- Insight Global (Raritan, NJ)
- …in business discipline or related field. * Experience in Medicaid , Rebate Management, and/or compliance is preferred. Knowledge and understanding of product, ... to the Senior Manager, and will oversee the critical operational aspects of Medicaid Payments. The Contractor will provide oversight on all issues relating to rebate… more
- Public Consulting Group (Sacramento, CA)
- …of their user base. Services: + Strategy, Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance **Duties and ... key stakeholders + Provides IT job duties which include Business and Technical Leadership, System Analysis, Code + Development,...of relevant industry experience + Public sector experience + Medicaid experience + Must be located in the western… more
- CVS Health (NJ)
- …we do it all with heart, each and every day. **Position Summary** The Sr. Business Analyst supports Medicaid Enrollment Operations by making data accessible ... for improvement. Collaboration with cross-functional teams is key to understanding business needs and delivering data-driven solutions. Ideal candidates bring a… more
- Koniag Government Services (Chantilly, VA)
- **Koniag Services (KSI),** a Koniag Government Services company, is seeking a Medicaid Provider Evaluation Analyst to support KSI and our government customer. ... paid time off, and more. We are seeking a highly skilled and motivated ** Medicaid Provider Evaluation Analyst ** with knowledge and experience in state … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... business process and technical workflow documents. + Understand Medicaid risk score methodology, including risk score calculation, financial risk receivable… more
- Highmark Health (Tallahassee, FL)
- …thinking to identify business needs for growing and sustaining the Medicaid business . Apply SME knowledge and oversee multiple teams' activities related ... :** enGen **Job Description :** **JOB SUMMARY** Support enGen's Diversified Business Solutions leadership in strategic activities to expand IT capabilities for… more
- Centene Corporation (Sacramento, CA)
- …role have the flexibility to work remotely. Due to the needs of the business , work schedule is Pacific Standard Time zone.** **Welcome to Centene!** At **HeathNet,** ... we're seeking a finance professional with strong **FP&A** expertise with ** Medicaid industry experience** to deliver strategic insights and drive operational… more
- CVS Health (Chicago, IL)
- …Brief Overview** + Provide actuarial support for the **Texas and Oklahoma Medicaid ** plans. + Performs actuarial functions by applying expanded quantitative skills ... solutions and demonstrate an advanced understanding of actuarial concepts and business acumen. + Set own priorities within pre-established overall deadlines. +… more
- Commonwealth Care Alliance (Boston, MA)
- …TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective claims auditing and clinical ... that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and… more
- Humana (Olympia, WA)
- **Become a part of our caring community and help us put health first** The Medicaid Data and Reporting Analyst integrates data from multiple sources to produce ... requested or required data elements. This role will support our Medicaid Clinical operations in multiple markets. This role manages recurring reporting, state… more
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