- Elevance Health (Wilmington, NC)
- We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... needs are met and ensure compliance with state/federal health plan requirements, Medicaid guidelines, and health plan requirements. **How you will make an impact:**… more
- Elevance Health (Mason, OH)
- …working with data science, healthcare analytics, and compliance oversight supporting Medicare, Medicaid , and Commercial lines of business. **How you will make an ... and NLP methods to various structured and unstructured data across Medicare, Medicaid , and Commercial programs. + Writes and optimizes complex SQL queries to… more
- Molina Healthcare (Queens, NY)
- …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
- Excellus BlueCross BlueShield (Rochester, NY)
- …the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and coordination with the BCBS Association ... Maintains accurate and up-to-date knowledge of all Government Programs regulations ( Medicaid , Medicare, Federal Employee Program, New York State Department of… more
- Molina Healthcare (Snohomish, WA)
- …social services, and community resources. (Bonus, but not required in Managed Care, Medicaid , Health Plan or Health Insurance etc..) + Previous experience in a ... such as homeless shelters, etc.) + Participates in ongoing or project -based activities that may require extensive member outreach (telephonically and/or… more
- Adams County Government (Brighton, CO)
- …Salary $53,934.40 - $62,025.60 Annually Location Brighton, CO Job Type Project -Designated Full-time Job Number 07210 Department Public Health Department Division ... community engagement. Community Health Worker-Re-Entry + This is a project designated position with funding expected to end June...related to identified needs. + Assist with enrollment in Medicaid . + Build rapport with individuals in a respectful… more
- The MITRE Corporation (Mclean, VA)
- …Department is primarily responsible for MITRE's work program across the Center for Medicaid and CHIP Services (CMCS) and the Center for Consumer Information and ... of technical thought leaders. Working closely with the Department Manager , the Department CE is a core member of...quality and impact of technical deliveries. + Work across project teams to resolve quality issues. + In partnership… more
- Humana (Boston, MA)
- …Time. The Senior Enterprise Transformation Professional supports Humana's insurance segment as a project manager and is responsible for managing all phases of ... and initiatives. We are seeking a dynamic and experienced project leader to join our Shared Services team to...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Manager , Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with ... risk by upholding compliance standards. Under limited supervision from the Manager , Revenue Integrity or other more senior Revenue Integrity leaders, the… more
- The Salvation Army (Syracuse, NY)
- …here at The Salvation Army. As the SCC you will serve as both care manager and coordinator for the Salvation Army's participation in the Social Care Network (1115 ... Waiver). Social Care Coordinator is the direct point of contact for Medicaid Members with ongoing HRSNs (health-related social needs) and is responsible for… more
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