- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare(CM), Division of Plan Data (FCHGF). As a ... and Part D information systems. Negotiate schedule, cost, and deliverables with project teams, functional activity groups, and business partners within and outside… more
- TEKsystems (Dearborn, MI)
- …8a-5p EST, also rotate holidays Pay: $18/hr. (non-negotiable) Start date: 11/24/2025, 4 month project , but can go perm if you do well! Must haves: + Prior experience ... checks and verification in accordance to Centers for Medicare & Medicaid services, verifying insurance, benefits, coverage & eligibility, completing assigned… more
- Elevance Health (Wallingford, CT)
- …data analysis, review and incorporation of relevant literature, collaborative project design, associated data collection activities including extracting and ... an Impact:** + Prepares analytical data sets based on Medicaid claims and authorization data in support of modeling...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Marshfield Clinic (Park Falls, WI)
- …and professional/public organizations. **Preferred/Optional:** Management experience. Project implementation experience. **CERTIFICATIONS/LICENSES** _The following ... excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify… more
- CenterWell (Atlanta, GA)
- …+ 8 or more years of technical experience + 2 or more years of project leadership experience + Licensure requirements of the state of jurisdiction + Graduate of ... and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to five...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Penn Medicine (Plainsboro, NJ)
- …Affairs Coordinator, working under the direction of the Regulatory Affairs Manager , will assist the organization to maintain compliance with standards and ... regulations for the Center for Medicaid and Medicare Services, NJ Department of Health, The...Clinical experience in Neuroscience Nursing or clinical quality / project management experience + Masters degree and 5+ years… more
- Elevance Health (Winston Salem, NC)
- …spend and improve member and client outcomes. + Complete a year-long project targeted at improving member care through proper medication management. + Perform ... weekly clinical prior authorizations and coverage determinations for Medicaid and Medicare. + Participate in the pharmaceutical care management process through… more
- Qualtrics (Seattle, WA)
- …1. Healthcare Regulatory products require attention to detail. Center for Medicaid and Medicare Services guidelines and Qualtrics products are often orthogonal ... in letting our teams choose the stack on each project , allowing engineers to experiment and learn new, up...personalized Career Action Planning. You will work with your manager to design a plan based on your life… more
- Marshfield Clinic (Marshfield, WI)
- …and ability to clarify performance targets and objectives to drive project and process improvement strategies. **Education Details** Bachelor of Science degree ... excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify… more
- Dayton Children's Hospital (Dayton, OH)
- …responsible for the improvement of health of approximately 120,000 children on Medicaid throughout West Central Ohio. The Population Health Specialist plays a ... improvement in patient outcomes. This position reports directly to the Manager of Population Health Integration and provides support across multiple clinical… more