complex intelligence into clear, actionable insights, the analyst helps power Aetna Better Health’s Medicaid growth strategy... of all Medicaid managed care contracts, including recompetes and new business. The right candidate for this role will demonstrate...
Duties Description The Medicaid Redesign Analyst 2 will report to the Director of the Bureau of Performance Improvement... contracted to complete external quality review (EQR) activities for the NYS Medicaid and Child Health Plus program and staff...
of policies governing New York State's Medicaid Managed Care program. The incumbent will provide surveillance and oversight of the... Managed Care Organizations new enrollee health screening, which is required per the Medicaid Managed Care/Family Health...
(DMHC) Health Equity Quality Measure Set (HEQMS), and Medicaid Quality Rating System (QRS). This includes the design... and supports interventions to improve performance on HEDIS, MCAS, CAHPS, NCQA Health Plan Ratings, DMHC HEQMS, and Medicaid QRS...
access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana. The Medicaid... Analyst (MA) is a position responsible for acquiring an extensive knowledge of Medicaid policy and procedures, and using the...
consulting services to public sector clients Support engagements focused on Medicaid reimbursement, including actuarial rate... development across managed care and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk adjustment...
consulting services to public sector clients Support engagements focused on Medicaid reimbursement, including actuarial rate... development across managed care and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk adjustment...
multi-state footprint allows internal job mobility nationwide. Job Description As a Medicaid Collections Coordinator... and cash application to accounts receivable follow-up and Medicaid denial resolution, your work ensures accurate revenue...
access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana. The Medicaid... Analyst (MA) is a position responsible for acquiring an extensive knowledge of Medicaid policy and procedures, and using the...
program information to Medicaid-eligible individuals and their families via phone. Verify, document, and investigate... healthcare coverage for Medicaid recipients and their dependents. Identify members who may qualify for the HIPP/Premium...