- CVS Health (Lansing, MI)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Medicaid Provider Operations Support (MPOS) team will serve as ... through the designated Liaisons for each scope within MPOS. **Expectations of Medicaid Provider Operations Support :** + Provides guidance to all… more
- Humana (San Juan, PR)
- …+ Team representative and presenter for various Medicaid committee meetings (ex; operations , quality, etc.). + Support pilot and proof of concept contracts. ... community and help us put health first** The Procurement Lead; Medicaid generates and implements efficient sourcing and category management strategies. Manages… more
- Humana (Boston, MA)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support ... Engineer will be primarily responsible for implementation, maintenance and support of Medicaid provider reimbursement...closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and… more
- MyFlorida (Tallahassee, FL)
- …for all Florida Medicaid Waivers. Prepare data and perform analysis necessary to support Medicaid operations and Medicaid expenditures for quarterly ... Analytics as we gather, explore, and examine data to provide meaningful and impactful analyses that shape the future...Systems and MS SQL Server. - Knowledge of Florida Medicaid operations . - Knowledge of the methods… more
- Guidehouse (Atlanta, GA)
- …and human services programs, including Medicaid Systems, Medicaid policy, Medicaid managed care, Medicaid program operations , program improvement and ... IT programs or consulting experience, including at least 2+ years supporting Medicaid MMIS implementations or Maintenance and Operations (M&O). + Familiarity… more
- DATAMAXIS (Springfield, IL)
- …guidance and direction to support a large data warehouse implementation and operations . The selected SME will provide the required decisions for the business ... Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations . * With the… more
- Commonwealth Care Alliance (Boston, MA)
- …on edits implemented. + Utilize data to examine large claims data sets to provide analysis and reports on existing provider billing patterns as compared to ... 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 (Indianapolis, IN)
- …program. Humana Healthy Horizons in Indiana market includes both Waiver programs, which provide long-term services and support to eligible individuals, and Dual ... enhancing and further developing relationships with stakeholders throughout the state. The Medicaid President manages the development, operations , and results of… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Medicaid Contracting Bureau Chief Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5115433) Medicaid Contracting Bureau Chief Salary $98,009.60 ... Number 26-00746 Agency 400 Health & Human Services - Medicaid Opening Date 10/17/2025 Closing Date 11/2/2025 11:59 PM...to join our team! The Contracting Bureau Chief oversees operations related to procurement and execution of service agreements… more
- MyFlorida (Jacksonville, FL)
- …to programmatic functions of the iBudget Waiver program, and in working with Medicaid waiver support coordinators. The Work You Will Do Processes documentation ... within the established policy and procedures. Performs duties to support the Regional Medicaid Waiver Unit, including...year. Resumes and other documentation can be attached to provide additional information but will not replace the required… more