- Humana (Springfield, IL)
- …a part of our caring community and help us put health first** The Senior Data and Reporting Professional generates ad hoc reports and regular datasets ... data warehouse queries and scripts. The Senior Data and Reporting Professional work...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Lincoln, NE)
- …a part of our caring community and help us put health first** The Medicaid Process Improvement Professional 2 is responsible for analyzing and evaluating the ... and regulatory standards. Assignments are varied and often require interpretation of Medicaid -specific policies and data . The role demands independent judgment… more
- Humana (Louisville, KY)
- …be a data scientist, financial analyst, economist, or other analytical professional ; though experience in Medicaid or government healthcare programs is ... health outcomes, optimized cost performance and measurable program value across Medicaid . This executive leverages advanced analytical, data science, and… more
- Staffing Solutions Organization (Albany, NY)
- …use Salient Interactive Miner, MAPP Health Home Tracking System (HHTS), PSYCKES, and the Medicaid Data Warehouse (MDW) to complete data requests internally + ... of program operations and/or policy development such as cost reporting and access to member level data ...Learns to use Salient Interactive Miner, PSYCKES, and the Medicaid Data Warehouse (MDW) to complete … more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) in Albany, NY** **Division of Eligibility & ... **50% Onsite 50% Remote** **Duties:** + Apply knowledge and experience of Medicaid regulations, program policy, current system design and integration with other… more
- Health Care Service Corporation (Richardson, TX)
- …clients., large employers, brokers, or consultants. + 7 years experience requiring data analysis and information reporting relating to healthcare data ... and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for planning, managing and… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) in Albany, NY** **Division of Eligibility & ... Marketplace Integration (DEMI) Executive Team** **50% Onsite / 50% Remote** **Summary:** The Medicaid Program Advisor will be part of an executive team of SSO/PCG… more
- Commonwealth Care Alliance (Boston, MA)
- …+ Certified Professional Coder (CPC) - AAPC + Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing-related certifications **Required ... Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports...& Abilities (must have):** + Proficiency with Excel and reporting tools for data analysis. + Understanding… more
- Staffing Solutions Organization (Albany, NY)
- …which is a reflection of our clients and the people they serve. ** Medicaid Program Manager 2 in Albany, NY** **Division of Eligibility & Marketplace Integration ... current support for the development and introduction of a new, modern Medicaid eligibility and enrollment system to support certain populations who currently have… more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Senior Data & Reporting Professional tests the overall network in each county of ... requires an in-depth evaluation of variable factors. The Senior Data & Reporting Professional begins...Adequacy requirements and process optimization, primarily focusing on the Medicaid line of business, with a deep understanding of… more
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