Role: Medicaid Data Systems Analyst Location: Hybrid in Washington, DC Number of Openings: 1 Interview Type: Webcam... 12+months . Complete Description: 1. Position Purpose The Medicaid Data Systems Analyst is the functional...
DataStaff, Inc is seeking a Medicaid Value Based Care Specialist for a long-term contract opportunity... position supports Medicaid Managed Care priorities in the QPHE unit's work focusing on quality improvement, quality measurement...
& Pregnant Women (C.A.R.E.S.) program. CHWs provide Medicaid-compliant case management services focused on care coordination... education on prenatal care, parenting, wellness, and available community resources Maintain accurate, timely, and Medicaid...
on clinical policies and guidelines. Ensure compliance with Medicare, Medicaid, regulatory, and organizational policies... of Medicare and Medicaid regulations preferred. Familiarity with InterQual, MCG, or other medical necessity guidelines preferred...
knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource management...
or Bachelor's degree in Nursing. 2-4 years of related experience. Knowledge of NCQA, Medicare, and Medicaid regulations...
. Experience working with Medicaid populations and associated documentation requirements. Active Alabama Medicaid provider...
in Medicare or Medicaid. Ability to clear background screening and meet facility health screening and vaccination requirements...
and private insurance reimbursement. Basic ICD-9 and CPT coding. Regulations as set forth by The Centers for Medicare Medicaid...
in Medicare or Medicaid. Ability to clear background screening and meet facility health screening and vaccination requirements...