• Medicaid State Data…

    Guidehouse (Arlington, VA)
    …seeking Consultants with experience and knowledge of validating, loading, processing and analyzing Medicaid data and detailed member data across various ... analyses will be leveraged to help inform work with state Medicaid , public health or state...stay abreast of states' healthcare transformation efforts + Perform data and qualitative research activities to address state… more
    Guidehouse (07/31/25)
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  • Medicaid Managed Care Senior…

    Abt Global Inc. (Cambridge, MA)
    …workstreams, complex technical teams, subcontractors) related to Federal Medicaid and Medicaid managed care required. State experience is not required but a ... is what we do every day at Abt. Advancing data -driven innovations is no small task, but we are...your chance. **The Opportunity** Abt Global seeks a Senior Associate with deep policy and management consulting experience relevant… more
    Abt Global Inc. (08/01/25)
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  • Medicaid Managed Care Senior Analyst/…

    Abt Global Inc. (Durham, NC)
    …and program implementation and monitoring + Experience working on projects related to Medicaid and managed care required. State experience is not required but ... is what we do every day at Abt. Advancing data -driven innovations is no small task, but we are...Now's your chance. **The Opportunity** Abt Global seeks an Associate with policy and management consulting experience relevant to… more
    Abt Global Inc. (08/01/25)
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  • Medicaid Quality Control Case Review…

    City of New York (New York, NY)
    …the need for corrective action plans and/or training. MAQC also ensures the Medicaid programs' continuous adherence to state and federal regulations. State ... findings. MAQC is recruiting for (1) one Principal Administrative Associate , who will function as a Medicaid ...Control Case Reviewers are complete and accurate. - Compile data related to Medicaid eligibility determination errors… more
    City of New York (07/05/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Santa Fe, NM)
    …an impact** **Required Qualifications** + 3+ years of experience researching state Medicaid hospital reimbursement methodologies that utilize MS-DRG, APR-DRG, ... Experience with Optum WebStrat or PSI applications + Experience interacting with a State Medicaid or Federal government agency + Intermediate Microsoft Access… more
    Humana (07/29/25)
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  • Senior Director Federal National Accounts…

    Teva Pharmaceuticals (Parsippany, NJ)
    …for the negotiation of Teva's biosimilar and brand portfolio products across State Medicaid and Federal National Accounts. The position is responsible ... and that strategies are built/adjusted accordingly. Account customer types may include; State Medicaid Programs, Pharmacy Benefit Administrator (Pools), the VA,… more
    Teva Pharmaceuticals (07/24/25)
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  • Strategy Advancement Advisor ( Medicaid )

    Humana (Pierre, SD)
    …social determinants of health data to create a foundational understanding of a state 's health care and Medicaid landscape. + Works with Market VP, Business ... presence for Humana Healthy Horizons and prepares markets for upcoming bids for state Medicaid managed care programs. The Strategy Advancement Advisor works with… more
    Humana (07/25/25)
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  • Director of Provider Services - Medicaid

    Humana (Raleigh, NC)
    …and help us put health first** THIS POSITION IS DEDICATED TO NORTH CAROLINA MEDICAID PLAN AND THE IDEAL CANDIDATE MUST RESIDE IN NORTH CAROLINA. The North Carolina ... Medicaid Provider Services Director leads a team that is...business functions, representing the team at meetings with the state and/or key provider groups, and overseeing that all… more
    Humana (07/29/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Charleston, WV)
    …ensuring all stakeholders are aligned and informed, including new functionality needs, data connections, adaption to changing state regulations and the like. ... understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; Medicaid preferred +… more
    Humana (07/15/25)
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  • Facilitator of Related Services…

    Pulaski County Special School District (Little Rock, AR)
    …Two years in a supervisory role preferred + Extensive knowledge of Arkansas Medicaid Reimbursement REPORTS TO: Director of Special Education JOB GOAL: Assist the ... Director and Associate Director of Special Education with the coordination of...provide direct therapy services and provide leadership/management of all Medicaid reimbursement programs. PERFORMANCE RESPONSIBILITIES: + Planning, developing and… more
    Pulaski County Special School District (06/03/25)
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