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...
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...
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...
or PA License Bilingual Spanish –REQUIRED DEA License Active Medicare & Medicaid IDs Experience in Geriatrics, Primary Care...
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...
+) 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...
) 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... Resource-Based Relative Value System (RBRVS), and Medicaid fee schedules. Basic understanding of managed care contracting...
is helpful, but not required. Medicaid and/or Medicare familiarity Certificates in Licensed Clinical Social Worker(LCSW...