- Centene Corporation (Tallahassee, FL)
- …and operationalize new or changing requirements (eg, SLAs, reporting). + Oversee project plans and track key milestones for claims readiness, including readiness ... 3+ years management experience required. Regulatory knowledge of Medicare, Medicaid , and/or Marketplace required; experience with multiple products preferred. Duals… more
- Edwards Lifesciences (Chicago, IL)
- …or clinics. + Experience with government reimbursement programs, such as Medicare and Medicaid + Excellent project management skills + Strong leadership and ... management skills, with a focus on customer service + Strong knowledge of healthcare reimbursement regulations and guidelines + Excellent communication and interpersonal skills + Ability to analyze and interpret data + Excellent problem-solving skills and… more
- Staffing Solutions Organization (Albany, NY)
- …and policy implementation. **Primary responsibilities include:** + Assisting Bureau Director, Medicaid Program Manager , and Integrated Care Team in designing, ... has the opportunity to create large scale positive change within the Medicaid landscape and learn the inner workings of policy development and implementation.… more
- Molina Healthcare (NM)
- …membership growth and retention for Molina Healthcare of New Mexico Medicaid . + Build and maintain relationships with community-based organizations and healthcare ... + Strong presentation skills and broad knowledge of Nevada Medicaid is helpful. **If you are passionate about community...model. May also serve as the Acting Supervisor or Manager for the team upon management request. + Responsible… more
- Public Consulting Group (Jefferson City, MO)
- …understanding of Medicaid waivers. **Duties and Responsibilities** + Serves as project manager and subject matter expert within the practice including ... . Summary: We are seeking a senior-level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant to join our team. This role involves… more
- Molina Healthcare (Akron, OH)
- …you will also work on telephonic population health initiatives such as supporting Medicaid members that have a waiver, making outreach to Medicaid members ... such as homeless shelters, etc.) + Participates in ongoing or project -based activities that may require extensive member outreach (telephonically and/or… more
- Molina Healthcare (Sterling Heights, MI)
- …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
- Commonwealth Care Alliance (Boston, MA)
- …Program Specialist will have a wide range of responsibilities including project management support, data review, documentation, and assisting external partners. ... interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS Program, this position supports the… more
- DATAMAXIS (Springfield, IL)
- Leadership & Data Governance * Lead project work related to Teradata Database, system administration, and IT/data governance * Coordinate with teams, business ... (DDI) projects. * Lead the overall data management practice for the project . System Administration & Maintenance * Manage and maintain on-prem Teradata systems… more
- MyFlorida (Tallahassee, FL)
- …of FX Program Administration (FX). This position serves as back-up to the TCOE Manager and communicates test information to the FX Enterprise Project Management ... sponsors, internal and external business partners, and the Centers for Medicare and Medicaid Services (CMS) Medicaid Enterprise Systems (MES) liaison during FX… more
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