- Ascendis Pharma (Princeton, NJ)
- …+ Familiarity with government pricing implications ( Medicaid , 340B, Medicare Part D ) is a plus. + Excellent project management, analytical, and ... their skills. Position Summary: We are seeking a highly motivated Senior Manager (Contractor) to support our Contracting Operations function within the Market Access… more
- Molina Healthcare (GA)
- …the root cause of challenges. + Works with the business and project development teams to assess and recommend the appropriate configuration design, solutions, ... procedures and guidelines for the Configuration team. + Provides status reports and project updates to management and stakeholders. + Ensure staff have all the… more
- Molina Healthcare (NM)
- …(EOE) M/F/ D /V. Key Words: health care, insurance, health insurance, Medicaid , Medicare, health coach, community health advisor, family advocate, health educator, ... membership growth and retention for Molina Healthcare of New Mexico Medicaid . + Build and maintain relationships with community-based organizations and healthcare… more
- Molina Healthcare (Akron, OH)
- …(EOE) M/F/ D /V. \#PJHPO Key Words: Community Connector, Nonclinical Case Manager , Care Manager , Community Engagement, CHW, Community Health Worker, Public ... you will also work on telephonic population health initiatives such as supporting Medicaid members that have a waiver, making outreach to Medicaid members… more
- Molina Healthcare (Layton, UT)
- …and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and ... adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either… more
- Molina Healthcare (Dayton, OH)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + Familiarity with Medicaid -specific Scorable ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Molina Healthcare (San Bernardino, CA)
- …goals improving Molina's enrollment growth objectives, with primary responsibility for Medicaid . Works collaboratively with key departments across the enterprise to ... rate. Works collaboratively with other key departments to increase Medicaid assignment percentage for Molina. + Provides leadership for...model. May also serve as the Acting Supervisor or Manager for the team upon management request. + Responsible… more
- Molina Healthcare (Yonkers, NY)
- …intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid ) Executes health plan's member and community quality focused interventions ... by facilitating/building strategic relationships with community-based organizations + Evaluates project /program activities and results to identify opportunities for improvement… more
- City of New York (New York, NY)
- …provided are intensive case management, direct linkages to Cash Assistance, Medicaid , Supplemental Nutrition Assistance Program (SNAP), Long Term Care. Homemaking, ... maintain stable, healthy lives. Under the direction of the HASA Regional Manager , with latitude for independent judgment, initiative and decision-making the Center… more
- UNC Health Care (Chapel Hill, NC)
- …Integrity Program. This position will rep ort to the Health Care System Manager of Revenue Integrity and Charge Master. Additionally, the Coordinator is responsible ... ICD, Revenue Codes, modifiers, billing, regulations and guidelines (Medicare, Medicaid , third-party billing rules, coverage, payment, and compliance) required.… more