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Medicaid Certification Consultant Jobs

Healthcare Consultant – Medicaid Behavioral Health And Hcbs
By Milliman At Little Chicago, WI, United States
3+ years of HCBS and/or behavioral health funding/finance/reimbursement experience
3+ years of experience analyzing health care administrative data
Working knowledge of Medicaid program rules and regulations for provider payments preferred
Managing data analysis and modeling using administrative claims data
Reviewing the analytical work of project teams and ensuring Milliman’s quality control processes and procedures are being followed
Drafting client reports and presentation materials
Healthcare Consultant – Medicaid Payment And Financing
By Milliman At , Indianapolis, 46204 $85,000 - $160,000 a year
5+ years of experience designing payment systems and setting reimbursement rates for institutional health care providers
Working knowledge of Medicaid program rules and regulations for provider payments preferred, but not required
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
Prospective payment systems for inpatient and outpatient hospital services
Acuity-adjusted payment methodologies for nursing facilities
Supplemental payments, including state, directed payment arrangements, UPL payments, and disproportionate share hospital (DSH) payments
Medicaid Compliance Consultant (Contract)
By Elevance Health At , Remote
Advanced level, report, communicate, research laws at the advanced level, regulations, requirements, regulatory audits and/or exams.
At the advanced level, analyze and extract regulatory data, documentation for compliance with requirements.
Provide advanced level support to regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments.
Be part of an Extraordinary Team
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