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Medicaid Auditor Jobs

Care Coach 1 - Kentucky Medicaid
By Humana At , , Ky
Prior nursing home diversion or long-term care case management experience.
Coordinating services, and monitoring and evaluating the case management plan against the member's personal goals
Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook.
Licensed Practical Nurse (LPN), licensed in the state of Kentucky, with at least 4 years of relevant experience.
Experience with health promotion, coaching and wellness.
Knowledge of community health and social service agencies and additional community resources.
Medicaid Certification Consultant Jobs
By Public Consulting Group At United States
4+ years experience performing performance metrics measurements and reporting to management and executive level staff.
Address problems through risk management and contingency planning
Proficiency in Microsoft applications (Outlook, Word, Excel, PowerPoint, Visio, Project) and project management tools
Demonstrated understanding and knowledge of Medicaid, CMS, SMC/OBC, and MES
5+ years experience performing project oversight and assessments for a large enterprise grade information technology initiative
Demonstrated experience working with SMC/OBC
Auditor, Medicaid Managed Care (Full-Time, Remote)
By Integrity Management Services, Inc. At Alexandria, VA, United States
Typically 2+ years of related experience in finance, accounting, or auditing
Medicaid managed care work experience
Used Unified Case Management (UCM) and One PI Business Objects
Knowledge of the healthcare industry and medical coding concepts (CPT, ICD-9 / 10, DRGs) and/or experience analyzing health care claims data
Bachelor’s degree in finance, accounting, or related field preferred
Intermediate understanding of Medicaid managed care
Senior Operations Executive - Medicaid Expert
By NovumHealth At Florida, United States
Extensive executive leadership experience spanning over 10 years, accompanied by a deep knowledge of the value-based care and/or behavioral health domains
Manage care gaps for members while implementing strategies to drive shared savings through innovative care delivery models
Experience with supervision of healthcare executives or supervision of teams
Demonstrated familiarity with hospitals, healthcare providers, and comprehensive statewide knowledge in the Florida
Exceptional operational skills with a keen eye for detail, ensuring seamless execution of projects and initiatives
Maximize efficiency and productivity by ensuring resources are strategically allocated to support mission-critical objectives through clear communication
Investigative Auditor - Medicaid Fraud
By State of Georgia At Fulton County, GA, United States
Obtains and maintains comprehensive knowledge of operations and reimbursement policies of Medicare and Medicaid programs.
Bachelor's degree from an accredited college or university with a major in accounting, Finance, Economics or Computer Science with data analysis.
Audit experience in medical claims and/or claims data.
Certification as a CPA or a CFE (Certified Fraud Examiner).
To move forward in the recruiting process ALL applicants are required to:
Works with investigative team to plan the financial and audit strategy for criminal and civil fraud investigations.
Auditor Jobs
By Centers for Medicare & Medicaid Services At Woodlawn, MD, United States
Performs analysis and evaluations related to all aspects of accounting, management control and risk management.
ALL QUALIFICATION REQUIREMENTS MUST BE MET BY THE CLOSING DATE OF THIS ANNOUNCEMENT.
Combination of education and experience:
Formulates audit guidelines and develops audit standards for use by audit offices of internal and external stakeholders.
Analyzes audit operations to improve effectiveness through recommending on going modifications.
Identifies and analyzes audit/budget issues and assesses the national impact on providers or audit operations.
Medicaid Project Manager Jobs
By State of Iowa - Executive Branch At Des Moines, IA, United States
Three years of full-time professional-level work experience in program administration, program development, program research/evaluation, or management; and
Effectively comprehend and utilize complex federal requirements, state rules, and department program processes in project design and governance.
Provide agency leadership with data supported business case proposals aligned to meet agency strategic planning andinterconnectedness of programmatic issues.
Provide consolidated tracking and reporting portfolios to provide agency leadership with project status monitoring.
Be proficienct in (Microsoft Office Suite + PowerPoint/SharePoint).
Prioritize work assignments to effectively meet deadlines.
Payroll Auditor Jobs
By Solomon Page At Columbus, Ohio Metropolitan Area, United States
Interacts with associates and all levels of management regarding accuracy of wages, taxes, year-end reporting and W-2 forms.
2-4 years of payroll experience
If you meet the required qualifications and are interested in this role, please apply today.
Ensures accounting distribution and preparation of deductions
Inputs all associate data into the payroll and timekeeping systems.
Auditor Jobs
By Shipley CPA, LLC At Topeka, KS, United States

Auditor with nonprofit and KMAAG governmental experience.

Medicaid Analyst 1-3 Jobs
By Louisiana Department of Health At Shreveport, LA, United States
This position is located within the Louisiana Department of Health / Medicaid Vendor Administration
/ Eligibility Field Operations / Caddo
No Civil Service test score
Medicaid Analyst 1: $16.42/hr.-$1,313.60 bi-weekly
Medicaid Analyst 2: $17.56/hr.- $1,404.80 bi-weekly
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
Medicaid Analyst Supervior Jobs
By Louisiana Department of Health At New Orleans, LA, United States

Supplemental Information This position is located within the Louisiana Department of Health / Medical Vendor Administration / Eligibility Field Operations / Orleans Parish Announcement Number: ...

Systems Processor- Medicaid Jobs
By Blue Cross Blue Shield of Arizona At Phoenix, AZ, United States
Create and maintain accurate inventory reporting for Management
Master the skills and requirements of the Processor position
Facilitate and resolve customer/provider requests and inquiries for all levels of management
Scope of this position includes accountabilities that support the following programs:
Participate in the translation of negotiated contract terms into system and benefit structure
Demonstrate and maintain current working knowledge of the required BCBSAZ systems, procedures, forms and manuals
Gxp Auditor Jobs
By RxCloud At United States
Experience using electronic Quality Management Systems.
Prepare comprehensive audit reports, including findings, recommendations, and action plans for management and key stakeholders.
Excellent knowledge of GxP regulatory requirements.
Ability to understand when issues require escalation to Senior Quality Management.
Develop and implement the global audit strategy, aligning with organizational goals and regulatory requirements.
Collaborate with cross-functional teams, including finance, operations, compliance, and legal, to ensure audit findings are addressed and resolved.
Auditor Jobs
By FedEx Ground At Coraopolis, PA, United States
This position may be in Coraopolis, PA (Suburb of Pittsburgh) or Collierville, TN (Suburb of Memphis)
Relocation assistance may be considered based upon business needs.
Fortune \"World's Most Admired Companies\" - 2021
Forbes \"Best Employers for Diversity\" - 2021
LinkedIn \"Top 100 Companies\" - 2021
TIME \"100 Most Influential Companies\" - 2021
Assistant Auditor Jobs
By The Peoples Bank At Biloxi, MS, United States
Prepare written reports for submission to the Audit Committee, Board of Directors, and Management.
Must possess knowledge of audit and internal control methodology.
Work with Department Heads/Process Managers to document business processes and the identification of key controls.
Engage with Department Heads/Process Managers to remediate ineffective controls.
Perform all duties and responsibilities in accordance with The Peoples Bank policies and procedures.
ESSENTIAL DUTIES AND RESPONSIBILITIES INCLUDE BUT ARE NOT LIMITED TO:
Program Lead - (Medicaid)
By Kepro At Raleigh, NC, United States
5+ years staff/workload management experience required.
Are you an experienced Program Lead looking for a new challenge?
Leads team members in improving skills, creativity, and problem-solving.
Manages and completes assigned work plan objectives and projects on a timely basis.
Knowledge and willingness to become a subject matter and thought leader for designated program(s).
Experience with stated State Medicaid program (PCS, CAP/DA, CAP/C), strongly preferred.
Medicaid Recovery Officer Jobs
By State of Idaho Employment At Boise, ID, United States
Some knowledge of case collection management and control methods.
Experience using legal documents to obtain judgements, execute liens, release confidential information and initiate legal action.
Experience interviewing to elicit sensitive information.
Experience contacting others by telephone to request payment on accounts.
Experience applying laws, regulations, and policies.
Excellent medical, dental and vision insurance- (full-time) employee only coverage for PPO $65/month for medical and vision & $11.80/month for dental
Auditor Jobs
By IMSM At Miami, FL, United States
Experience with 9001 and or 14001, 45001 and or 27001 standards
Implementation experience of the 9001 standards and or 14001,45001 and or 27001
Excellent written and verbal communication skills
Do you have 9001 / 45001 / 27001 / or 14001 ISO experience?
Ability to multi-task, organise, and prioritise work
You will naturally be an individual who is adaptable and flexible to respond to client needs
Auditor Jobs
By Infotree Global Solutions At United States
·Assist the Internal Audit management team with the execution of the annual Audit Plan.
·2-3 years of Public Accounting, Internal Audit, or corporate accounting/finance experience
·Knowledge of US GAAP and PCAOB/Sarbanes-Oxley requirements
Location: Detroit, MI or Remote
·Execute testing for Sarbanes Oxley Section 404 requirements testing in the United States and international locations.
·4 year degree in Accounting / Finance or Business Administration
Senior Medicaid Sales Executive
By SME Professional Services At United States

10+ years as State Government Business Development and Sales Exec: Medicaid, HHS, ELIGIBILITY, SDOH, PHM, among other ageny relationships. Must have excellent client relationships, solid revenue ...