Medicaid Market Research And Competitive Analysis Manager Jobs

Analyst, FP&A – Medicare/Medicaid COGS & Network Performance — CT - Hartford. Apply via Workday.

Manager, Corporate Compliance - Medicaid — 5 Locations. Apply via Workday.

Senior Manager, FP&A Medicare/Medicaid Drug Revenue — CT - Hartford. Apply via Workday.

Sr Manager, AI Solutions, Medicaid RFP Writing and Content — VA - Work from home. Apply via Workday.

Position Summary At Aetna®, part of CVS Health, we proudly serve more than 26 million medical members through our broad range of health plan offerings. We're committed to delivering a simpler, more meaningful, and personal health care experience to each of them. As a Medicaid…

Become a part of our caring community The Risk Adjustment Coding Professional conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk…

Become a part of our caring community The Fraud and Waste Professional is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving South Carolina's Medicaid Program. The Fraud and Waste Professional coordinates investigation with…

Position Summary This person is responsible for making outbound calls to prospective members, specifically offering our Medicare plan. The Account Associate will be making outbound calls for retention efforts, as well as providing support to sales representatives as needed.…

firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a…

Position Summary The growing DSNP business has created an opportunity for an individual with claims experience, who is familiar with the 837 standard claims format. This individual will own 837 file transmissions to the states, manage and act on state response files, ensuring…

Become a part of our caring community The Senior Quality Improvement Professional leads efforts to improve clinical quality and provider performance for the Humana Healthy Horizons in South Carolina Medicaid Plan. You will develop and implement cross-functional quality…

While doing so, you will have the opportunity to collaborate with fellow team members,

Growth Strategy Principal at Humana in Ny Nyc Metro, United States. Remote · $166.7K – $229.2K/yr.

Become a part of our caring community Humana, a Fortune 60 Healthcare Company Humana is a publicly traded, Fortune 60 health benefits company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the…

Position Summary As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those that are complex cases involving or cases involving multiple…