Senior Consultant, Medicaid Policy - Myrtle Point - BerryDunn

BerryDunn is seeking an experienced Senior Consultant to join our Medicaid consulting team. · ...

The Patient Financial Clearance Representative performs financial screening functions for CVHealth patients by completing activities related to insurance verification and securing appropriate authorization. · ...

The primary purpose of this position is to provide financial management for the NC Health Information Exchange Authority (NC HIEA), including its federal financial participation programs with the NC DHHS Division of Health Benefits and the Centers for Medicare and Medicaid Servic ...

Analytica is seeking a Medicaid Eligibility Auditor to support the State Medicaid Program Integrity Audit (SMPIA) initiative. · ...

The primary purpose of this position is to work across teams to support various proposed projects in the Medicaid/HIE APD. · ...

The Division of Health Benefits, NC Medicaid, Advanced Planning Office is seeking an APD Writer with experience in developing Advanced Planning Documents (APDs).This position develops Advanced Planning Documents (APD),and other documentation required for planning, implementation, ...

The student worker position will support Medicaid members in Oregon by conducting outreach to identify members who may qualify for the Health-Related Social Needs Medicaid benefit (housing, nutrition, climate ) and connecting members to supports as applicable. · Contact Medicaid ...

Serves as a key leader within the Medicaid Operations team responsible for guiding critical operational analytical and compliance-focused activities. · Lead the Medicaid team's efforts to develop processes and controls to identify investigate and resolve 340B duplicate discounts ...

Sellers Dorsey seeks an Associate Director to manage client engagements focused on Medicaid policy strategy and financing managed care provider policy and reimbursement. · ...

+Job summary · We're seeking a bold analytical builder to serve as Senior Director of Market Access. · +ResponsibilitiesOwn and execute U.S. pricing strategy including analog analysis GTN modeling value defense and scenario planning. · Develop actionable contracting strategies Me ...

Habitat Health is looking for a driven and detail-oriented manager to lead a team responsible for ensuring seamless continuity of insurance coverage for all PACE participants. The role involves overseeing daily operations, managing direct reports, and serving as the primary point ...

This is an opportunity to apply DME experience in a new way by reviewing clinical documentation, assessing model-generated qualification outcomes, and identifying when decisions do or do not align with real-world payer standards. · ...

If you've worked in front-end intake, quality control, operations compliance, or audit review in the DME space, this is an opportunity to apply that experience in a new way. We're growing our documentation and criteria review team to help ensure our platform accurately applies qu ...

The successful candidate will be a rockstar at identifying analyzing and resolving insurance company denials. · Verifying insurance/recipient eligibility billing and follow-up on claims to Medicare Medicaid and Private Insurer Payers. · ...

The Government Program Manager will be relied upon for price reporting obligations for programs administered by Centers for Medicare and Medicaid Services (CMS) and the associated contractual obligations. · Expanded knowledge and experience in government pricing calculations and ...

BerryDunn is seeking a highly experienced and motivated Senior Consulting Actuary to join our Health Analytics Practice Group. · ...

The Director of Payer Strategy and Contracting will drive new business growth and ensure ongoing success in our strategic health plan partnerships. · ...

The Prior Authorization Clinician is responsible for reviewing all proposed hospitalization services for medical necessity to ensure members receive appropriate care. · We are committed to diversity and inclusion of staff among our employees. ...

+Do you have experience at a PBM? Navitus Health Solutions is seeking a Director, Technical Operations with no less than 5 years of experience at a PBM health plan or managed care environment to join our team This is not a call center or general operations leadership roles. · The ...

Praxis is seeking a bold, analytical builder to serve as Senior Director of Market Access. · Own and execute U.S. pricing strategy including analog analysis, GTN modeling, value defense, and scenario planning.Develop actionable contracting strategies (Medicaid, Medicare, Commerci ...

Join AIR as a Research Associate with our Healthcare Transformation team. · ...