and Medicaid plans. The lawyer will directly participate in the negotiation of the largest provider contracts in their assigned...
Protection, Child Support Enforcement, Benefit Fraud, Benefit Appeals, Medicaid Appeals, and Employment and Tort cases. HSLS...
and Human Services Centers for Medicare & Medicaid Services Center for Medicare Print Share Save Summary... and Medicaid Services (CMS). As the Director, Medicare Contractor Management Group, you will provide leadership and executive...
and Human Services Centers for Medicare & Medicaid Services Center for Medicaid and Medicare Innovation Print Share... Save Summary This position is located in the Seamless Care Models Group (SCMG), Center for Medicare and Medicaid...
with offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management...
with offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management...
and regulations, including OMH, OPWDD, OCFS, Medicaid, HIPAA, OSHA, and related requirements;anticipates, evaluates, and mitigates... compliance risks across all programs and operations. Directs the compliance framework for financial policies, Medicaid billing...
+) and Health First Colorado (Colorado's Medicaid Program). Our focus is driving improvements in quality, member experience... Medicaid population and in a managed care setting preferred. Must have some public speaking experience. Knowledge, Skills...
, and accreditation standards (Joint Commission, CARF, Medicaid, OMHSAS/OMHAS). Lead investigations, incident reviews...
with individuals in formulary and purchasing decision-making roles in National/Regional Commercial, Medicare, Medicaid, Federal..., AMCP, Medicaid, PCMA, Evernorth and Prime). Core Values This position is expected to operate within the framework...