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Medicaid Assistant Jobs

Medicaid Program Monitor Jobs
By State of Louisiana At Louisiana, United States
Martin Luther King, Jr. Day,
Thanksgiving Day and Christmas Day.
Additional holidays may be proclaimed by the Governor
Louisiana State Employees Retirement System (www.lasersonline.org). LASERS has provided this video (https://lasersonline.org/wp-content/uploads/2016/07/Your_Retirement_System.mp4) to give you more detailed information about their system
Teacher's Retirement System of Louisiana (www.trsl.org),
Louisiana School Employees Retirement System (www.lsers.net), among others
Medicaid Operations Coordinator Jobs
By State of Montana At , Helena $35.05 an hour
Ability to manage varying deadlines and multiple tasks and respond positively to changes in direction, priorities, responsibilities, or assignments.
Bachelor’s Degree in Healthcare Management, Business, Information Technology, Computer Science or related field is preferred.
Other combinations of education and experience may be substituted.
Knowledge and ability to effective apply federal/state statutes, administrative rules, and state policies and procedures relative to service delivery.
Skill and ability to build long-term internal and external relationships with customers critical to the organization.
Initiative, sound judgment, efficiency, independence, and reliability in the completion of tasks, , and other major responsibilities.
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.
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
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.
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
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
Medicaid Provider Consultant Jobs
By Better Health Group At Jacksonville, FL, United States
Knowledge, Skills, And Abilities Requirements
Work with management to turn negative outcomes into positive outcomes
Knowledge/experience with Medicaid Lines of Business
Excellent written and verbal communication skills
Ability to manage time and identify opportunities to grow and excel as a team
Strong computer skills with an understanding of G Suite - Gmail, Drive, Calendar, Docs, Sheets
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.
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.
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