is standing up a new State Government Market structure to strengthen long term partnerships with Medicaid and Health & Human... of accountability for assigned State Government clients (Medicaid / HHS) Build and maintain trusted, executive level relationships...
defensible conclusions • Knowledge of healthcare regulations including Medicaid and Medicare guidelines • Proficiency...
investigation or detection • Strong knowledge of regulatory reporting requirements for Medicare, Medicaid, and related programs... • Familiarity with Medi Cal, Medicare, or Medicaid programs • Bilingual capabilities in Spanish or other commonly spoken languages...
of claims, billing, enrollment, and care management workflows, particularly in Medicaid and Medicare segments. Knowledge.... Understanding of Medicaid and Medicare claims, billing, enrollment, and care management processes. Experience with healthcare EDI...
for data analysis and documentation • Knowledge of healthcare regulations including Medicaid and Medicare billing practices...
that empowers patients and families in self-management. This position operates in compliance with Medicaid requirements, patient... plans and interventions. Ensure care coordination activities comply with Medicaid requirements, utilization management...
, with a strong emphasis on documentation, care coordination, and quality improvement. The position supports compliance with Medicaid contracts... plan guidelines. Support Medicaid members by coordinating benefits, services, and interventions that align with Medicaid...
of multi-tasking to meet deadlines and deliverables Possess knowledge in Medicaid and Long Term Care (Home and Community Based...-related role, contracting, provider services 5+ years working with provider/group Medicaid/Long Term Care contracts, claims...
such as Medicaid, HRSA, HHS, or Census data. Experience with data visualization and reporting tools. Experience in healthcare...
is helpful, but not required. Medicaid and/or Medicare familiarity Certificates in Licensed Clinical Social Worker(LCSW...