- COOLSOFT (Raleigh, NC)
- Stakeholders Medicaid Operations Experience Analyst (Jobs in Raleigh, NC) Requirement id 155875 Job title Analyst Job location in Raleigh, NC Skills ... required Application Systems Analyst, Data Exchange, Trouble Shooting PC, Stakeholders Medicaid Operations Experie Open Date 07-Nov-2025 Close Date Job type… more
- Staffing Solutions Organization (Albany, NY)
- …which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor 1 in Albany, NY** **Division of Program Development & Management ... knowledge and implementation. The BASP is seeking a passionate Medicaid Program Advisor to support the team in its...the Health Home Program team to support Health Home operations and program initiatives as follows: + Serves as… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- About the Department The Finance & Operations department brings insights and intelligence to inform decision making & drives digitalization and business solutions to ... attain NNI goals. Finance & Operations works closely across the organization to guide enterprise-wide...not limited to Managed Care, and Medicare Part D, Medicaid as well as current and future Healthcare Reform… more
- Merck & Co. (North Wales, PA)
- Job DescriptionThis role is part of National Contract Operations and Supply Chain (NCOSC), which delivers end-to-end services that enable affordable patient access, ... system - including pharmacy benefit managers (PBMs), health plans, state Medicaid agencies, pharmacies/wholesalers, and infusion companies - for our Company's… more
- Commonwealth Care Alliance (Boston, MA)
- …not required for the job. **Required Experience (must have):** + 5+ years + Experience with Medicaid and Medicare products and programs + Experience or ... behavioral health, and/or social needs. + Strong understanding of **Medicare, Medicaid (MassHealth), and dual-eligible program operations ** , including… more
- Staffing Solutions Organization (Albany, NY)
- …eligibility and claims systems. + Take the appropriate actions regarding Medicaid enrollment and premium reimbursement. + Understand the Medicare Savings Program ... as it applies to NY Medicaid . + Demonstrate systems processes for new employees and...processed. + Calculate monthly unit statistics and provide to operations management for inclusion on routine production reports. +… more
- Commonwealth Care Alliance (Boston, MA)
- …related field preferred. Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Value-based program ... demonstrated ability to handle multiple projects. - Strong understanding of Medicare, Medicaid , duals program, and health plan operations , including regulatory… more
- Commonwealth Care Alliance (Boston, MA)
- … operations , and compliance standards. - Partner with internal stakeholders to ensure educational initiatives support system-wide consistency and continuous ... experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery… more
- Commonwealth Care Alliance (Boston, MA)
- …cross-functional projects and meeting deadlines. + Strong understanding of Medicare, Medicaid , duals program, and health plan operations , including regulatory ... foster strong, collaborative relationships with provider partners serving dual-eligible (Medicare- Medicaid ) members. This role ensures providers are well-informed, engaged,… more
- Abt Global Inc. (Durham, NC)
- …to inform strategic decision-making. + Leverage deep functional expertise in digital operations to effectively engage key customers and stakeholders across ... Solutions Principal focused on the Centers for Medicare and Medicaid Services (CMS), you will be responsible for developing...share across the CMS organization. Specifically, you work with stakeholders across the enterprise to lead the design and… more
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