- Humana (Madison, WI)
- …and serving as the primary financial liaison to the Wisconsin Medicaid agency. **Key Responsibilities** ** Provide market-specific financial leadership, ... WI market trend initiatives for all products within WI Medicaid ** ** Lead financial analytics, scenario planning, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Indianapolis, IN)
- …for the overall strategic direction, oversight, and administration of programs and services for our Medicaid program. Humana Healthy Horizons in Indiana ... market includes both Waiver programs, which provide long-term services and support to eligible...which serve members who qualify for both Medicare and Medicaid . They will lead the state … more
- Louisiana Department of State Civil Service (Lake Charles, LA)
- …seeking a motivated Medicaid Analyst Supervisorto lead a team of Medicaid Analysts and ensure high-quality, accurate service delivery. In this role, you ... and federal policies, support staff with complex cases, monitor case quality, provide in- service training, and handle reviews, investigations, and fair-hearing… more
- Humana (Honolulu, HI)
- …understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid preferred ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Indianapolis, IN)
- …to adapt and the courage to innovate **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical Director ... members in the KY, OH, VA, WI and IN Medicaid market populations. May provide cross-coverage for...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Provider Audits and Investigations Manager** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ... with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes The Department of Human Services (DHS) is unable to provide sponsorship… more
- CVS Health (Chicago, IL)
- …from Providers, such as HEDIS, Revalidation, Grievance and Appeals, SIU, etc. Coordinate provider status information with Member/ Provider Services and other ... + Data & Insights Utilization: Leverage analytics to identify trends, address escalated provider concerns, and enhance service delivery. Assist PE staff to… more
- DATAMAXIS (Springfield, IL)
- …Reporting, quality measures, claims processing, Medicaid program eligibility, provider enrollment, third-party liability. * Understanding of fee-for- service , ... Primary Responsibilities: * Provide direction, guidance and recommendations supporting decision making...and operations. * With the specialized knowledge of the Medicaid and Children's Health Insurance Programs, lead … more
- MyFlorida (Miami, FL)
- …PERSONS WITH DISABILITIES POSITION: Human Services Program Specialist - Career Service WORKING TITLE: MEDICAID WAIVER LIAISON POSITION NUMBER: 67035206 OPEN ... Title: MEDICAID WAIVER LIAISON - 67035206 Pay Plan: Career Service Position Number: 67035206 Salary: $37,264.24 to $40,990.56 Annually Posting Closing Date:… more
- The Cigna Group (St. Louis, MO)
- …connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About ... **POSITION SUMMARY** The Medicaid /Marketplace Client Strategy Senior Advisor serves as the...support our clients. This client-facing position will take a lead role in sales support for current clients. Using… more