a qualified Pharmacist to review Medicaid members’ Utilization Management requests, including formulary exceptions, prior... of this position. Responsibilities Review and evaluate Medicaid members’ Utilization Management requests. Apply clinical judgment...
Job Title: Pharmacist Job Description We are seeking a qualified Pharmacist to review Medicaid members’ Utilization... with healthcare providers is also a key part of this position. Responsibilities Review and evaluate Medicaid members’ Utilization...
with ActiveMQ Experience with Unix variants and Unix Scripting Experience with SQL Experience with MongoDB Medicaid...
clinical or case management experience Medicare and Medicaid experience Managed care experience Working flexible hours...
, Medicare, Medicaid etc.) to identify patterns, opportunities, and risks. Provide insights to optimize sales targeting...
Services & the Medicaid Web Portal application. Medicaid Information Technology Services (MITS) team develops and operates... Experience with Unix variants and Unix Scripting Experience with SQL Experience with MongoDB Medicaid Management...
or PA License Bilingual Spanish –REQUIRED DEA License Active Medicare & Medicaid IDs Experience in Geriatrics, Primary Care...
Nice to Have Experience in US Healthcare, Payer or Provider systems Knowledge of Medicare, Medicaid, Claims, Care...
) PREFERRED QUALIFICATIONS Experience working with Medicaid clients and in behavioral health settings. Crisis intervention...
+) and Health First Colorado (Colorado's Medicaid Program). Our focus is driving improvements in quality, member experience... provider agreements, including reimbursement provisions (e.g., percentage of Medicaid, percentage of Medicare, DRG, APC...