Payer Lead, Medicaid - United States

Babylist is the leading registry, e-commerce, and content platform for growing families. · ...

The organization provides a pioneering, efficient, collaborative, patient- and mission-driven work environment and welcomes colleagues who are ready to cross boundaries, take a hands-on approach, and bring new ideas to fruition. · ...

Job summaryNavitus Health Solutions is seeking an Assoc. Product Manager, Medicaid and Exchange to join our team.This position is responsible for overseeing the product development/management life cycle and tactical support of the Medicaid program for managed care clients and Exc ...

Performs evaluation and development of leads, complaints, and/or investigations to verify allegations of potential fraud. · ...

We are seeking an Advisor Application Designer to lead the design, implementation, · and oversight of secure, scalable, and compliant Medicaid Management Information System (MMIS) solutions. · A key leader in our digital transformation will modernize critical healthcare infrastru ...

Role Overview · The Director, Proposal Strategy and Development leads the enterprise proposal team and is accountable for the overall proposal function, providing strategic and operational leadership for the development and submission of high-quality, compliant, and competitive p ...

Here Now Health - Operations Lead (Title TBD) · About Here Now Health · Here Now Health is the first virtual behavioral health company built exclusively for children and families impacted by the child welfare system. We serve Medicaid members eligible due to foster status, often ...

We are seeking an Advisor Application Designer to lead the design, implementation, and oversight of secure, scalable, and compliant Medicaid Management Information System (MMIS) solutions. In this strategic role, you will bridge the gap between business needs and cutting-edge tec ...

The position of Medicaid Specialist provides assistance with the coordination of financial benefits available to the residents in our Caring Communities. · ...

· Description · Summary: · The Senior Manager of Government Reporting and Pricing is responsible for ensuring full compliance with U.S. federal and state government pricing and rebate programs, including Medicaid, Medicare, VA/DoD, PHS/340B and State Pricing Transparency initiat ...

Overview: · Medicaid/Medicare Program Integrity Analyst II - REMOTE · The Medicaid/Medicare Program Integrity Analyst II performs evaluation and development of leads, complaints, and/or investigations to verify allegations of potential fraud. Recommends and/or implements appropri ...

The World at TSPi · Solving the world's most pressing issues and improving the quality of life for people worldwide is what we do every day at TSPi. Creating a more equitable world is no small task, but we are driven by big challenges. · Only by sharing our commitment, energy, an ...

· Overview · Medicaid/Medicare Program Integrity Analyst II -  REMOTE · The Medicaid/Medicare Program Integrity Analyst II performs evaluation and development of leads, complaints, and/or investigations to verify allegations of potential fraud. Recommends and/or implements appro ...

MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. · We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including depo ...

Job Description · Payer Account Director–Government Accounts (PAD-GA) Job Description Summary · Position Overview: · The Payer Account Director–Government Accounts (PAD-GA) leads national payer and PBM strategies to secure optimal access and reimbursement for Vertex's commercial ...

The Healthcare Permitting and Licensing Specialist will lead and coordinate healthcare facility licensure and renewal efforts, · Monitor, track and manage all aspects of state and local licensure applications, permits and renewals for the Company. · Maintain detailed, centralized ...

We are seeking an Advisor Solution Architect to lead the design, implementation, and oversight of secure, · scalable, · and compliant MMIS (Medicaid Management Information System) solutions. · ...

We are seeking an Advisor Solution Architect to lead the design, implementation, and oversight of secure, scalable, and compliant MMIS (Medicaid Management Information System) solutions. · This is a high-impact, strategic role that bridges the gap between business objectives, cut ...

· Alloy Partners is a venture builder with a radical thesis: that we can build and scale advantaged companies in partnership with corporations and entrepreneurs. · Alloy Partners and the University of Notre Dame partnered to establish a first-of-its-kind venture studio (the 1842 ...

The Senior Medicare Biller is responsible for overseeing and managing Medicare billing processes for ambulance transports in compliance with federal state and payer-specific regulations. · ...