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Medicaid Staff Jobs

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: ...

Medicaid Claims Analyst (Remote)
By Better Health Group At Tampa, FL, United States
Work collaboratively with the internal Field Operations team to establish (remotely from the central office)
High School Diploma / GED (or higher) or equivalent work experience.
Medical Assistant, CMA, CNA or MEDIC/prior Combat Medic experience a plus.
Experienced in Excel, Google Sheets
Demonstrated STRONG organizational skills and attention to detail
Demonstrated excellent written and verbal skills
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.
Quality Navigator - Healthy Blue Medicaid - Remote - Must Reside In Sc
By BlueCross BlueShield of South Carolina At , , Sc
Excellent organizational and time management skills.
Previous HEDIS and or provider education experience.
Medical coding knowledge and or experience.
Provider education and training experience strongly preferred.
Previous HEDIS, provider education, and medical coding experience.
Continuing education funds for additional certifications and certification renewal
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.
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 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

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 Specialist – Remote $25 + Bonus
By Medicaid Complete, LLC At North Carolina, United States
Must have at least three years of work experience in Long-Term Care Medicaid.
Responsible for ALL active in-house Medicaid residents’ yearly recertification
Must possess good communication and people skills
Must be knowledgeable of all Medicaid legal regulations, guidelines, and best practices
Must possess and demonstrate good interpersonal skills and attention to detail
Must possess and demonstrate strong computer skills
Medicaid Assistant Jobs
By Kennedy Healthcare LLC At Amityville, NY, United States
Coordinate with residents and their families to compile all information needed for benefit eligibility.
Long term care experience preferred.
Strong communication and customer service skills.
Review admission forms for residents referred for Medicaid assistance.
Collect all necessary documents to apply for Medicaid.
Follow up to ensure that all applications are approved.
Medicaid Program Manager (Remote)
By Providence At Oregon, United States
Providence is calling a Medicaid Program Manager who will:
Required Qualifications For This Position Include
Preferred Qualifications For This Position Include
Develop, implement and maintain the Providence Health Assurance Medicaid program
Serve as a liaison to the Oregon Health Authority, Health Share, peers in Providence and other organizations
Be responsible for day-to-day Medicaid program activities.
Medicaid Qa Analyst Jobs
By Software People Inc. At Columbia, SC, United States
Develop test plans, QA and/or User Acceptance Testing processes and test cases for product management and software development teams.
Superb written and oral communications skills, including the ability to write requirements and Use Cases.
5 years translating business requirements or policy documentation into test cases and scenarios.
5 years' experience in Quality Assurance & Quality Control.
3 years' experience in Sahi Pro/Selenium Automation Framework.
Working knowledge of ONE of the following: Spice, TPI, TMMI, CMMI OPF, OPD and PPQA process areas.
Rn Appeals Analyst (Medicaid)
By BlueCross BlueShield of South Carolina At Columbia, SC, United States
Three years of utilization/medical review, quality assurance, or case management experience plus 5 years clinical nursing experience.
Excellent organizational and time management skills.
This position is full time (40 hours/week) Monday-Friday and will be mainly remote.
Two years clinical experience plus one year utilization/medical review, quality assurance, or home health, OR, 3 years clinical.
Strong clinical experience to include home health, rehabilitation, and/or broad medical surgical experience.
Working knowledge of word processing software.