Medicaid Functional Mananger Jobs in Ogden, UT

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Business Analyst- Integrated Eligibility

CSG

•

Remote

Full-time

CSG Government Solutions is a national leader in planning, managing and supporting complex projects that modernize the information technology and business processes of large government programs. Since 1997, we have applied our expertise, innovation, and results-oriented mindset to the most complex program modernization projects of over 200 government and other organizations including 48 state and territory governments, the U.S. Department of Health and Human Services, the U.S. Department of Labo
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Posted 60+ days ago | Updated 6 days ago

Senior Business Analyst - Operations (Remote)

Sentara

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Remote or Richmond, Virginia, USA

Full-time

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Sentara Health is hiring for a Senior Business Analyst - Operations. This is a Full-Time position, fully remote, with day shift hours and great benefits! Work Location: Remote opportunities available in the following states - Alabama,
Posted 60+ days ago | Updated 5 hours ago

Financial Planning & Analysis Analyst V

Kaiser Permanente

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Remote or Portland, Oregon, USA

Full-time

Description: Must reside in the state of Oregon or Clark County and Cowlitz County, WA The Financial Analyst V is a financial lead in contract negotiations to construct analytics using Medicare payment and reimbursement methodologies by utilizing claims data. They will calculate financial impact of proposals and make recommendations based on make various reimbursement models . The candidate should have working knowledge of reimbursement rate strategies , contract terms , industry trends and r
Posted 19 days ago | Updated 3 hours ago

Consultant IV, Medi-Cal Memoranda of Understandings (MOU) Management

Kaiser Permanente

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Remote or Oakland, California, USA

Full-time

Description: Remote from any KP location in California Only. ** PLEASE NOTE: Salary ranges are geographically based and the posted range reflects the Northen CA region. Lower salary ranges will apply for other labor markets outside of NCAL Overview: Kaiser's Medi-Cal contract with the Department of Health Care Services (DHCS) requires us to execute contracts, referred to as Memoranda of Understandings (MOUs), with third-party entities (TPEs) across all counties of operation. This position will r
Posted 4 days ago | Updated 4 hours ago

Healthcare Data Analyst

Sentara

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Remote or Norfolk, Virginia, USA

Full-time

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Sentara is hiring for a Healthcare Data Analyst. This is a Full-Time position, fully remote, with day shift hours and great benefits! Work Location: 100% Remote 100% Remote opportunities available in the following states: Delaware, Fl
Posted 33 days ago | Updated 5 hours ago

Healthcare Data Analyst (Remote)

Sentara

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Remote or Virginia Beach, Virginia, USA

Full-time

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Sentara Health is hiring for a Healthcare Data Analyst. This is a Full-Time position, fully remote, with day shift hours and great benefits! Work Location Remote opportunities available in the following states - Alabama, Delaware, Flo
Posted 18 days ago | Updated 5 hours ago

Consultant V, Medi-Cal Policy and Engagement

Kaiser Permanente

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Remote or Pasadena, California, USA

Full-time

Description: Overview: The Consultant will focus on deepening Kaiser Permanente's local engagement related to our Medi-Cal program including representing Kaiser Permanente in key external forums and managing critical external partnerships such as with county agencies, other managed care plans (MCPs), community-based providers, DHCS PATH Collaborative facilitators, and the general community as it relates to KP Medi-Cal. The consultant will cultivate deep, trusting relationships in the community
Posted 19 days ago | Updated 4 hours ago

Senior Business Systems Analyst QNXT- Operations (Remote)

Sentara

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Remote or Richmond, Virginia, USA

Full-time

Sentara is hiring a Senior Business Systems Analyst QNXT - Operations! Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! This is a Full-Time position with day shift hours and great benefits! Work Location: 100% Remote Candidates must have a current residence in one of the follow stat
Posted 25 days ago | Updated 5 hours ago

Director Regulatory Portfolio Administration

Kaiser Permanente

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Remote or Oakland, California, USA

Full-time

Description: Technical Summary: Manages portfolio of complex and diverse programs and projects supporting key strategies and initiatives for the Medi-Cal Line of business. Owns intake, prioritization, and assignment of priorities. Oversees program and project execution tooling and reporting. Accountable for establishing agendas and content to support governance and management forums. Job Summary: Drives the development and execution of the Medi-Cal Line of Business portfolio strategy and ensures
Posted 19 days ago | Updated 5 hours ago

Strategy Consultant IV, Delivery System Strategy & Innovation

Kaiser Permanente

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Remote or Atlanta, Georgia, USA

Full-time

Description: Technical Summary Statement: The Strategy Consultant IV role will support the market's service areas, and work with operational leaders in the area, as well as the internal Delivery System Strategy team, to understand service delivery needs, gaps, and drive long-range strategy. The Consultant will work to drive data-driven decisions for the delivery system, identifying needs, developing business cases for capital investment, and leading the development of capital business cases from
Posted 19 days ago | Updated 4 hours ago

Manager of Cost Containment

Sentara

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Remote or Richmond, Virginia, USA

Full-time

Sentara Health is seeking a passionate leader to join our team as Manager of Cost Containment! This is a Full-time & 100% Remote position **Candidates must have a current residence in one of the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine Maryland, Minnesota, Nebraska, Nevada, North Carolina, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virg
Posted 60+ days ago | Updated 5 hours ago

Senior Business Analyst - Operations (Remote)

Sentara

•

Remote or Richmond, Virginia, USA

Full-time

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Sentara Health Plan is hiring for a Senior Business Analyst - Operations. This is a Full-Time position, fully remote, with day shift hours and great benefits! Work Location: Remote opportunities available in the following states - Ala
Posted 60+ days ago | Updated 5 hours ago

Team Coordinator - Business \u0026 Systems Integration

Sentara

•

Remote or Richmond, Virginia, USA

Full-time

Sentara is hiring a Team Coordinator - Business & Systems Integration! Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! This is a Full-Time position with day shift hours and great benefits! Work Location: 100% Remote Candidates must have a current residence in one of the follow stat
Posted 60+ days ago | Updated 5 hours ago

Senior Business Analyst - Operations

Sentara

•

Remote or Richmond, Virginia, USA

Full-time

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Sentara is hiring for a Senior Business Analyst - Operations. This is a Full-Time position, fully remote, with day shift hours and great benefits! Work Location: Remote opportunities available in the following states - Alabama, Delawa
Posted 60+ days ago | Updated 5 hours ago

Healthcare Data Analyst (Remote)

Sentara

•

Remote or Virginia Beach, Virginia, USA

Full-time

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Sentara Health Plan is hiring for a Healthcare Data Analyst for Optima Health. This is a Full-Time position, fully remote, with day shift hours and great benefits! Work Location: Candidates may work remotely in VA, NC, WA, NV, FL, IN,
Posted 60+ days ago | Updated 5 hours ago

Technical Analyst

Quantam Solutions

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Remote or Frankfort, Kentucky, USA

Contract

Quantam Solutions provides IT solutions and consulting for the State of Michigan. We offer a competitive hourly wage, health benefits, paid time off, and a 401(k) plan. We're currently seeking a Technical Analyst for the Commonwealth of Kentucky's Cabinet for Health & Family Services. JOB DESCRIPTION: The Department for Medicaid Services, Division of Information Systems, Systems Management Branch is seeking a Technical Analyst for the Medicaid Management Information System (MMIS) in Frankfort, K
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Posted 5 hours ago | Updated 5 hours ago

Project Manager (Contract/Long Term)

J.E. Ranta Associates

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Remote

Contract, Third Party

REMOTE POSITION NC Department of Health and Human Services (DHHS) Information Technology Division (ITD) seeks an IT Product Manager to join the Medicaid Enterprise System (MES) project. NOTE: This position is 100% remote and candidates located anywhere in the US are welcome to apply. The IT Product Manager will serve as a member of the DHHS Medicaid Enterprise System (MES) Program providing IT product management within the MES portfolio. This position will champion our departments key strategi
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Posted 11 days ago

IT Product Manager

J.E. Ranta Associates

•

Remote

Contract, Third Party

REMOTE POSITION NC Department of Health and Human Services (DHHS) Information Technology Division (ITD) seeks an IT Product Manager to join the Medicaid Enterprise System (MES) project. NOTE: This position is 100% remote and candidates located anywhere in the US are welcome to apply. The IT Product Manager will serve as a member of the DHHS Medicaid Enterprise System (MES) Program providing IT product management within the MES portfolio. This position will champion our departments key strategi
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Posted 11 days ago

Mainframe Automation Test Lead

Chags Health Information Technology LLC (C-HIT)

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Remote or Columbia, Maryland, USA

Full-time

Job Description: We are seeking a skilled and experienced Mainframe Automation Test Lead to join our team. The ideal candidate will have a strong background in mainframe testing, automation tools, and experience in claims or CMS (Centers for Medicare & Medicaid Services) projects. Responsibilities: Lead and manage the mainframe automation testing team, ensuring high-quality deliverables and adherence to project timelines.Develop and implement test strategies, plans, and test cases for mainframe
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Posted 19 days ago | Updated 2 days ago