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Manager Medicaid Ops Jobs

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.
Ops Clerk Jobs
By Golden State Foods At , Romeoville, 60446, Il
Quality Custom Distribution is Seeking an Operation Clerk ($19.50) to work at our Romeoville IL facility.
2 years of relevant work experience in a warehouse/transportation environment
Entering BOL’s into our inventory tracking system known as JDE
Tracking shipments and responding to emails about those shipments being tracked
Scheduling and monitoring the scheduling of truck loads coming to or transferring out of the DC
Customer service regarding responding to Starbucks emails about store complaints.
Manager, Corp Security & Emergency Ops
By BOK Financial At , Dallas, 75225, Tx
Advanced knowledge of bank security and safety procedures
Advanced knowledge of interviewing and investigation techniques
Advanced knowledge of video and access control systems
Thorough knowledge of bank operations policies and procedures
Thorough knowledge of Bank Protection Act, Regulations P & E
Advanced knowledge of Criminal Statutes, rules of evidence and case preparation.
Sr. Manager Rev Ops Service Practice
By PayPal At , , Ga $82,500 - $187,990 a year
Program management experience preferably within a Customer Success / servicing driven organization.
A recognized program management qualification/membership would be beneficial but not essential.
Experience of driving complex change management and maturity programs achieving results through partnership with multiple internal departments.
Strong organizational and time management skills.
Ability to drive senior stakeholder management across all levels of our organization.
Lead and manage complex Servicing Practice projects from initiation to implementation by translating strategic priorities into execution-oriented programs.
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.
Sales Ops Analytics Manager
By Dragos, Inc. At United States
Develop and manage data repositories leveraging Salesforce / Tableau BI dashboards
Experience with the creation and roll out of new data repositories and warehousing
Full cycle experience designing and deploying dashboards
7+ years experience working with Sales data
Ability to effectively collaborate with a largely remote team
Salary + Benefits + Equity = $230,000
Manager, Rn/Sw Clinical Ops
By Horizon Blue Cross Blue Shield of New Jersey At , Wall, Nj $104,300 - $142,380 a year
Requires knowledge in the principles of risk management and quality assurance.
Determines departmental budget and conducts ongoing expense management.
Manages and directs staff to ensure overall client satisfaction, appropriate level of service delivery, quality outcomes.
Maintains and monitors the departmental budget to ensure administrative costs are managed.
Prefers professional certification in a clinical specialty as appropriate to the business unit.
Requires strong knowledge of functional tasks performed within department.
Manager Business Operations - Cl Ops
By The Hanover Insurance Group At Atlanta, GA, United States
Strong organizational and time management skills.
Participates on projects to ensure sustainable processes, scalability, and talent management.
Assess and address Team training needs/skillset gaps. Ensure appropriate work is assigned to maintain new skillset.
Assess business demand and ensure proper resources and skill sets to meet department performance objectives.
Bachelor’s Degree, and/or industry experience/designation preferred
Knowledge of MS Office Suite
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.
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
Sr. Regional Manager - Dc Ops
By Tesla At , Newburgh, Ny
Market level business planning including staffing levels, forecasting, backlog and P&L management.
Experience managing managers is preferred.
Proficient using Microsoft Office, Google Earth, and customer account management software
Experience managing warehouse teams is preferred, or some experience training and leading warehouse associates
Experience implementing and improving standard operating procedures is preferred
Bachelor’s Degree or higher preferred, or outstanding equivalent experience
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

Project Manager Provider Enrollment Medicaid - Remote
By UnitedHealth Group At , Springfield, 62702, Il
5 + years of project management experience
Proven solid organizational and time management skills
Applies knowledge of provider enrollment business processes and areas of expertise relative to the enrollment and maintenance of Medicaid providers
Works with Project Manager to organize review of project information and documentation including Lessons Learned
5+ years of Medicaid experience
2+ years of provider enrollment experience
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.
Manager International Strategy & Ops
By Warner Bros. Discovery At New York, NY, United States
Experience leading and managing strategic projects with multiple stakeholders preferred
Excellent PowerPoint and Excel skills preferred
Excellent written and spoken communication skills
Providing critical support on windowing decisions across international markets to drive the execution of our global studio monetization strategy
Passionate about the media industry. Awareness of market trends, key industry ventures and technology trends globally
Strategic, logical and analytical mindset. Intellectually curious, with good commercial acumen
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 Medical Director Jobs
By South Dakota State Government At , , Sd $317,794 - $353,102 a year
Strong leadership and management experience;
Project management skills including managing multiple projects;
project management skills including managing multiple projects;
Serve as a focal point for quality, clinical, and survey and certification policies for South Dakota Medicaid’s healthcare delivery models.
Manage utilization and review programs including:
Excellent communication and interpersonal skills;
Snf Medicaid Coordinator/ Business Office Manager
By Corridor At , Remote $20 - $28 an hour
Team management and leadership skills.
Time management skills with the ability to meet deadlines.
Documentation management and ability to use project management tools.
Excellent Communication and interpersonal skills capable of maintaining strong relationships.
Strong organizational and multi-tasking skills.
Excellent analytical and problem solving abilities
Medicaid Area Manager 2 Jobs
By State of Louisiana At , New Orleans, La $3,890 - $7,658 a month
A baccalaureate degree plus four years of professional level social services experience.
A master's degree will substitute for one year of the required experience.
A Juris Doctorate will substitute for one year of the required experience.
A Ph.D. will substitute for two years of the required experience.
Advanced degrees will substitute for a maximum of two years of the required experience.
To manage the implementation of Medicaid programs for an assigned area.

Are you looking for an exciting opportunity to make a difference in the lives of Medicaid recipients? We are looking for a Manager of Medicaid Operations to join our team and help us provide quality healthcare services to those in need. You will be responsible for overseeing the day-to-day operations of the Medicaid program, ensuring compliance with state and federal regulations, and developing strategies to improve the efficiency and effectiveness of the program. If you have a passion for helping others and are looking for a rewarding career, this is the job for you!

Job Description:

The Manager of Medicaid Operations is responsible for the overall management of Medicaid operations within an organization. This includes overseeing the development and implementation of Medicaid policies and procedures, managing Medicaid reimbursement processes, and ensuring compliance with all applicable laws and regulations.

What is Manager Medicaid Ops Skills Required?

• Knowledge of Medicaid regulations and reimbursement processes
• Strong organizational and project management skills
• Ability to effectively communicate with internal and external stakeholders
• Ability to analyze data and identify trends
• Ability to develop and implement policies and procedures
• Strong problem-solving and decision-making skills

What is Manager Medicaid Ops Qualifications?

• Bachelor’s degree in healthcare administration, business administration, or a related field
• 5+ years of experience in Medicaid operations
• Experience with Medicaid reimbursement processes
• Knowledge of Medicaid regulations
• Experience with data analysis and reporting

What is Manager Medicaid Ops Knowledge?

• Knowledge of Medicaid regulations and reimbursement processes
• Knowledge of healthcare operations and reimbursement
• Knowledge of data analysis and reporting

What is Manager Medicaid Ops Experience?

• 5+ years of experience in Medicaid operations
• Experience with Medicaid reimbursement processes
• Experience with data analysis and reporting

What is Manager Medicaid Ops Responsibilities?

• Develop and implement policies and procedures related to Medicaid operations
• Manage Medicaid reimbursement processes