Overview: BerryDunn’s Medicaid Practice Group is seeking a Medicaid Project Manager / Managed Care-Program and Policy...% You Will: Lead and support in the design, development, and implementation of Medicaid managed care and program and policy projects...
What You Will Do At ODM: Office: Managed Care Bureau: Network Management & Operations Classification: Medicaid... Manager, your responsibilities will include: Provider oversight lead for the Managed Care Organizations (MCOs) or Medicare...
value to its managed care partners. Collectively, these efforts help Genentech meet evolving business needs and foster... a culture of compliance around government programs. The State Medicaid Manager will lead and manage moderate to unusually...
Director, Medicaid Implementation (Business Project Management) to lead within a specific defined business area (non-IT... implementation activities. Note: This role does NOT operate in a traditional Project Manager functional way. Individuals...
of efforts to ensure on time, in scope project and/ or strategic delivery Managed care industry expertise in trends, innovation...Company Description: Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end...
of experience in leading program/project teams. Preferred: Managed care experience. Skills Required: Demonstrated critical... Initiatives Program Manager II is responsible for leading and managing a portfolio of strategic Care Management (CM) programs...
collaboration efforts between the Bureau of Program Integrity (PI) and the agency's Medicaid Managed Care Organizations (MCOs), the... as assigned by the Operations and Managed Care Oversight (OMCO) Manager and the PI Director. This includes, but is not limited...
of experience in managed care, plus utilization management, care coordination, disease management, Medicare, Medicaid, DSNP, dual... program development manager in collaboration with Quality, Population Health Services, and all other Operations business...
York State Medicaid experience Medicaid Managed Care experience Social Determinant of Health Program Management.... Required Qualifications: 5+ years of combined experience across Program Management, Healthcare or Managed Care Analytics and/or Provider...
Care or the Medicaid Program. Required 7 Years Experience on a prior or current MMIS, HIT, HIE, Eligibility..., NC. Our client has an opening for the position of Project Manager rec 658306. This position is for 12 months, with the...
of policy and program initiatives for Integrated Care. The Integrated Care Operations Manager will assist in creating... Preferred Qualifications: Background in health care management, policy, government, Medicare, and/or Medicaid. Understanding...
(Colorado's Medicaid Program). Our focus is driving improvements in quality, member experience, outcomes, and cost..., employee recognition, and a language pay stipend. What you will do: We are looking for a Manager of Care Management who...
Previous Commercial, Medicare and/or Medicaid experience 3 or more years clinical experience in managed care... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction...
project manager on high-visibility and high-dollar impact projects that support the implementation of health care policy... stakeholders to develop high-quality, evidence-based health care programs that enhance Apple Health (Medicaid) managed care...
and state regulatory processes. Medicare Advantage and/or Medicaid managed care experience preferred... with regulatory and contract compliance for business managed by the Care Center or supported by corporate compliance. Responsible...
of residency) 2+ years of People/team/project leadership experience 2+ years of Managed Care/PBM experience with knowledge... becomes available to ensure alignment with evidenced based standards in care. The Clinical Utilization Management Pharmacist Manager oversees...
as they provide good quality care to our patients. We are currently seeking a full time Patient Accounts Manager to join our team... participation with managed care systems, PPO, group and site affiliation. ensure appropriate payer credentialing and re...
following areas of value-based care: Medicare Advantage, Medicare Shared Savings Program (MSSP), Managed Medicaid and DSRIP..., Commercial HIX, managed care regulations, quality reporting, care management, population management, ACO strategy implementation...
. Thorough understanding of the HMO and Medicare Managed Care delivery systems. Extensive knowledge of State, DOL, NCQA and CMS..., Department of Labor (DOL) and Center for Medicare/Medicaid Services (CMS). To analyze, maintain and report on all grievance...
and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients... plus years’ experience in managed care including appeals and grievance and/or compliance 2 years’ prior supervisory...