment processes, and reporting . + Manage special projects related to program development, process redesign,… more
    Commonwealth Care Alliance (11/19/25)
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  • Federal Audit Contract Coordinator / Human…

    State of Minnesota (St. Paul, MN)
    Medicaid program -Third party liability and benefit recovery principles -Minnesota Medicaid Information System (MMIS) and the Data Warehouse -Minnesota ... Status** : Classified + **Bargaining Unit/Union** : 214 - MN Assoc of Professional Empl/MAPE + **FLSA Status** : Exempt - Administrative + Designated in Connect… more
    State of Minnesota (11/08/25)
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  • Clinical Business Operations Representative 3 (H)

    University of Miami (Miami, FL)
    …and guarantor. + Keeps updated with coding guidelines and reimbursement reporting requirements. + Obtains Medicaid / HMO/MediPass authorizations and referrals ... Representative 3 (H) assists patients in a courteous, efficient and professional manner and ensures adherence to divisional and departmental service standards.… more
    University of Miami (10/11/25)
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  • Utilization Management Manager

    State of Indiana (Indianapolis, IN)
    …management subject-matter expert in health care delivery, develops utilization management reporting requirements for all Medicaid programs, including managed ... management for the purpose of quality assurance in Indiana Medicaid . In this role, you will ensure Indiana ...care and analyzes and evaluates the reporting to determine impact on members and providers as… more
    State of Indiana (11/20/25)
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