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Strong knowledge in community LTSS programs, including HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal laws and regulations governing the programs.
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The Senior Medicaid Product Owner work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Experience working at or with a local, state or federal agency, a foundation, a healthcare provider, a Medicaid managed care plan or another policy research firm is highly desirable. Staff in our Health unit will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS.
RemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Maximus has partnered with the New York State Department of Health to establish the Children and Youth Evaluation Service (CYES) program to determine whether a child or youth is eligible for home and community-based services (HCBS) covered by Medicaid.
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Knowledge of and experience with Medicaid pharmacy practice, managed care pharmacy practice, and/or pharmaceutical rebate contracting. 10+ years’ professional experience in managed care and/or Medicaid.
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Decision Support Analyst - Medicaid Operations. Develop and maintain moderate- to extremely-complex computer programs using 4GL programming languages (such as SAS, R, SQL) and other database technology (DB2, Teradata, and Oracle.
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Practical understanding of the healthcare system with regards to Medicare, Medicaid, managed care, and commercial payment methodologies, payment integrity, and health plan operations (e.g., claim life cycle/workflows, network contracting, payment/policy related configuration, provider relations, medical management, medical economics, audit, compliance.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Extensive experience in healthcare contracting, with a critical understanding of PBMs, National Health Plans, Medicare Part D/B, GPOs, VA/DoD, Medicaid, and the evolving market landscape. Minimum of 12 years of pharmaceutical industry experience, with significant expertise in at least two of the following areas: Channel Strategy, Finance, Pharmacy, Pricing, Trade, or Market Access.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The Division of Finance, Office of Electronic Benefits Transfer (EBT) is seeking a Medical Travel Specialist who will assist Non-emergency Medicaid Travel (NEMT) providers and recipients with their travel claims.
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Medicaid or MMIS experience a MUST. Minimum 4 years of experience managing related services with similar budgets, preferably in Medicaid or the healthcare industry and for a project similar in size and scope to this project.
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The Sr. Manager, Medicaid Contract Administration is responsible for managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting Medicaid claims and dispute resolution with state agencies.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The South Dakota Department of Social Services, Division of Medical Services also known as South Dakota Medicaid plays a vital role in the healthcare of South Dakotans. Other individuals covered by South Dakota Medicaid include pregnant women and adults with low income, parents, and other caretaker relatives, seniors in nursing homes, and individuals with physical or developmental disabilities.
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Certifications in relevant technologies (e.g., AWS, Microsoft Azure, Agile/Scrum) are desirable. 5+ Strong React JS, Angular or similar framework, is essential. Our people bring our software to life through collaborative relationships with our clients, working as a team, helping to solve complex problems that create positive personal and community impact for the people our clients serve.
Full-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Experience in health and human services domains such as eligibility, enrollment, Medicaid, child welfare, and child support systems. Experience in health and human services domains such as eligibility, enrollment, Medicaid, child welfare, and child support systems.
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We are also Medicaid/Medicare Certified. You may contact Andrew at 605-321-6023 or email your resume to Andrew@sd-ihc.com for additional information. Office Locations: Sioux Falls (32+ years) Brookings (6+ years) Fargo, Bismarck, ND (1+ year) Interim Healthcare:Interim HealthCare is one of America's leading providers of healthcare staffing, home care and hospice work.
$22 - $25 an hourPart-timeExpandApply NowActive JobUpdated Today
medicaid job in Pierre, SD
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