(Required): Healthcare/Medicaid Domain: 3+ years in healthcare business processes or operations. Test Case Creation: 2+ years translating...
Knowledge of Medicare and Medicaid regulations Ability to interpret and follow written and verbal instructions Ability...
quarterly pricing component updates to maintain strict compliance with CMS, Medicare, and Medicaid rules. Act as the primary...
that are in compliance with County, State and Medicaid requirements. Using person-centered approaches, assist clients in obtaining...
, and other high-cost pharmaceuticals across commercial, Medicare Part D, and Medicaid payers. Review clinical documentation...
quarterly pricing component updates to maintain strict compliance with CMS, Medicare, and Medicaid rules. Act as the primary...
and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment...
with healthcare and Medicaid systems is highly preferred. Solid understanding of the .NET framework, ASP.NET, Web Services, and C...
, OHA, Medicaid Fraud Units, and other oversight agencies. Ensure timely and accurate submission of FWA and payment... and/or Medicaid programs preferred. Experience with data mining, analytics, regulatory reporting, or collaboration with investigative...
built on Microsoft Azure and Power BI for the Child Welfare and Medicaid Program(s). The Department of health and human...