Director, Utilization Management - DentaQuest
and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid...
and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid...
and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid...
public policies concerning state insurance, Managed Care Organization and Medicare and Medicaid regulations through the... industry, managed care, Medicare and Medicaid program Monitor legislative activities, regulatory activities, as well as print...
healthcare for vulnerable populations (Medicaid). We use innovative technology to create software infrastructure that's easy...
per service unit policy, i.e., Government Performance and Results Act (GPRA) measures and Centers for Medicare and Medicaid (CMS...
. Minimum Qualifications Bachelor's degree required Minimum ten years of experience working with Medicare and Medicaid laws/regulations...
, including contracting, payer relations, and business development. Deep knowledge of Medicaid and Medicare enrollment...
and internal teams on Medicare Advantage rate filings. Assess Texas Health & Human Services Commission (HHSC) Medicaid rate... industry. At least 5 years of actuarial experience in healthcare, including Medicaid, Commercial, or Medicare Advantage lines...
requirements. The ideal candidate will bring extensive healthcare actuarial expertise, including Medicaid, Medicare Advantage... Health & Human Services Commission’s (HHSC) development of annual Medicaid rates. Participate in the annual budget process...
Risk Adjustment projects specific to Medicare, Medicaid, and Commercial lines of business, or other relevant healthcare...