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Medicaid Staff Jobs

Medicaid Program Manager 3 Jobs
By State of Louisiana At West Baton Rouge Parish County, LA, 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
Analyst - Medicaid Operations
By IntegriChain At Greater Philadelphia, United States
Prior experience processing either Managed Care or Medicaid rebates preferred
Understanding of either/both Medicaid or Managed Care rebates
Bachelor’s degree preferred; focus on Accounting, Finance, Business or related field of study preferred
Minimum 1-2 years of pharmaceutical experience within commercial and government contracting preferred
Excellent written and verbal communication skills
Sound analytics skills to perform work with attention to detail and accuracy
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.
Medicaid Specialist Jobs
By Edenbridge Health At Washington, DC, United States
Associate’s degree or equivalent experience in customer service in a human services environment, business, or comparable education and experience required.
Prepares forms from DHCF and tracks the participant’s recertification with DHCF to make sure they are approved year to year.
Supports PACE4DC, LLC (d/b/a Edenbridge PACE) finance department in the validation of Medicaid payments and revenue cycle as needed and requested.
Maintains professional affiliations and any required certifications.
Experience working with DHCF long-term care or with a frail elderly population is preferred but not required.
Extensive knowledge of community resources available to seniors and their families.
Regional Vp, Operations Medicaid Ok
By Humana At , Oklahoma City, 73102
Minimum two (2) years of experience in health plan management
Understands and actively manages ongoing adherence to local, State, and federal regulatory and programmatic requirements
Bachelor’s degree in Business, Operations Management, Healthcare Administration or related field
Manages implementation of strategic plans developed in cooperation with the Plan leaders
Maintains intimate familiarity with Contractual requirements and stipulations
Four (4) to six (6) years of experience working in healthcare operations
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.
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
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
Investigative Auditor - Medicaid Fraud
By State of Georgia At Fulton County, GA, United States
Obtains and maintains comprehensive knowledge of operations and reimbursement policies of Medicare and Medicaid programs.
Bachelor's degree from an accredited college or university with a major in accounting, Finance, Economics or Computer Science with data analysis.
Audit experience in medical claims and/or claims data.
Certification as a CPA or a CFE (Certified Fraud Examiner).
To move forward in the recruiting process ALL applicants are required to:
Works with investigative team to plan the financial and audit strategy for criminal and civil fraud investigations.
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 1-3 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
No Civil Service test score
Medicaid Analyst 1: $16.42/hr.-$1,313.60 bi-weekly
Medicaid Analyst 2: $17.56/hr.- $1,404.80 bi-weekly
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
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
Senior Medicaid Sales Executive
By SME Professional Services At United States

10+ years as State Government Business Development and Sales Exec: Medicaid, HHS, ELIGIBILITY, SDOH, PHM, among other ageny relationships. Must have excellent client relationships, solid revenue ...

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