Medicaid Functional Mananger Jobs in Midvale, UT

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Software Engineer (JavaScript/Node/Typescript)

ALTA IT Services

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Remote

Full-time

Software Engineer (JavaScript/Node/Typescript) 100% remote This role is a backend software developer that will include developing scoring code in JavaScript and complex SQL on a major program for the Centers for Medicare and Medicaid CMS). The Software Engineer will be an embedded member of a cross functional scrum team and will be primarily performing code enhancement and maintenance. The work effects the quality and cost of care for Medicare and Medicaid patients through the Quality Payment P
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Posted 22 days ago

Guiding Care Configuration Analyst

Apex 2000

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Remote

Contract

Job Title - Guiding Care Configuration Analyst/Lead Skill: ROLE: Guiding Care Configuration Analyst/Lead Config SME for Utilization Management, Care Management/Including Gaps In Care/Care Pathways, Appeals & Grievances, Correspondence/Letters, Population Health/Risk Scores, Alerts/Activities/Rules, Health Risk Assessments Essential Functions: Produce gap analysis on rules/alerts/scripts/configuration, and recommend best practice solutions for Care Management, Utilization Management, and Griev
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Posted 27 days ago

Guiding Care Configuration Analyst/Lead

Apex 2000

•

Remote

Third Party, Contract

Guiding Care Configuration Analyst/Lead Location: Remote Duration: 9-12 Month Implementing Client: Infosys JD: Config SME for Utilization Management, Care Management/Including Gaps In Care/Care Pathways, Appeals & Grievances, Correspondence/Letters, Population Health/Risk Scores, Alerts/Activities/Rules, Health Risk Assessments Essential Functions: Produce gap analysis on rules/alerts/scripts/configuration, and recommend best practice solutions for Care Management, Utilization Management, and
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Posted 27 days ago

Senior Curam Developer (Financials)

eSystems, Inc.

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Remote

Third Party, Contract

eSystems Inc.is a fast growing Systems Integrator based in Princeton, New Jersey. We provide strategic IT solutions and services with primary practice areas in Java and Microsoft centric e-Business solutions, ERP solutions, Enterprise Application Integration, Data Warehousing and Business Intelligence solutions. Our clients include Fortune 500 corporations, government agencies, small and mid-sized local businesses, and non-profit organizations. As an equal opportunity employer, eSystems complies
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Posted 60+ days ago | Updated 17 days ago

Customer Service Representative

ISite Technologies Inc

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Remote

Contract

Job Description - The Customer Service Representative is responsible for supporting the Medicare Appeal process by answering incoming telephone calls, resolving customer questions, complaints and requests adhering to internal policies and procedures and utilizing working knowledge of the organization s services to meet productivity and quality standards. Job Responsibilities: Develops and maintains working knowledge of internal policies, procedures, and services (both departmental and operation
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Posted 2 days ago | Updated 2 days ago

Data Scientist

ALTA IT Services

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Remote

Contract

Data Scientist 100% remote must have lived in the U.S. for three (3) full years out of the last five (5) years Key responsibilities include: Document and communicate requirements for data engineers Work with data engineers to ensure that Spark/Scala pipelines are implemented properly Understand GLMs/mixed-effects models and their inner workings across programming languages Assess accuracy of measure implementations Analyze large amounts of data to find inconsistencies using Zeppelin notebooks (
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Posted 11 days ago

DAV/Data Quality Specialist

V-Soft Consulting Group, Inc

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Remote

Contract

DAV/Data Quality Specialist Primary Location: Raleigh, North Carolina V-Soft Consulting is currently hiring for a DAV/Data Quality Specialist for our premier client in Raleigh, North Carolina. Education and Experience Mature knowledge of health information exchange data standards and formats, including knowledge of Electronic Health Record Systems data architecture: 3 Years. Subject matter expert (SME) level of knowledge working with clinical data, EHRs, HL7 v2 and C- CDA messages: 3 Years. Prov
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Posted 8 days ago | Updated 2 days ago

Data Governance Specialist - County of Marin

CDC Foundation

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Remote

Full-time

Overview The Data Governance Specialist will drive the development of a tailored health data governance framework that is aligned with industry standards and regulatory requirements. This role is aligned to the Workforce Acceleration Initiative (WAI). WAI is a federally funded CDC Foundation program with the goal of helping the nation s public health agencies by providing them with the technology and data experts they need to accelerate their information system improvements. Working within Marin
Posted 3 days ago | Updated 3 days ago

AWS DBA - Multi Year Contract - No C2C

The Doyle Group

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Remote

Contract

Description: AWS Database Engineer *Please note: We are not seeking assistance from third-party vendors or agencies for this position Do you love working on Greenfield projects involving LARGE systems with a huge social impact? Do you thrive in a scaled Agile framework (SAFE)? Would you like to be on a team developing software that will help reduce prescription drug costs for millions of Americans? Our partner was recently awarded an exciting program. Please let us know if you would like to
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Posted 8 days ago | Updated 8 days ago

Technical Architect

Arch Systems, LLC

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Remote

Full-time

Role: Technical Architect Company: Arch Systems Client: Centers for Medicare & Medicaid Services (CMS) Location: Remote Type: Full-time / Consulting Job Overview: The Technical Architect will provide technical leadership for the MLMS program, ensuring effective design and operation of system components in a cloud-based environment (AWS). The role involves managing cloud resources, maintaining system security, and integrating third-party content while collaborating with internal and external team
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Posted 8 days ago

Application Developer- Configuration Analyst

NTT DATA Americas, Inc

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Remote or Rhode Island, USA

Contract

Details Below: POSITION : Application Developer - Configuration Analyst LOCATION : Remote JOB TYPE : Contract/ W2 PAY: $42.71 per hour HOURS: M-F 8:30am-5:00pm START DATE: 11/18/2024. This is a Scrum Team role that will be a member of the Medicare / Medicaid Enrollment Configuration team tasked with developing purpose-built capabilities for our NextGen platform.* Serves as a member of the team to deliver purpose-built configuration for the Medicare Enrollment Operations Team on the Next Generat
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Posted 11 days ago | Updated moments ago

Grant Writer

Generis TEK Inc.

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Remote or Zanesville, Ohio, USA

Full-time

We have Permanent role for Grant Writer for our client Zanesville, OH. Please let me know if you or any of your friends would be interested in this position. Position Details: Grant Writer- Zanesville, OH Location : Zanesville, OH 43701 (Hybrid position (50% onsite, 50% remote) Project Duration : Full-Time/Permanent Shift : Monday Friday (Day shift) Facility Description Client (260 bed community hospital) was recently recognized as a U.S. News Best Hospital for 2023-2024. Client was also recentl
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Posted 4 days ago | Updated 2 days ago

Data Scientist

Scigon Solutions

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US

Full-time

Data Scientist Skills: 5+ years of experience with developing advanced analytical models and machine learning with experience assisting the deployment of them into production. 10+ years of overall data engineering experience. Strong experience with Python coding and libraries w/ the ability to translate advance data science theories into easy-to-understand concepts and solutions. Knowledge of Azure ML & OpenAI services and products Responsibilities: Data mining or extracting usable data from va
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Posted 17 days ago | Updated moments ago

Expert Healthcare Project Manager - Medicaid

COOLSOFT

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Remote

Contract

The Expert Project Manager (PM) is responsible for planning, leading, organizing, and managing Agile and Hybrid project teams. Job Requirements Project Planning and Management: Define project scope and schedule while focusing on regular and timely delivery of value; organize and lead project status and working meetings; prepare and distribute progress reports; manage risks and issues; correct deviations from plans; and perform delivery planning and operational readiness for assigned projects. Th
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Posted 5 days ago | Updated 1 day ago

BI Developer - Multi Year Contract - No C2C

The Doyle Group

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Remote

Contract

Business Intelligence (BI) or Visualtizaion Developer Please note: We are not seeking assistance from third-party vendors or agencies for this position Do you love working on Greenfield projects involving LARGE systems with a huge social impact? Do you thrive in a scaled Agile framework (SAFE)? Would you like to be on a team developing software that will help reduce prescription drug costs for millions of Americans? We are eagerly anticipating the award of this program, which could be any d
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Posted 8 days ago

Product Owner

Data Computer Corp America

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Remote

Full-time

DCCA is a veteran-owned IT business specializing in providing innovative solutions to a variety of government agencies and commercial enterprises since 1982. DCCA is proud to offer career growth opportunities and a competitive compensation and benefits package. Visit our website at: ;nbsp; Product Owner Candidate must have or be willing to obtain a Public Trust Clearance For over 40 years, DCCA has provided a broad range of IT services to government agencies and commercial enterprises, helping
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Posted 10 days ago

Cloverleaf Consultant

RedSalsa Technologies, Inc.

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Remote

Contract, Third Party

Title: Cloverleaf Consultant - 137008 Location: Jackson, MS - Remote Duration: 12+ Months Candidate must commit to working onsite for at least two full days for kick off, then they will work 100% remote. Expenses to report onsite are not reimbursed, please submit. 35 hours per week, candidate must commit to making this project a priority over any other work obligations. Work to be conducted during business hours of 8-5pm unless otherwise arranged with supervisor. MS Division of Medicaid Position
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Posted 5 days ago

Health Care Compliance Auditor

UNIVERSAL Technologies

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Remote

Contract

UNIVERSAL Technologies is seeking Health Care Compliance Auditor for a role based in New York City. The position allows remote work. Candiates living in EST are preferred. Must have a Linkedin account. Hybrid could be considered at future date Position: The Health Care Compliance Auditor will support the evaluation of Social Adult Day Cares (SADC) across New York State to ensure compliance with Home and Community Based Services (HCBS) regulations. The role involves conducting documentation revi
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Posted 17 days ago | Updated 12 days ago

Full Stack Developer/Software Engineer

The Doyle Group

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Remote

Contract

Full Stack Software Engineer (Java/React, Agile) Please note: We are not seeking assistance from third-party vendors or agencies for this position Do you love working on Greenfield projects involving LARGE systems with a huge social impact? Do you thrive in a scaled Agile framework (SAFE)? Would you like to be on a team developing software that will help reduce prescription drug costs for millions of Americans? Our partner was recently awarded an exciting program. Please let us know if you wou
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Posted 18 days ago | Updated 9 days ago

Cloverleaf Interface Technical Consultant

NYGCI

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Remote

Contract

Role: Cloverleaf Interface Technical Consultant Duration: 12 Months Location: Jackson, MS Remote (but 2days Onsite) Job Description: Position Description and Job Skill Set Description of the job functions the contractor will be expected to perform. The State of Mississippi, Division of Medicaid (DOM), is seeking proposals from interested and qualified professional entities to provide a Cloverleaf Interface Technical Consultant. This consultant will assist DOM in the maintenance and enhancement o
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Posted 5 days ago