for fee‑for‑service Medicaid claims. We also manage Pharmacy Benefits Management (PBM) claims, drug rebate administration... Hawaii MQD for more than 20 years. We are hiring a Medicaid Service Delivery Manager to lead our service delivery team...
What You Will Do at ODM: Office: Operations Bureau: Network Management Classification: Medicaid Health Systems..., Ohio Department of Medicaid (ODM), your responsibilities will include: Manage invoicing and purchase order processes...
What You Will Do at ODM: Office: Operations Bureau: Network Management Classification: Medicaid Health Systems... Administrator 1 (PN 20087026) Job Overview: The Ohio Department of Medicaid (ODM) is seeking an experienced, team focused health...
What You Will Do At ODM: Office: Managed Care Bureau: Member Services Classification: Medicaid Health Systems..., Ohio Department of Medicaid (ODM), your responsibilities will include: · Overseeing statewide initiatives related...
of program applicants based on employment / income information obtained;verifies Medicaid eligibility. Processes referrals... cooperation;calculates past paid public assistance. Evaluates individuals no longer receiving WorkFirst in all Medicaid programs...
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 Support business...
& Medicaid Services on CAP submissions. ▪ Provide training on site at least four (4) hours annually on current cost allocation... principles, specifically focused on Medicaid topics. ▪ Respond to questions from DOM’s Senior Leadership on the applicability...
means to be part of Mass General Brigham. This role is supervising a team of roughly 5 Medicaid Claims Reviewers. The role... candidate has a strong background in Medicaid/ACO claims processing and is a Certified Coder who can understand the difference...
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 Support business...
by research and community needs, the organization is launching a new Medicaid-focused wrap around clinic. This program is designed... to increase access to affordable, high-quality care for approximately 1,600 Medicaid Accountable Care Organization (ACO) patients...