- Elevance Health (Cincinnati, OH)
- …join our team and drive the achievement of value-based care in the Medicare, Medicaid , and Commercial lines of business. The ideal candidate will be responsible for ... and optimizing quality and cost performance. + **Collaboration and Facilitation:** Lead collaborative meetings with provider staff and internal stakeholders to… more
- Gentiva (Altoona, PA)
- **Overview** **Advance Hospice Care. Lead Clinical Excellence. Inspire Compassionate Teams.** **RN Clinical Manager - Hospice - FT - Mon-Fri - 8a-5p** + **Minimum of ... to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid , JCAHO, ACHC)** We are seeking a dedicated Patient Care Manager… more
- TEKsystems (Reno, NV)
- …extend or convert? Yes Assignment Duration (in months) 12 Months Recently awarded state contract with Medicaid . Need additional help to support increased ... Compliance training day 1 -duration week and a half before shadowing. Medicaid education Silversummit education What to say/not to say Shadowing Schedule will… more
- Truecare Homecare Agency (Brooklyn, NY)
- …and agency profitability. + Audits + Coordinate and prepare all documentation for state DOH, Medicaid , Managed Care Organizations, or accreditation body audits. ... home health, nursing home or hospice care. + Strong knowledge of HIPAA, Medicare/ Medicaid regulations, and state licensing requirements + Proven knowledge of… more
- Centene Corporation (Jefferson City, MO)
- …and reporting meet federal and state mandates, including CMS and state Medicaid program requirements. + Oversee the intake, triage, investigation, and ... government agency, or consulting firm required. + Deep knowledge of federal and state health programs (Medicare, Medicaid ) and FWA regulatory frameworks (eg,… more
- NTT America, Inc. (San Juan, PR)
- …the long-term success of the reengineering effort. **Job Responsibilities Include:** + **Current- State Analysis:** Lead the analysis of PRMP's current business ... workflows, identifying inefficiencies and compliance risks, and proposing actionable future- state recommendations that align with agency objectives and regulatory… more
- Humana (Salem, OR)
- …health first** Join Humana's Enterprise Architecture team to help modernize our technology landscape and deliver real business impact. We design, guide, and ... implement technology solutions that improve experience and outcomes for over...solutions with business priorities and deliver measurable outcomes. + Lead modernization efforts, including re-architecting legacy systems, driving cloud… more
- Fair Haven Community Health Care (New Haven, CT)
- …behavioral health, maternal health). + Support grant/reporting deliverables (HRSA, state Medicaid , payers) with audit-ready datasets and documentation. ... work experience. + Master's degree in the field of analytics, technology , informatics, or business administration and Tableau Certified Data Analyst, Google… more
- CVS Health (Harrisburg, PA)
- …and every day. **Program Summary** Join our Aetna Care Management team as we lead the way in providing exceptional care to dual eligible populations! You will have ... Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you will collaborate with members, the… more
- ChenMed (St. Petersburg, FL)
- …social needs and resources available in community resource database. ** Medicaid and other benefit eligibility assessments:** + Conducts appropriate assessment ... of needs and financial benefit eligibility. + Assesses patients for Medicaid criteria and assists with application process as needed. + Assists patients to obtain… more