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Overseeing the coordination of HEDIS data ingestion activities and driving strategy to optimize HEDIS data ingestion, EHR/HIE interoperability, supplemental data, and record review for the Medicaid line of business.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Assist in the preparation and drafting of testimony, regulatory comments, and position statements sent to legislative and regulatory bodies and other interested parties concerning legislation, policies, published reports, regulations, and statutes governing Medicaid, long-term services and supports (LTSS), and other waiver programs.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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General knowledge of community resources, Medicaid, standard models of service coordination, 12-step methodology, Co-Occurring Substance Abuse and Mental Health issues. The Reach Up-Wellness Coach is under the general direction of the Washington county Reach-Up Supervisor, and the agency/clinical supervision of the Adult Outpatient Program at WCMHS. This position provides service coordination, referral, and consultation services to adults referred by the Washington County Reach Up Team, in need of mental health and/or substance abuse counseling.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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This position requires a hands-on, self-motivated, experienced individual with established relationships with clients and partners working at or with Department of Health and Human Services (HHS) agencies, preferably the Centers for Disease Control and Prevention (CDC) and Centers for Medicare & Medicaid Services (CMS.
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This job will deliver value to the Health Plan and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and/or Affordable Care Act (ACA) using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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This position would be expected to act as a subject matter expert in education finance and will collaborate with the Vermont Legislature, engage with other State Agencies and Departments, and act as a resource for school business officers / business managers, superintendents, and special education directors on items related to education taxation, education funding, special education, and education Medicaid.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Role: Data Architect / Data Lead (MDM, Medicaid and data governance) Proven experience in development of data models, ideally in the Medicaid or another healthcare domain. Role: Data Architect / Data Lead (MDM, Medicaid and data governance.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Answers phone calls and books rides in accordance with demand response programs, including Medicaid NEMT, 5310 Grant Program, and general public demand response. Answers phone calls and books rides in accordance with demand response programs, including Medicaid NEMT, 5310 Grant Program, and general public demand response.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Northwestern Counseling & Support Services is seeking a full-time Billing Specialist to process agency billing, including self-pay, commercial insurance, and Medicaid billing. Northwestern Counseling & Support Services is seeking a full-time Billing Specialist to process agency billing, including self-pay, commercial insurance, and Medicaid billing.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations. The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Provide guidance related to cost allocation for public assistance programs including but not limited to Medicaid,the Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for Needy Families (TANF.
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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 7 days ago - UpvoteDownvoteShare Job
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The HEDIS Data and Reporting Lead reports to the National Medicaid Quality Director and oversees and coordinates all aspects of HEDIS data collection strategy, analytics, and reporting for the Humana Healthy Horizons Medicaid business, and leads the National Medicaid Quality Analytics team.
ExpandApply NowActive JobUpdated 3 days ago
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