Author: MM_ADMIN

 
 

Job Description Summary


POSITION SUMMARY: The Business Analyst primarily functions to review, analyze, and evaluate user requirements and system functionality. Tasks will include performing detailed requirements analysis, documenting processes, and validating system performance against requirements. The Business Analyst should have a natural analytical way of thinking and be able to explain difficult concepts to non-technical users. Medicaid program and system experience are highly desired.


Job Responsibilities

• Evaluating business processes, anticipating requirements, uncovering areas for improvement, and developing and implementing solutions.
  
• Work closely with clients, technicians, and managerial staff.
  
• Perform user acceptance testing.
  
• Contribute expertise in provider services-related business functions, including advanced knowledge in the review and approval of provider eligibility
  
• Lead/support requirements and design sessions
  
• Analyze, document and clarify system business requirements
  
• Create Functional Design Documents for system enhancements
  
• Manage scope and implementation schedules for product releases
  
• Support federal system certification
  
• Execute system tests before User Acceptance Testing
  
• Maintain system documentation
  
• Interact daily with state clients and internal customers regarding system status and day-to-day processing
  
• Support user staff with analysis and resolution of issue reports
  
• Analyze complex data and measure outcomes
  
• Coordinate with technical staff to sufficiently understand technical requirements, specifications, and processes
  
• Interact with company and client managers and perform cost/schedule monitoring
  
• Other duties as assigned by management
  
  
  

Education And Experience Requirements

• A minimum of a bachelor’s degree or four years related work experience
  
• Two years of direct experience as a business analyst in design, development, testing, and implementation of software
  
• Knowledge of Medicaid and provider enrollment business processes
  
• Knowledge of system design and development process
  
• Strong understanding of system testing metrics, best practices, and methodologies
  
• Experience working with State government clients in the Medicaid systems domain preferred
  
• Strong interpersonal skills
  
• Excellent organizational, interpersonal, verbal, and written communication skills
  
• Ability to perform comfortably in a fast-paced, deadline-oriented work environment
  
• Ability to successfully execute many complex tasks simultaneously
  
• Ability to work as a team member, as well as independently
  
  
  

Job Summary


Essential Duties and Responsibilities:

• Deliver consulting project activities for medium- to long-term engagements requiring varied interpersonal and technical skills.
  
• Maintain technical responsibilities, which include problem identification, implementation, testing, client training, and solution deployment.
  
• Analyze complex data and identify patterns, recommend actions, and measure outcomes.
  
• Coordinate with technical staff to understand business requirements, specifications, and processes.
  
• Conduct market research and understand and apply implications of Health and Human market trends.
  
• Create system functional specifications from business requirements.
  
• Interact with company and client managers and perform cost/schedule monitoring.
  
• Identify additional product and service opportunities in customer organization.
  
  
  

Minimum Requirements

• Bachelor’s degree with 3- 5 years of experience consulting within designated function.
  
  
  

MAXIMUS Introduction

Since 1975, Maximus has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. Maximus delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, Maximus is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com.


EEO Statement

EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

Clipped from: https://www.linkedin.com/jobs/view/business-analyst-medicaid-systems-remote-at-maximus-2831391970/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Description


The Lead, Medicaid Technology Product Enablement devises an effective strategy for executing and delivering on IT business initiatives. The Lead, Medicaid Technology Product Enablement requires a solid understanding of how organization capabilities interrelate across department(s).


The Lead, Medicaid Technology Product Enablement collaborates with the business and functional stakeholders to identify and deliver strategic enablement solutions that support profitable Medicaid business growth. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s), and could lead multiple managers or highly specialized professional associates. Understands department, segment, and organizational strategy and operating objectives. Makes decisions regarding own work methods, often in ambiguous situations, and requires minimal direction, receiving guidance where needed. Able to prioritize and deliver multiple tasks with tight timelines. Acts as a change agent with an agile mindset to quickly pivot based on evolving information in a highly ambiguous environment. Builds and maintains partnership with key stakeholders. Possesses excellent written and verbal communication and presentation skills. Demonstrates a high level of executive presence and leadership skills. Able to communicate with high level of business acumen. Able to thrive in a fast-paced, growth-oriented environment


Responsibilities


Duties may include, but are not limited to, the following:

• Develop solutions based on our consumer journey to meet our members where they are
  
• Drive work from concept to implementation across multiple teams – both business and development
  
• Enhance the consumer experience with intelligent solution design and execution
  
• Oversees team to ensure complete requirements meet the state contracts and exceed the member expectation
  
• Organize delivery in small executable blocks of work
  
• Partner with the business teams to drive priority
  
• Empower a team of professional employees to own value chains and stream dependencies between systems, identify synergies, and reduce risk to implementation timelines
  
• Engage in solution design session with Medicaid architects and individual system architects to identify solutions that will support Medicaid growth
  
• Support Medicaid CIOs by identifying and offering cross market opportunities
  
• Reduce silos between systems and business processes
  
• Propose opportunities for system enhancements and innovation to better meet consumer needs
  
• Own relationship with vendor an internal supported solutions
  
• Engage in contract negotiations and development of statement(s) of work with external vendors
  
• Document consumer journey map to technical solutions
  
• Builds strategic partnerships and manages relationships between IT and the aligned business group leaders
  
• Obtain and synthesize complex data to tell value stories by product
  
• Serves as trusted leader and partner to deliver high quality products
  
• Champions culture change, process improvement, and drives adoption of agile ways of working
   
  

Required Qualifications

• Bachelor’s Degree
  
• 6 or more years of technical experience
  
• 2 or more years of management experience
  
• Solid understanding of operations, technology, communications and processes
  
• Possess 10+ years of progressive experience leading continuous improvement efforts, evaluating existing systems and implementing process improvements.
  
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  
• Ability to manage multiple tasks and deadlines with attention to detail
  
• Ability to communicate effectively and deliver presentations to senior leaders
  
• Proven experience organizing and directing multiple teams and departments
  
• Excellent communicator in written and verbal form
  
• Extremely versatile, dedicated to efficient productivity
  
• Experience planning and leading strategic initiatives
  
• Proficient with full Microsoft Office suite, Microsoft Visio, Microsoft Teams
   
  

Preferred Qualifications

• Master’s Degree
  
• Experience in Medicaid
  
• Experience in Product Management
  
• Strong understanding of regulatory and compliance metrics
  
• Knowledge of/Certification in SAFe Agile methodology
  
• Consulting experience with a focus on operations management
  
• Proven success in a project/program management role
  
• Nimble business mind with a focus on developing creative solutions
  
• Strong reporting skills, with a focus on interdepartmental communication
   
  

Additional Information


For this job, associates are required to be fully COVID vaccinated (preferred) or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.


If Progressed To Offer, You Will Be Required To

• Provide proof of full vaccination or commit to testing protocols OR  
  
• Provide proof of applicable exemption including any required supporting documentation
   
  

Medical, religious, state and remote-only work exemptions are available.


Scheduled Weekly Hours


40

 
 

Clipped from: https://www.linkedin.com/jobs/view/lead-technology-solutions-medicaid-at-humana-2827870830/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Description


Humana’s Enterprise Shared Services (ESS) organization is looking for a Senior Acquisition & Integration Professional to join the Business Management team working from home anywhere in the U.S. The Business Management team leads and operationalizes large-scale, cross functional initiatives to successful and timely outcomes. As part of this team, you will perform project-oriented duties related to the integration of acquired entities into the company as well as support new State Medicaid implementation.


As the Senior Acquisition Integration Professional you will work side by side with leaders and associates within teams across the Consumer and provider Services and Solutions Organization (CPSS), the Medicaid & Duals Organization and the Corporate Mergers & Acquisitions Organization. You will implement activities and projects associated with the assimilation of practices and systems where the primary competence is in project management and integration related disciplines. You must be high energy but easygoing, love collaboration, drive change and possess an outstanding and trusted leadership presence.


Responsibilities


The Senior Acquisition Integration Professional must be resilient and comfortable operating within in ambiguous environment. You will provide project management expertise while executing implementations that focus on delivering successful and timely outcomes including the following:

• Managing & executing implementations (both Medicaid & Medicare) through all project phases including execution, go live and retrospective
  
• Support and empower teams to identify milestones, handle dependencies and risks, track deliverables and remove blockers
  
• Facilitates cross-functional meetings with internal and external stakeholders to vet thru challenges, develop mitigation plans and update project artifacts
  
• Provides regular status updates to leadership by communicating updates, dependencies, escalations, etc.
  
• Collaborates with CPSS business partners and Medicaid Program Operations to improve and build repeatable models for future Implementations.
  
• Assist in moving top priority initiatives to green while ensuring transparency to the sponsors and across CPSS work streams
  
• Interprets Contracts, RFP’s, CMS memos, etc. to consult and guide business implementations
  
  
  

Required Qualifications

• 5+ years’ project management experience leading large-scale projects, meetings and collaboration across internal and external stakeholders
  
• Knowledge of project management tools, change management, dependency management, risk management and when to use them, when not to use them
  
• 5+ years’ experience in health care operations industry
  
• Core business hours align to Eastern Standard Time (EST)
  
• Superior interpersonal and facilitation skills. Ability to quickly build rapport, trust and strong collaboration
  
• Ability to contribute consistently and positively in a fast-paced, ever changing environment. Remain flexible and calm in the face of uncertainty and ambiguity
  
• Able to exercise independent judgement
  
• Excellent organizational, written and oral communications and presentation skills
  
• Self-starter and critical thinker
  
• Proficient in Microsoft Office applications including Project, Power Point, Visio, Teams, SharePoint and Excel
  
• Must have the ability to travel up to 15% based on business need
  
  
  

Work-At-Home Requirements

• WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 25×10 (25mpbs download x 10mpbs upload) is required.
  
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
  
  
  

Preferred Qualifications

• PMP certification
  
• Advanced Degree
  
• Prior Medicaid experience
  
• Prior Due Diligence/Acquisition experience
  
• Possess solid understanding of how organizational capabilities interrelate across operational work streams
  
• Proven ability to influence at all levels of the organizational model
  
• Experience developing and managing implementations thru run-out and systems sun-setting phases
   
  

Covid-19 Vaccine Policy


For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.


If Progressed To Offer, You Will Be Required To

• Provide proof of full vaccination OR
  
• Commit to weekly testing, following all CDC protocols, OR
  
• Provide documentation for a medical or religious exemption consideration.
  
  
  

This policy will not supersede state or local laws. Requests for these exemptions should be submitted at least 2 weeks prior to your scheduled first day of work


Scheduled Weekly Hours


40

 
 

Clipped from: https://www.linkedin.com/jobs/view/senior-acquisition-integration-professional-medicare-medicaid-remote-at-humana-2827868423/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Description:

Description

SHIFT: Day Job

SCHEDULE: Full-time

 

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

 
 

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America’s leading health care companies and a Fortune Top 50 Company.

 
 

The RVP CA Medicaid Health Plan Performance & Engagement is responsible for the state of California Medicaid quality management program, marketing and community relations, county management and local engagement, and P&L accountability for LA Care Plan Partner Services Agreement, along with operational performance and contract oversight.

Primary duties may include, but are not limited to:

Establishes performance improvement plans required by the CA state agency.

Drives and maximizes default enrollment opportunities.

Delivers and proactively develops plans on Medicaid incentive opportunity in LA County.

Ensures CA state agency contract requirements with County Public and Behavioral Health Departments are met.

Leads growth and retention priorities with focus on executing ground game strategies.

Represents the Medicaid Health Plan with local officials, provider organizations, regulators, and local community partners.

Leads business initiatives in a matrix environment with growth partners and enterprise teams to ensure performance standards are met.

Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications

BA/BS degree and a minimum of 10 years related experience, which could include Medicaid managed care, quality management, marketing programs in a highly regulated environment and health care operations; or any combination of education and experience, which would provide an equivalent background.

Travel may be required.

 
 

Preferred

Master’s degree 

Experience working with California State Agency on Medicaid 

Experience driving Medicaid Quality strategy (CA Local Market Experience preferred)

Knowledge of Provider Market related to Medicaid 

Experience with Marketing & Community Relations


We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.


The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against Covid-19. All offers of employment are conditioned on completion of a background check, including COVID-19 vaccination verification. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.


Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

Clipped from: https://anthemcareers.ttcportals.com/jobs/8129453-rvp-ca-medicaid-health-plan-performance-and-engagement?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

**Business Title:** Director State and Local CA Medicaid

**Requisition Number:** 63082 – 60

**Function:** Advisory

**Area of Interest:**

**State:** NM

**City:** Albuquerque

**Description:**

Historically, the travel requirement for this position has ranged from 80-100%. The safety and well-being of our people continues to be the top priority, and our decisions around travel are informed by government COVID-19 response directives, recommendations from leading health authorities, and guidance from a number of infectious disease experts. For now, all KPMG business travel, international and domestic, is currently restricted to client-essential sales/delivery activity only. At some point in the future and with the safety of people as the critical factor, the travel requirement will likely increase, possibly to previous levels, but KPMG is committed to balancing client requirements with new delivery capabilities.

The KPMG Advisory practice is currently our fastest growing practice. We are seeing tremendous client demand, and looking forward we don’t anticipate that slowing down. In this ever-changing market environment, our professionals must be adaptable and thrive in a collaborative, team-driven culture. At KPMG, our people are our number one priority. With a wealth of learning and career development opportunities, a world-class training facility and leading market tools, we make sure our people continue to grow both professionally and personally. If you’re looking for a firm with a strong team connection where you can be your whole self, have an impact, advance your skills, deepen your experiences, and have the flexibility and access to constantly find new areas of inspiration and expand your capabilities, then consider a career in Advisory.

KPMG is currently seeking a Director State and Local CA Medicaid in Customer & Operations for our Consulting (https://advisory.kpmg.us/) practice.

Responsibilities:

+ Manage and deliver large, complex public services and state/local government engagements that identify, design and implement creative business and technology services for Medicaid government clients

+ Develop and execute methodologies and solutions specific to the public sector and state/local government industry coupled with proven experience with Medicaid and MMIS modernization, with preference for prior work with large Medicaid programs in the western United States

+ Handle engagement risk, project economics, planning and budgeting, account receivables and definition of deliverable content to help to ensure buy-in of proposed solutions from top management levels

+ Develop and maintain relationships with many senior managements at state/local government agencies, positioning self and the firm for opportunities to generate new business

+ Evaluate projects from a technical stance, helping to ensure that the development methods used are correct and practical; evaluate risks related to requirements management, business process definition, testing processes, internal controls, project communications, training and organizational change management

+ Manage the day-to-day interactions with client managers

Qualifications:

+ Minimum ten years of recent experience in the Health and Human Services Medicaid solution delivery market, working for a commercial off-the-shelf (COTS) solution provider or consulting organization with a minimum of eight years of experience managing large, complex technology projects on the scale of a State Medicaid Maintenance Management Information System (MMIS) solution along with proven experience with Medicaid and MMIS modernization

+ Bachelor’s degree of technical sciences or information systems from an accredited university or college

+ Prior experience and has served in a team supervisory role on at least one MMIS implementation and one MMIS M&O engagement such as Program Manager, Module Project Manager, Solution Architect, Technical Solution Lead, or Quality/Testing Manager

+ Demonstrated experience leading teams of more than twenty staff, including staff from diverse organizations to successfully implement and operate technology-based solutions; experience and relationships with states in the western United States preferred

+ Hands-on experience with the Center for Medicare and Medicaid Services (CMS) Medicaid Information Technology Architecture (MITA), Medicaid Certification Lifecycle, associated toolkit and CMS checklists

+ Capable of presenting Medicaid topics to large, varied audiences in either written or verbal presentation format and experience in working on customer proposals or deal capture teams in the State Medicaid market

+ Travel may be up to 80-100%

+ Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future

KPMG LLP (the U.S. member firm of KPMG International) offers a comprehensive compensation and benefits package. KPMG is an affirmative action-equal opportunity employer. KPMG complies with all applicable federal, state and local laws regarding recruitment and hiring. All qualified applicants are considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other category protected by applicable federal, state or local laws. The attached link ( https://assets.kpmg.com/content/dam/kpmg/us/pdf/2018/09/eeo.pdf) contains further information regarding the firm’s compliance with federal, state and local recruitment and hiring laws. No phone calls or agencies please.

**GL:** 3

**GF:** 15304

 
 

Clipped from: https://www.mendeley.com/careers/job/director-state-and-local-ca-medicaid-5105554?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic
 

 
 

BerryDunn is looking to fill up the position of Project Manager/Subject Matter Expert (SME), Medicaid in Charleston, West Virginia, United States. 

BerryDunn is seeking a Project Manager/Subject Matter Expert in Medicaid who will be responsible for the management, reporting, and achievement of project objectives, schedule, quality, resources, and budget for the design, development, and implementation of multiple Medicaid and/or Children’s Insurance Program (CHIP) business initiatives and activities that state health and human services clients may undertake. You will work with the client, team, vendor(s), and federal stakeholders to achieve project objectives. You will report to senior leaders in our Medicaid Practice Group. This position may sit either remotely or in one of our seven office locations.

Travel Expectation: approximately 50% travel to client sites is anticipated in the future to support projects.

You will:

• Support the delivery of services to clients on time, within scope, and within budget, including assigning and managing staff and creating work product
  
• Deliver frequent, clear, and consistent communication to the client, team members, vendor, and direct reports
  
• Develop, review, distribute, and present project status reports
  
• Lead the documentation of project action items, issues, risks, and decisions
  
• Oversee deliverable review facilitation, tracking, and maintenance
  
• Lead staff/team meetings and trainings
  
• Perform and delegate administrative tasks efficiently and effectively, asking questions when instructions are unclear
  
• Estimate and maintain resource projections for responsible tasks; and assist in the development, review, distribution, and presentation of project status reports
  

You have:

• At least 5 to 7 years of public sector experience
  
• At least three years of experience working with state Medicaid agencies
  
• Experience with transformation of business rules into system configurations; business and technical aspects of healthcare information systems; and knowledge of the business areas of the Medicaid Information Technology Architecture (MITA) framework preferred
  
• Experience with assisting and/or leading procurement, testing and/or data governance efforts for a health and human services technology solution implementation
  
• Developing, editing, and presenting summaries, reports, and presentations of complex information and data for project and client teams
  
• Estimating and maintaining resource projections for responsible tasks
  
• Managing a project team
  
• Strong communication skills and attention to detail
  
• Bachelor’s Degree (BA/BS)
  
• Knowledgeable in quality assurance/control procedures and demonstrated proactive problem management skills
  
• Demonstrated ability to excel in a team setting
  
• Strong experience with Microsoft desktop applications
  

In the interest of employee and client safety, BerryDunn asks that all employees working in person at the office, meeting with clients, or attending an in-person event on behalf of BerryDunn be fully vaccinated against COVID-19. This policy provides clarity for our employees and enhances our ability to support clients. Many of our clients are healthcare facilities or government agencies. In many cases, our policy is simply an extension of their requirements. In addition to wearing masks in public areas and socially distancing, being fully vaccinated provides our employees working in person with an opportunity to thrive professionally and personally.

Our Benefits:

We value our employees and offer a variety of attractive benefits, in addition to being part of a high-powered, effective team! Here are just a few of our attractive benefits:

• Health, Dental, Rx and Vision Insurance
  
• Health Savings Account (HSA); Employer contribution
  
• Responsible Paid-Time-Off policy, including Paid Family Leave
  
• 401(K) profit sharing plan with employer match after one year
  
• Life and AD&D Insurance
  
• Long-term Disability Insurance
  
• Long-term Care Insurance
  
• Tuition Reimbursement, Continuing Professional Education, and CPA Exam
  
• Wellness Programs
  
• Mentor Programs
  

About BerryDunn:

BerryDunn is a CPA and Management Consulting firm with over 500 employees throughout the country that provide a full range of services including Management and IT Consulting, Health Analytics/Actuarial Consulting, Audit, Accounting, and Tax. We are headquartered in Portland, Maine, with offices in Arizona, Connecticut, New Hampshire, and West Virginia. BerryDunn has maintained steady growth over its 40+ year history, and the firm is regularly named to national “Top 100” lists, including recent recognition for being a “fastest-growing” firm. We partner with clients across the United States and Canada, and we attribute our growth to attracting, developing, and retaining outstanding employees who help our clients create, grow, and protect value.

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

Job ID: 2021-2126

External Company URL: https://www.berrydunn.com/

Street: 300 Capital Street

 
 

Clipped from: https://usajobsgov.org/project-manager-subject-matter-expert-sme-medicaid/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

 
 

 
 

Position Description


Mathematica applies expertise at the intersection of data, methods, policy, and practice to improve well-being around the world. We collaborate closely with public- and private-sector partners to translate big questions into deep insights that improve programs, refine strategies, and enhance understanding using data science and analytics. Our work yields actionable information to guide decisions in wide-ranging policy areas, from health, education, early childhood, and family support to nutrition, employment, disability, and international development. Mathematica offers our employees competitive salaries, and a comprehensive benefits package, as well as the advantages of being 100 percent employee owned. As an employee stock owner, you will experience financial benefits of ESOP holdings that have increased in tandem with the company’s growth and financial strength. You will also be part of an independent, employee-owned firm that is able to define and further our mission, enhance our quality and accountability, and steadily grow our financial strength. Learn more about our benefits here.


Mathematica is searching for professionals with experience generating insights from data on Medicaid policy and programs at either the state or federal level. In particular, we are looking for individuals who can apply data analytics to support current and emerging work across any number of areas related to monitoring and improving Medicaid programs such as: Value-based purchasing and alternative payment models, enrollment trends, measures of delivery and quality of services for beneficiaries, and to discern outcomes of innovative programs and policies.


The successful candidate will join our group of over 400 health policy professionals, including staff with degrees in data analytics, public health, public policy, economics, behavioral or social sciences, economics, and other relevant disciplines. We offer our employees a stimulating team-oriented work environment, competitive salaries, and a comprehensive benefits package, as well as the advantages of employee ownership.


Duties Of The Position

• Participate actively and thoughtfully in multidisciplinary teams, drawing on your past experience with Medicaid programs
  
• Help conduct research and technical assistance projects on topics related to state and federal Medicaid policy
  
• Apply rigorous analytic thinking to the collection and interpretation of quantitative data including analysis of Medicaid administrative data
  
• Bring creative ideas to the development of proposals for new projects
  
• Author project reports, memos, technical assistance tools, issue briefs, and webinar presentations
  
• Contribute to the growth, expertise, and institutional knowledge of staff working in the Medicaid area
  
  
  

Qualifications


Position Requirements:

• 3-8 years of experience working in health policy or health research, with a substantial portion of that time related to some aspect of the Medicaid program at the state or federal level
  
• Masters or doctoral degree or equivalent experience in data analytics, public health, public policy, economics, behavioral or social sciences, economics, or other relevant disciplines
  
• Demonstrated ability at modeling program outcomes would be ideal
  
• Strong foundation in quantitative methods and a broad understanding of health policy issues
  
• Excellent written and oral communication skills, including an ability to explain observations and findings to diverse stakeholder audiences including program administrators and policymakers
  
• Demonstrated ability to provide task leadership and coordinate the work of multidisciplinary teams
  
• Strong organizational skills and high level of attention to detail; flexibility to lead and manage multiple priorities, sometimes simultaneously, under deadlines
  
  
  

To apply, please submit a cover letter, resume, writing sample, and salary expectations at the time of your application.

Available Locations: Washington, DC; Princeton, NJ; Cambridge, MA; Woodlawn, MD; Ann Arbor, MI; Chicago, IL; Oakland, CA; Seattle, WA

This position offers an anticipated annual base salary of $90,000 – $140,000. This position may be eligible for a discretionary bonus based on company and individual performance.

Various federal agencies with whom we contract require that staff successfully undergo a background investigation or security clearance as a condition of working on a project. If you are assigned to such a project, you will be required to obtain the requisite security clearance.

In accordance with Executive Order 14042 and its implementing guidelines, all Mathematica employees must provide documentation that they have been fully vaccinated or obtain an accommodation through Human Resources by providing documentation from a licensed health care provider that they are unable to be vaccinated against COVID-19 because of a disability (which would include medical conditions) or provide an attestation that they are entitled to an accommodation because of a sincerely held religious belief, practice, or observance.

 
 

Clipped from: https://www.linkedin.com/jobs/view/researcher-medicaid-at-mathematica-2731810834/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Description:

Description

SHIFT: Day Job

SCHEDULE: Full-time

 

 
 

THIS IS A WORK FROM HOME OPPORTUNITY – TEXAS PREFERRED

 
 

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. 

 
 

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America’s leading health benefits companies and a Fortune Top 50 Company.

 
 

The Medicaid Business Analyst Intern will be responsible for…

 
 

Primary responsibilities include supporting:

 
 

• Support business strategies through an integrated portfolio of internal and external client facing programs, projects, and initiatives such as provider data management, implementation of new tool suites, and operational processes
  
• Facilitate cost of care and population health initiatives through ideation sessions, documentation and management of goals, strategies, KPIs and metrics
  

 
 

• Be the point of contact to triage and track post implementation concerns
  
• Support in logistics and coordination with state projects
  
• Help support internal and external meetings with agendas, minutes and follow up items
  

 
 

Qualifications

• Pursuing an undergraduate degree in Public Health, Public Policy, Business Management, Healthcare Administration, Health Operations Management, or Business Analytics
  
• This internship is from June to August and is 40 hours per week/or 20 hours per week depending on school schedule in a virtual setting
  
• Must be enrolled fulltime at an accredited college or university during internship
  
• Students must be authorized to work in the U.S. without future visa sponsorship requirements
  

 
 

Preferred Qualifications

 
 

Students must reside or attend school in Texas

 
 

 
 

Clipped from: https://anthemcareers.ttcportals.com/jobs/7886608-medicaid-business-analyst-intern-summer-2022?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Description
The purpose of the Director, Strategy Advancement -Medicaid, is to work with the Medicaid Operations team to drive operational strategies in support our growing Medicaid portfolio. Advises and makes recommendations to senior executives on matters of significance in the National Medicaid Operations and Divisional teams, Business Development, Network, Finance and Clinical areas, as well as other stakeholders within and outside the Retail Segment.
Focused on optimizing the operating model of the National Medicaid Operations and Divisional structure while serving as an instrumental leader in achieving the Medicaid Growth Strategy and assuring an exceptional customer experience.
Responsibilities
+ Provides end-to-end support to VP, National Medicaid Operations including but not limited to cross -functional coordination with his/her leadership team and key aligned partners on all initiatives, communications, and executive reporting. Key member of the National Medicaid Operations Leadership team. Represents the VP, National Medicaid Operations as needed in strategic settings to advance the priorities of the Medicaid portfolio
+ Builds relationships with executives and senior leaders across the Medicaid segment and with key business partners supporting the Medicaid and leads change management to execute the new Medicaid Market Operating Model across enterprise partners
+ Assumes leadership of complex strategic initiatives that are broad in scope. Identifies opportunities and leads large scale initiatives and programs for the segment from conceptualizing through implementation
+ Provides visibility and coordination of all large-scale initiatives within the National Medicaid Operations and Divisional teams, supporting cross-functional collaboration across Business Development, Network, Finance and Clinical areas
+ Actively engages in strategy execution to deliver business critical outcomes that advance our 1.5M Medical Member BHAG
+ Actively engages National Medicaid Operations Leadership Team in strategy development and execution in order to achieve successful growth and meaningful customer experience, including support and management of administrative budgets and business planning
+ Assumes a leadership position in promoting strong team health, particularly with National Medicaid Operations Leadership Team; but also key contributor to initiatives that strengthens the culture and improves the associate experience within the National Medicaid Operations organization in partnership with Medicaid Culture Team and Retail Communications, as well as key aligned partners including HR.
Required Qualifications
+ Bachelor’s Degree or equivalent experience
+ Experience in a matrix organization with proven ability to leader others by influence
+ 8 or more years of experience in change management, process improvement and leading large projects
+ 5 or more years of management experience or management consulting
+ 5 or more years advising executives
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ We will required full COVID vaccination for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve. If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 weeks prior to your scheduled first day of work.
Preferred Qualifications
+ Medicaid knowledge
+ Motivated self-starter; excited to work with cross-functional team members to execute against an end-to-end program scope
+ Strategic mindset with critical thinking skills to connect disparate dots and overcome ambiguity. Ability to evaluate and solve problems with rigorous logic that pushes beyond the obvious to uncover root cause issues and creative solutions
+ Adept at forming strong relationships with diverse teams and personalities through effective trust building and _collaboration_ . Strength in persuading multiple parties to align around one vision, and exudes the confidence to drive execution and adoption.
+ Strong communication skills, both verbal and written (including reporting and presentations) with demonstrated ability to use language that is succinct and clear and, when appropriate, strengthens new business positioning and emphasizes customer value
+ Experience leading large projects and programs from the conceptualizing through implementation. Comfort managing several different initiatives at one time and prioritizing efforts that deliver the greatest return for the business, all while leveraging standard methodologies, tools and platforms. Experience driving large scale change initiatives. _Track record of meeting deadlines and focusing on deliverables_ .
+ Experience leading and facilitating sessions where content is delivered and change management and adoption techniques are deployed
+ Intellectual curiosity with excellent listening skills and a passion for learning
+ Outcome orientation with the ability to use data to establish quantifiable success criteria and measure progress toward targeted results.
Scheduled Weekly Hours
40
 

Clipped from: https://www.recruit.net/job/director-jobs/F06E6FFFEB06569A?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic