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Medicaid Job Hunter: 02/03/2020

We scour the internets for Medicaid jobs listings to save you time.

 

In this packet…

  1. Executive Director of Managed Care Contracting EOGH | Prospect Medical Holdings, Inc.
  2. Tribal Option Program Manager | NC Department of Health and Human Services
  3. Manager Government Programs Regulatory | Blue Cross of Idaho
  4. BH Utilization Manager | Community Health Choice, Inc. | TX
  5. UnitedHealth Group Site Director Medicare Medicaid El Paso Health Plan Job in EL PASO, Texas
  6. Tuscany Enterprises CFO, Health Plan Job in Remote
  7. Ohio Department of Transportation Medicaid Health Systems Specialist Job in OHIO-Franklin
  8. Behavioral Health Medicaid Market Development Advisor | Jobs Interviewing Now from HCS
  9. Tuscany Enterprises VP of Finance, Health Plan Job (Remote)
  10. Healthcare Insurance Coordinator at FRESENIUS

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Medicaid Job Hunter: 01/27/2020

We scour the internets for Medicaid jobs listings to save you time.

 

In this packet…

  1. Utilization Management Coordinator – Registered Nurse (RN) | Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas
  2. Government & Medicaid Business Development Leader | Mercer
  3. Tribal Option Program Manager | NC Department of Health and Human Services
  4. NC Department of Health and Human Services: Overview
  5. Healthcare Recruiter | UAB Medicine
  6. Medicaid Health Systems Administrator 2 | Ohio Department of Medicaid
  7. Supervisor, Field Care Management – Medicaid LTC / LTSS Experience Preferred | Jacksonville, FL | WellCare
  8. Anthem, Inc Nurse Case Manager I – Medicaid Case Management Job in Maitland, FL
  9. Director, Medicaid Care Management Job in New York, NY – EmblemHealth
  10. Health Plan Specialist II (Field) CHC | Texas

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Medicaid Job Hunter: 01/20/2020

We scour the internets for Medicaid jobs listings to save you time.

 

In this packet…

  1. Onsite Inpatient Care Manager (Registered Nurse) | WellCare Health Plans
  2. SIU Investigator – Medicare / Medicaid / Pharmacy FWA | WellCare Health Plans
  3. Children’s Special Services Care Manager – Registered Nurse (RN) | MetroPlus Health Plan
  4. Social Worker II -Growing Elder Service PACE Program – Webster | Fallon Health
  5. Molina Healthcare Project Manager – Medicaid Health Plan Operations – Remote Job in Syracuse, NY
  6. Manager, Ethics & Compliance at Centene Corporation | Clayton, Missouri
  7. Behavioral Health Medicaid Market Development Advisor Job in Five Corners, NJ at Humana
  8. Aetna (HEDIS) Quality Management Sr. Consultant – PA Medicaid Health Plan Job in Wilkes-Barre, PA
  9. Staff Analyst | Partners In Diversity, Inc. | Los Angeles, CA
  10. Pharmacy Resident (Cigna Medicare and Medicaid) – Nashville, Tennessee | Patient Care & Pharmacy jobs at Cigna

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Medicaid Job Hunter: 01/13/2020

We scour the internets for Medicaid jobs listings to save you time.

 

In this packet…

 
  1. Medicaid DDI Leader | DXC Technology
  2. Practice Management Training Coordinator | Unity Health Care
  3. Medicaid Pharmacy Office Director -Denver | Colorado State University
  4. Market Strategist | Director, State & Public Health | Kansas City, Missouri | Cerner
  5. Medicaid Program Monitor (Medicaid budgeting & reporting) | State of Louisiana
  6. Director – Managed Care Revenue Contracting | The Oklahoman
  7. Business Analyst III – Medicaid / Medicare | Centene Corporation 
  8. Site Director Medicare Medicaid El Paso Health Plan | UnitedHealth Group
  9. Solution Strategist | Director, State & Public Health | Kansas City, Missouri | Cerner
  10. Government Health Actuary Senior Analyst | Mercer

Medicaid Industry Jobs Hunter 01.13.20

 

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Medicaid Job Hunter: 01/06/2020

We scour the internets for Medicaid jobs listings to save you time.

 

In this packet…

  1. Field Care Manager | Miami Gardens, FL | WellCare
  2. Medicaid Health Systems Administrator | Ohio Department of Medicaid
  3. Medicaid Collector Job in Oak Brook, IL at Advocate Health Care
  4. Medicaid Enrollment Rep I | New York, NY | WellCare
  5. UnitedHealth Group Site Director Medicare Medicaid El Paso Health Plan Job, El Paso, TX 
  6. Director Government Affairs – Medicaid LOB | Houston, TX | WellCare
  7. Aetna Chief Medical Officer Aetna Better Health of KS (Medicaid) Job in Overland Park, KS 
  8. Chief Medical Officer Aetna Better Health of KS (Medicaid) | Aetna, a CVS Health Company
  9. Head of Products/Product Director | MetroPlus Health Plan
  10. Member Database Analyst

Medicaid Industry Jobs Hunter 01.06.20

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Medicaid Job Hunter: 12/16/2019

We scour the internets for Medicaid jobs listings to save you time.

 

In this packet…

 
  1. Care Manager in San Diego, CA at Beacon Health Options
  2. Behavioral Health Utilization Manager/ RN | Community Health Choice
  3. Eligibility Analyst, Traditional Medicaid & Hoosier Care Connect Job in Indianapolis, IN at State of Indiana
  4. Business Development Representative | TripSpark Technologies
  5. Director Medicaid Plan Marketing | Anthem, Inc.
  6. Child Advocate at Centene Corporation
  7. Medicaid Health Systems Administrator 2 | Vprecruiter
  8. Sr. Application Developer | TripSpark Technologies
  9. USAJOBS – Job Announcement
  10. Senior Manager, Business Development (USA, Remote Opportunity)

Medicaid Industry Jobs Hunter 12:16:19

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Medicaid Job Hunter: 12/09/2019

We scour the internets for Medicaid jobs listings to save you time.

 

In this packet…

  1. Health Program Manager III | Health Care Cost Containment
  2. NC Medicaid Personal Care Services (PCS) Unit Manager | NC Department of Health and Human Services
  3. Medicaid Eligibility Advocate | HCA Healthcare
  4. Medicaid Population Health Strategy Advisor | Humana
  5. Meridian Health Plan Community Relations Specialist Job in Chicago, IL
  6. Pharmacist; Managing Principal, State Medicaid FFS Pharmacy Operations | MedImpact Healthcare Systems, Inc.
  7. Market President, Blue Cross Complete- AmeriHealth
  8. VP, CEO Medicaid – Florida Job at Aetna in Fort Lauderdale, Florida
  9. Medicaid Specialist I
  10. Section Manager/Managed Care Programs (WMS3/MPOI)

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Medicaid Who’s Who Interview: Amy Riegel

Amy Riegel is the Director of Housing at CareSource

Check out her LinkedIn profile HERE.

Which segment of the industry are you currently involved?

I am approaching my 4 year anniversary with CareSource, a non-profit Managed Care Organization that covers nearly 2 million members that live in Ohio, Indiana, Georgia, West Virginia, and Kentucky. Since the beginning, I have been a part of the Life Services team, which is focused on the integration of the social determinants of health into all lines of our business.

How many years have you been in the Medicaid industry?

CareSource is my first role within the Medicaid industry. Prior to CareSource I had worked in multiple roles that helped improve communities for individuals living in poverty. My work included education, strategies to end homelessness, and revitalizing communities after the housing crisis. When CareSource started Life Services they took the bold approach to hire experts from outside of the Medicaid industry – I am very thankful for that innovative vision. I jumped into my new career and have been learning something new every day. After four years I can now speak “fluently” housing and healthcare.  

What is your focus/passion? (Industry related or not)

Personally and professionally my passion is for building communities through the lens of where we live. At work, I have the opportunity to create strategies to increase the availability and affordability of housing for our members. I love every aspect of this work, especially the fiscal and social policy related to affordable housing. Public housing benefits are incredibly different from health coverage – the contrast of the two create the perfect playground for my mind to work. Personally, my husband and I also rehab historic homes. Helping to bring new life to a beautiful old structure is immensely gratifying.

What is the top item on your “bucket list?”

Almost all of my “bucket list” items are focused on traveling. I love to explore new places near and far. In the United States, I am getting closer to reaching my goal of visiting all 50 states and every National Park. My favorite travel spots to date are watching the sun rise from Haleakala National Park in Maui and hiking Bryce Canyon National Park in Utah. On the top of the list for places that I want to visit is Denali National Park in Alaska. I also love to travel abroad, right now Italy is at the top of that list.

What do you enjoy doing most with your personal time?

Currently, my free time is consumed by my three young daughters. Our nights and weekends are filled with school and sporting events. I enjoy being involved in their activities either on the sidelines cheering, helping them master a new skill, or volunteering annually as the Girl Scout Cookie Mom. Our lives can be very hectic but it is amazing to see the world through their eyes.

Who is your favorite historical figure and why?

I was an Accounting major in college, until my first Political Science class when I learned about Archbishop Desmond Tutu and the South African Truth and Reconciliation process after the end of Apartheid. His work and steadfast belief is advocating for what is right, no matter the consequences, became a guiding light. He was a mediator, influencing others by helping them to find understanding, rather than trying to force his viewpoint. He helped people to find peace within the political system and within their hearts. I graduated with the degree in Political Science and embarked upon my career with the intention to help the world heal from the wrongs of the past and build just societies.

What is your favorite junk food?

Hands down – a brownie. I can skip most sweet temptations but I can’t say no to a brownie.

Of what accomplishment are you most proud?

Being a mom to my three daughters is truly my greatest accomplishment. I faced many challenges on the journey to becoming a mother, but the process made me stronger and more resilient.

For what one thing do you wish you could get a mulligan?

I believe that everything happens for a reason, and no matter the outcome, it is what you learn from the situation. I have not always made the best decisions and there are many things that did not turn out the way I wanted, but it is the success and the failure that has brought me to this point. For the important moments and decisions, there is nothing that I would do over.

What are the top 1-3 issues that you think will be important in Medicaid during the next 6 months?

Of course, the social determinants of health. I believe that we are starting to understand how to address social needs within the structures of MCOs or health providers. The healthcare system has an infrastructure that can help to facilitate the delivery of interventions and services. If we can build strong relationships with community based organizations we will have the ability to comprehensively address individual social needs. This work is essential, we must double down and take it to scale. However, the most important part is the next step – we must start to dismantle the systemic constructs that create the social need. We must get upstream. For an example – there are programs that serve homeless members and help them find housing. We have programs at CareSource, other MCOs and Hospital Systems across the nation are also creating programs. In the next 6 months we must start talking about why people are becoming homeless, how we prevent homelessness, and how do we screen for housing instability. The health and financial outcomes will come from curing the social issue, not treating it.

Know someone in the space who’s doing great work and is an all around interesting person?

Send a note to clay@mostlymedicaid.com to nominate them for the next round of Medicaid Industry Who’s Who Interviews.

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Medicaid Job Hunter: 12/02/2019

We scour the internets for Medicaid jobs listings to save you time.

 

In this packet…

  1. Anthem Nurse Case Manager I Medicaid (OB experience) – PS Job in Long Beach, CA
  2. CSVCG Director of Ambulatory Services | America’s Health Insurance Plans (AHIP)
  3. Medicaid West Virginia Care Management Associate – Western in Charleston, West Virginia
  4. Supervisory Health Insurance Specialist | Centers for Medicare & Medicaid Services
  5. Health Plan Prior Authorization Coordinator – Government Programs
  6. Medical Director Medicaid LOB | Houston, TX 
  7. Coordination of Benefits Specialist | Tampa, FL 
  8. Chief Operating Officer – North Carolina | Raleigh, NC 
  9. Marketing Outreach Specialist – Medicaid | Tampa, FL 
  10. Operations Support Specialist | Tampa, FL 

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Menges Group 5 Slides Series for July & November 2019

The Menges Group puts out these great analyses and insights each month. And is kind enough to let us repost them for the MM audience. Check out themengesgroup.com to learn more about the work they do. 

Attached are two new editions of the 5 Slide Series, filling in gaps from 2019.  The July 2019 edition conveys information on the health care companies in the Fortune 500, focusing primarily
on 2018 profit margins.  The November 2019 edition tracks Medicaid and Medicare enrollment growth across the past several decades, with the two programs together now covering 38% of the US population.

Fortune 500 Health Companies July 2019 Volume 74

Nov 2019 5 Slide Series Insurance Coverage Through the Decades