and enhance provider networks to meet accessibility, quality, financial goals and cost initiatives for our Medicaid products.... Internal Aetna system knowledge a plus. Understanding of Medicaid. Proven working knowledge of provider financial issues...
Position Summary: The Director of Federal and State Medicaid Policy leads the organization's strategy and advocacy... on Medicaid and long-term services and supports at the federal and state levels. This role analyzes legislative, regulatory...
. We are looking for passionate, driven individuals who want to join a high-energy and growing team to make a difference in the lives of our Medicaid... members and be on the ground floor of digital innovation. The Director of Product for a Portfolio for Aetna Medicaid...
General Purpose: The Medicaid Specialist acts as a liaison between patients, skilled nursing facility, and government... and governmental agencies. Secures documentation for Medicaid/MSP new applications and renewal applications if needed for members...
Job Description Sergeant - Medicaid Fraud Control Unit The Utah Office of the Attorney General has an immediate... opening for a Sergeant in its Medicaid Fraud and Patient Abuse Division. An incumbent in this position conducts investigations...
Overview: Under the general direction of the Senior Associate or designee, the Medicaid Eligibility Consultant II... will assist in the development of contracts with state agencies;both in and out of state. The Medicaid Eligibility Consultant II...
on the project, you will: Conduct data analysis or research in one or more Medicaid and CHIP data domains to include... manipulation and analysis. 5+ years of experience with Databricks for data engineering. 2+ years of experience in Medicaid...
. Job Summary: Responsible for resolving Medicaid denied claims and entering Medicaid secondary claims on to the Oklahoma Health... Care Authority (OHCA) porta. Essential Functions: Recognize and track Medicaid denial trends. Research how to resolve...
) (SHORT TERM REHAB) (SKILLED NURSING) (ASSISTED LIVING) (LTACH) (SUB ACUTE CARE) Now Hiring - Medicaid Specialist... The Medicaid Specialist is responsible for supporting multiple Care One centers within a designated region by completing...
of experience in commercial healthcare At least five years’ experience in State Medicaid payer system integration and delivery... At least three years’ experience with South Carolina Medicaid systems Experience with inner workings of cross functional projects...