- CVS Health (Columbia, SC)
- …all with heart, each and every day. **Position Summary** + Lead a team of Medicaid Provider Data Services Analysts responsible for loading and maintaining ... Medicaid Provider data within Aetna QNXT. + Team...Medicaid Provider data within Aetna QNXT. + Team...or Network operations. + 1+ years of experience in Medicaid provider operations. + At least 1… more
- Humana (Annapolis, MD)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... be primarily responsible for implementation, maintenance and support of Medicaid provider reimbursement for hospitals and facilities....EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat… more
- CVS Health (Annapolis, MD)
- … Manager of Claims Management is responsible for overseeing Medicaid claims operations, inventory management, quality assurance, and compliance monitoring. This ... federal regulations, contractual requirements, and organizational performance standards. The manager partners cross-functionally with Provider Relations, Configuration,… more
- NTT DATA North America (Montgomery, AL)
- …an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Project Manager - PMP Certified to join our team in ... **Req ID:** 349933 NTT DATA strives to hire exceptional, innovative and passionate...organization, apply now. We are currently seeking a Project Manager to join our team in Montgomery Alabama. This… more
- Humana (Tallahassee, FL)
- …Consumer Service Operations is responsible for the daily activities for Florida Medicaid Contact Center Operations. The Manager , Consumer Service Operations ... up to 200+ associates and leaders supporting the Florida Medicaid plan. The manager will oversee strategic...guarantee prompt resolution of inquiries, follow ups, and calls. Provide education and details about benefits provided by the… more
- Molina Healthcare (ID)
- …as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor health plan performance… more
- Prime Therapeutics (Santa Fe, NM)
- …our passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior ... Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
- MyFlorida (West Palm Beach, FL)
- …needed regarding new/ongoing policies. Provides feedback on Waiver Support Coordinator and Medicaid Waiver provider scorecards as requested. Ensures current and ... MEDICAID WAIVER SUPERVISOR - 67013921 Date: Dec 15,...processes by ensuring submissions made to the Regional Operations Manager and Deputy ROM for approval follow the Agency… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …selected. **How you'll spend your day** + Work with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter ... and review to ensure completeness of information received. Upload data into Medicaid systems and authorize transactions....for key findings and changes to state programs. + Provide backup for Medicaid team members in… more
- NTT DATA North America (Montgomery, AL)
- …processes and performance metrics + Analyzes source systems and identifies potential data gaps + Provide project management support, including: + Scope ... **Req ID:** 349932 NTT DATA strives to hire exceptional, innovative and passionate...forward-thinking organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery,… more