SFHN CalAIM Director (0931 Manager III)
Experience working with Medicaid innovation / incentive programs, such as CalAIM Training in health improvement and/or health...
Experience working with Medicaid innovation / incentive programs, such as CalAIM Training in health improvement and/or health...
. Who are we seeking? A current and valid Illinois RN nursing license is required. Expertise in Medicare, Medicaid...
to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities...
efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service...
for Medicare and Medicaid Services (CMS), and Internal Pharmacy Audit (IPA) Supports DOP or designee response to drug, supply...
for Medicare and Medicaid Services (CMS), and Internal Pharmacy Audit (IPA) Supports DOP or designee response to drug, supply...
business intelligence on Medicaid products, provider performance, member experience, and achievement of quality, diagnoses... working with Medicaid risk methodologies such as Clinical Risk Groupings, CDPS-Rx High proficiency in statistical analysis...
areas serving as a subject matter expert Understanding of Medicare and Medicaid payment methodologies Demonstrated...
warehouse which supports analytics for Medicaid and Medicare and Commercial healthcare data; including domains such as claims... Healthcare domain knowledge of Medicaid, Medicare, and Commercial healthcare data sets Expertise with normalized OLTP, OLAP, MDM...
business analytics (Commercial, Medicare, & Medicaid) in the development of consistent and appropriate modeling Lead meetings...