- Centene Corporation (Columbus, OH)
- …improves member health outcomes, and aligns with Centene and the Ohio Department of Medicaid . + Lead population health initiatives with a strong focus on ... the direction of Centene and the Ohio Department of Medicaid . While the primary focus is on Medicaid...the VP will also collaborate with organizational partners who lead Medicare and Marketplace initiatives to ensure alignment and… more
- Highmark Health (Camp Hill, PA)
- …navigating the complexities of state-level regulations and contracting processes. + ** Medicaid Strategy & Execution:** Lead the development and implementation ... relations and contracting efforts. This encompasses a broad portfolio including Medicaid , TRICARE Dental Program (TDP), and Active Duty Program (ADDP) contracts.… more
- Commonwealth Care Alliance (Boston, MA)
- …* Maintain up-to-date knowledge of and compliance with CMS, NCQA and state Medicaid requirements. * Lead preparation for internal and external audits (eg ... (eg InterQual, CMS NCDS & LCDs) medical necessity guideline development. * Ability to lead audit readiness efforts and ensure compliance with CMS, NCQA and state … more
- Staffing Solutions Organization (Albany, NY)
- …Program needs and Policy changes to ensure reporting requirements, performance goals and Medicaid compliance. e. Lead the collaboration required to develop and ... including internal and external customers, data engineers, analysts, developers, and Medicaid Program stakeholders to ensure the creation of high quality, accessible… more
- AdventHealth (Altamonte Springs, FL)
- …adjusting or adapting messaging for different stakeholders. + Participates in and/or lead special projects as assigned. DIRECT REPORTS Medicaid Team **The ... Springs, FL **The role you will contribute:** This position leads AdventHealth's Medicaid reimbursement process across the entire company focusing on supplemental … more
- New York State Civil Service (Mineola, NY)
- …HELP No Agency Attorney General, Office of the Title Attorney: Prosecute Medicaid Fraud/Nursing Home Abuse (3818) Occupational Category Legal Salary Grade NS ... State NY Zip Code 11501 Duties Description Criminal Justice Division Medicaid Fraud Control Unit-Hauppauge (Suffolk County) Special Assistant Attorney General… more
- New York State Civil Service (Pearl River, NY)
- …HELP No Agency Attorney General, Office of the Title Attorney: Prosecute Medicaid Fraud/Nursing Home Abuse (3830) Occupational Category Legal Salary Grade NS ... River State NY Zip Code 10965 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - Pearl River (Rockland County)Special Assistant Attorney… more
- The Cigna Group (St. Louis, MO)
- **POSITION SUMMARY** The Medicaid /Marketplace Client Strategy Senior Advisor serves as the primary contact for Medicaid /Marketplace strategic initiatives and ... market development. You will become a subject matter expert (SME) on Medicaid /Marketplace pharmacy benefits, Express Scripts Programs and Products, and State and… more
- UNC Health Care (Eden, NC)
- …ensure adherence to all applicable healthcare regulations and standards (HIPAA, Medicare/ Medicaid , JCAHO). Lead the development and implementation of policies ... resolve conflicts and disagreements in a constructive manner. **Leading People:** Lead people toward meeting the organization's vision, mission, and goals. Provide… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Compliance and Investigations Manager** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ID** : 89348 + ... location to be eligible for telework._** **_*Approximately, 10% travel._** The Medicaid Compliance and Investigations Manager is responsible for providing oversight… more
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