and Centers for Medicare and Medicaid (CMS) conditions of participation. Responsibilities: Evaluate organizational compliance...
a “plusâ€: Medicaid rate-setting Reserving and year-end statutory financials (“blue†and “orange†blanks) ACA pricing/rate filing...
in one or more of the following areas would be considered a “plusâ€: Medicaid rate-setting Reserving and year-end statutory financials...
Health Record) system to enable our clients to track compliance with the requirements of the Centers for Medicare & Medicaid...
of care for people across Medicaid and Medicare programs, enrollment status and care settings. This role will support...+ years of relevant Medicaid health care experience 2+ years of Case Management experience 2+ years of program or people...
data sets from multiple sources as necessary for building analytics prototypes Proven knowledge of Medicaid and State...
data sets from multiple sources as necessary for building analytics prototypes Proven knowledge of Medicaid and State...
, CMS guidelines, Medicaid/Medicare contracts and benefit systems The salary range for this role...
management experience Knowledge of Medicaid and Medicare Health Plans and Claims Ability to work any of our full time (40 hours...
and/or Medicaid plans Experience proactively outreaching to providers or provider offices on pharmacy recommendations and topics...