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Medicaid Specialist Jobs

Medicaid Data Analyst Jobs
By Apex Systems At United States
Medicaid claims analysis experience both in Managed Care Organization and Fee-for- Service preferably using Transformed Medicaid Statistical Information System.
Substantial experience and understanding of advanced analytical methods (e.g., logistic regression, tree-based, or neural network classification modeling).
Experience programming in SAS, R/Python
Substantial SQL experience for data extraction and manipulation.
Experience using MS Excel and PowerPoint for analysis and presentation of results.
Gather and organize information for use in supporting decision-making process.
Medicaid Project Manager Jobs
By Public Consulting Group At United States
Experience with Medicaid Enterprise Systems, including Medicaid Management Information Systems (MMIS)
5+ years of prior project management experience
PMI Project Management Professional certification
Provides direct project management and assistance across multiple projects and clients
Assists and/or leads in the Development and management of project plans to achieve objectives
Identifies, documents, resolves and/or escalates issues to management clearly and timely
Medicaid Analyst 1-2 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
Position Number(s): 64358 & 172413
No Civil Service test score
Medicaid Analyst 1: $16.42/hr.-$1,313.60 bi-weekly
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
Medicaid Transformation Trainer/Content Dev
By Information Resource Group At Durham, NC, United States

IRG's state client NC FAST is looking requires the services of three trainer/content developers to support training implementation of NC FAST Medicaid Transformation Project modules. Important Note: ...

Auditor - Medicaid Jobs
By Peraton At , $66,000 - $106,000 a year
Must have 2+ years of related experience in finance, accounting or audit.
Must have intermediate knowledge of internal audit policies and operating
Must have intermediate knowledge of internal audit policies and operating principles.
Intermediate risk assessment and scoping skills.
Strong research and analytical skills.
Strong familiarity with Microsoft Office tools, including intermediate to advanced knowledge of Excel.
Medicaid Eligibility Processor Jobs
By Broward Health Corporate At , Fort Lauderdale, Fl

FULL-TIME – MONDAY – FRIDAY – DAYS – WEEKEND REQUIREMENTS: AS NEEDED

Provider Claims Education Manager (Medicaid)
By Humana At Indianapolis, IN, United States
Ensures compliance with Indiana’s Managed Care Contractual requirements for provider relations, such as claims dispute resolution within specified timeframes.
Manages teamwork assignments to ensure adequate coverage to meet quality and service levels.
Five (5) years of technical experience with claims systems, adjudication, submission processes, coding, dispute resolution, and/or other related function.
Two (2) years of progressive leadership experience.
Experience reviewing and analyzing large sets of claims data.
Experience working for or with key provider types: primary care, FQHCs, hospitals, nursing facilities, and/or HCBS and LTSS providers.
Clinical Pharmacist - Government Programs/Medicaid Specialist
By Medica Services Company LLC At , Minnetonka, 55305, Mn
7 years of work experience
Prior experience with regulated markets from a health plan or PBM standpoint is required
Previous health plan experience preferred Operates with flexibility in changing business environment
Excellent written and verbal communication skills
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
Bachelor's degree in Pharmacy or PharmD
Vp Account Management, Centene Medicaid - Express Scripts
By The Cigna Group At , Hartford, 06152, Ct

The Vice President Account Management is responsible for leading the strategic direction of Centene's Medicaid line of business. The Vice President will lead Account Executives and Clinical teams in ...

Medicaid Eligibility Specialist Jobs
By NYC Careers At , Brooklyn, 11238, Ny $37,748 - $57,043 a year
Determine whether additional documentations are required or referrals to an outside agency is necessary, to make an eligibility decision.
9 am – 5 pm (FLEX)
470 Vanderbilt Ave, Brooklyn, NY, 11238
Medicaid Business Analyst Jobs
By Maximus At , Remote Up to $80,000 a year
Extract, analyze, and report data to support program activity and assist in management decision making.
Perform other duties as assigned by management.
Applies knowledge and skills to complete a wide range of tasks.
Apply strong analytical reasoning to understand end user's requirements and transforms them into operational application.
Acquire deep knowledge of working systems and bring efficient and effective changes for better performance.
Work closely with operations and systems staff to define requirements, test criteria, and success factors.
Management Consultant (Medicaid) - Us
By Public Knowledge® At Colorado, United States
Basic program knowledge across Medicaid functions, such as eligibility and enrollment, benefit plan management, provider management, reporting, and financial models.
Freely share your knowledge, skills, and abilities with your peers in the firm.
Grow your skills and experience by participating in projects and actively pursuing continuing professional education.
Experience with technology implementations in the healthcare industry.
Must have experience in bringing focus and organization to ambiguous situations
Must demonstrate creative and strong analytical and problem-solving skills
Medicaid Business Analyst Jobs
By Steneral Consulting At United States
Qualified candidates MUST have significant experience with Medicaid and MMIS (Medicaid Management Information Systems)
Participate in regular meetings with management, assessing and addressing issues to identify and implement improvements toward efficient operations
Act as a liaison between staff and management, analyzing and interpreting data involving company procedures, policies, and workflows
Advanced analytical skills with experience collecting, organizing, analyzing, and disseminating abundant information with accuracy
Conduct full lifecycle of analytics projects, including pulling, manipulating, and exporting data from project requirements documentation to design and execution
Exceptional verbal, written, and visual communication skills
Medicaid Executive Officer 1-Medicaid Pharmacy Support
By State of Iowa - Executive Branch At Des Moines, IA, United States

292 Hospital/Health Care Statistics and Reimbursement

link to view the job description

Senior Care Assistant - Medicaid Specialist
By Independence Financial Advisors, LLC At Tilton, NH, United States

We will earn our customers' business every day, by being the very best at what we do. Position Description Independence Financial Advisors Strategic Caring Solutions Senior Care Assistant – Medicaid ...

Billing Specialist (Tx Medicaid)
By Acadian Ambulance At Lafayette, LA, United States
Excellent interpersonal skills and time management
JOB LOCATION:** This position is based in the office, but is eligible for periodic work from home.
Other duties and responsibilities as assigned
Previous medical billing experience preferred
Responsible for claim status checks as needed to ensure proper resolution
Initiating contact with insurance providers as needed
Medicaid Program Advisor 1269 Jobs
By Public Consulting Group At , Albany, 12211, Ny $68,600 - $86,000 a year
Skilled at multi-faceted project management.
Works with Program Manager to collect and analyze healthcare system data and performance measures.
Conducts interviews with integrated care providers and Medicaid Managed Care Organizations (MMCOs) to determine the roadblocks to providing integrated care.
Experience with researching complex regulations, healthcare models, and healthcare billing systems.
Experience with Medicaid or public policy, providers, or programs.
Experience with thinking critically about data and data analysis.
Data Analyst - Medicaid
By Peraton At , $66,000 - $106,000 a year
Strong computer skills including experience in relational data base design, extract, and reporting, Excel, and the Internet.
Bachelors and 5-7 years experience or Masters and 3-5 years experience or PhD 0-2 years experience
Strong proven analytical ability and basic knowledge of statistics and sampling techniques
Strong communication and organization skills
This position may require the incumbent to appear in court to testify about work findings.
Analyze data to identify and compare norms, trends and patterns.
Medicaid Verification Agent Jobs
By Accenture At , , La
Apply your skills and experience to help drive business transformation
Work locally or remotely, significantly reducing or eliminating the demands to travel
This is a Remote Position and equipment will be provided
1 year of Call Center experience
Intermediate experience with MS Excel, Teams, Word and Outlook
Excellent critical thinking and problem-solving skills
Medicaid Program Specialist 1-2
By Louisiana Department of Health At Lafayette, LA, United States

No Civil Service test score

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.