medicaid functional mananger Jobs in ogden, ut

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81 - 96 of 96 Jobs

ALM Tools Designer

4 Consulting Inc

•

Remote

Full-time, Third Party

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He
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Posted 41 days ago | Updated 20 days ago

System Engineer- Splunk ITSI

InCom Technologies Inc.

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Remote

Contract, Third Party

Location: Remote Interview Type Video Duration of the Contract 1 Year (with possible 5 years extension) Anticipated Start Date July 2024 Visa Requirements At least 6 months of valid work authorization (Citizen, H-1B, OPT-EAD, -EAD) Minimum US Experience 3 Years RECENT MARKETPLACE EXPERIENCE IS MANDATORY Duties/Responsibilities: As a cloud solution architect on our team, you ll translate our customer s IT needs and future goals into a plan reviewing and identifying improvements in architecture
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Posted 12 days ago

ETL Developer

4 Consulting Inc

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Remote or Tennessee City, Tennessee, USA

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He
Easy Apply
Posted 12 days ago

Mainframe Developer

4 Consulting Inc

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Remote or Harrisburg, Pennsylvania, USA

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He
Easy Apply
Posted 60+ days ago | Updated 7 days ago

Clinical Auditor, Sr.

CalOptima

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Remote

Full-time

Clinical Auditor, Sr. CalOptima CalOptima Health is seeking a highly motivated an experienced Clinical Auditor, Sr. to join our team. The Clinical Auditor Sr will serve as the auditor for clinical and quality areas within the Case Management department. The incumbent will ensure regulatory (Medicare and Medi-Cal including Whole Child) and accreditation National Committee for Quality Assurance (NCQA) compliance for all CalOptima Health lines of business by conducting routine oversight, monitoring
Posted 4 days ago

QI Nurse Specialist (LVN)

CalOptima

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Remote

Full-time

QI Nurse Specialist (LVN) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (LVN) to join our team. The Quality Improvement (QI) Nurse Specialist (LVN) for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations are consistent with regulatory requirements
Posted 4 days ago

Claims Recovery Specialist

CalOptima

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Remote

Full-time

Claims Recovery Specialist CalOptima CalOptima Health is seeking a highly motivated an experienced Claims Recovery Specialist to join our team. The Claims Recovery Specialist will be responsible for performing recoveries on claims that have been overpaid and must understand and adhere to recovery regulations mandated by CalOptima Health policies, AB1455, Centers for Medicare & Medicaid Services (CMS), Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC) regulati
Posted 7 days ago

QI Nurse Specialist (RN) (Utilization Management)

CalOptima

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Remote

Full-time

QI Nurse Specialist (RN) (Utilization Management) CalOptima CalOptima Health is seeking a highly motivated an experienced QI Nurse Specialist (RN) (Utilization Management) to join our team. The Quality Improvement (QI) Nurse Specialist for Utilization Management (UM) is responsible for overseeing UM for CalOptima Health's direct network and delegated Health Network teams. The incumbent will be responsible for ensuring standards are met for operational and oversight compliance and UM operations a
Posted 7 days ago

Technical Consultant- Medicaid/MMIS

CSG

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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 20 days ago

Data and Reporting Analyst Lead

CalOptima

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Remote

Full-time

Data and Reporting Analyst Lead CalOptima CalOptima Health is seeking a highly motivated an experienced Data and Reporting Analyst - Lead to join our team. The Data and Reporting Analyst - Lead (HEDIS) will be responsible for developing and maintaining Healthcare Effectiveness Data and Information Set (HEDIS) data reports to support the regulatory requirements from the Centers for Medicare & Medicaid Services (CMS), National Committee for Quality Assurance (NCQA) and California Department of Hea
Posted 29 days ago

Remote QNXT Configurations Analyst/Lead

Infinite Computer Solutions (ICS)

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Remote

Full-time

Job Descriptions Below: Senior QNXT Benefit Architect Engagement Lead to create the high level QNXT Configuration global design and product approach, and will supply a QNXT Configuration Architect to complete the detailed benefit design. will also provide one Medicaid SMEs to oversee the creation of Florida Medicaid benefit grids for pending Florida Medicaid benefits for MMA+, HIV Aids, Serious Mental Illness and Long-term care lines of business. High level configuration design will include (as
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Posted 60+ days ago | Updated 8 hours ago

Microsoft PowerApps Application Developer

4 Consulting Inc

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Remote

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He
Easy Apply
Posted 60+ days ago | Updated 20 days ago

Sailpoint Developer

4 Consulting Inc

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Remote

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He
Easy Apply
Posted 60+ days ago | Updated 20 days ago

ServiceNow Developer

4 Consulting Inc

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Remote or Lake Mary, Florida, USA

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He
Easy Apply
Posted 60+ days ago | Updated 20 days ago

Microsoft Power Application Developer

4 Consulting Inc

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Remote

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He
Easy Apply
Posted 60+ days ago | Updated 20 days ago

Build Engineer

4 Consulting Inc

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Remote or Harrisburg, Pennsylvania, USA

Full-time

Who we are! At 4Ci our mission is to build long term relationships, based on trust, integrity, and knowledge with all our employees and business affiliates. 4Ci has been in business for 20 years and has employees working on mission critical projects nationwide. We provide computer programming, testing, and system design services to develop and maintain multi-year, multi-million-dollar mission critical applications for the US Government. Examples of such applications are Medicaid MMIS systems, He
Easy Apply
Posted 60+ days ago | Updated 20 days ago