- CVS Health (Boise, ID)
- …as a liaison with other key business areas, internally and externally. The Medicaid Revenue Integrity Senior Manager will play a critical role in extracting, ... day. **Position Summary** Reporting to the Lead Director of Medicaid Revenue Integrity, the Senior Manager will...Integrity Lead Directors and subject matter experts across the Medicaid business to establish and champion market… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Senior Market Finance Professional collects, analyzes and reports on various market data to connect ... financial outcomes with operational effectiveness. The Senior Market Finance Professional work assignments involve moderately complex to complex issues where the… more
- Humana (Oklahoma City, OK)
- …a part of our caring community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will ... act as primary point of contact for OHCA and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Oklahoma… more
- Humana (Honolulu, HI)
- …claims operations, and other business teams involved in the administration of Medicaid business at Humana. The Senior Business Intelligence ... falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence Engineer will be responsible for: + Researching… more
- Consulate Health Care (Ashland, VA)
- …the opportunity to assist in building a facility culture. If you are a Medicaid Specialist that has business acumen, is team-oriented, driven, and excited about ... help. **Major Responsibilities** + Assist and guide nursing facilities with the Medicaid Application process for patients, including training, processing of… more
- Humana (Columbus, OH)
- …are in significant conflict with Humana IT's development timelines + Serves as the " Senior Business Architect" for Medicaid , with a strong understanding of ... Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Lead, Technology Solutions works on problems of diverse scope… more
- Elevance Health (Wallingford, CT)
- **Proposal Manager - Medicaid Business Development** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... organizes, and manages the day-to-day proposal activities to support Medicaid , Duals, and specialty products business acquisition...markets. + Oversees all aspects of the proposal development process . + Validates and tests the business … more
- BlueCross BlueShield of North Carolina (NC)
- …senior management on diverse issues of laws that arise in the Company's Medicaid business operations; researches and prepares legal memoranda and opinions to ... team as an Associate Counsel for our Health Blue Medicaid line of business . In this role,...accommodation for any part of the application or hiring process , please notify HR at ###@bcbsnc.com . **For most… more
- CVS Health (Hartford, CT)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Clinical Strategist is a leader within the Program Integrity Team for Medicaid ... The Sr Clinical Strategist provides clinical leadership and oversight for the Aetna Medicaid Care Management division as related to data integrity and compliance at… more
- Humana (Santa Fe, NM)
- …Advancement Advisor provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and ... of diverse scope and complexity ranging from moderate to substantial. The Medicaid Trend Strategy Advancement Advisor will oversee Medicaid market-specific trend… more