Humana is at the nexus of the innovation taking place within healthcare. Broadly speaking, we are one of the most active participants in the sector. This is an exciting company headquartered in a city with an excellent quality of life!

Oliver
Director, Corporate Development and Venture Capital

 
 

I looked for the opportunity for growth and stability and I found it here.

Barry
Manager, Software Engineering Strategic HR Systems

 
 

Humana has really helped my sense of belonging because I feel part of the team.

Rosemary
Senior Consumer Experience Professional

 
 

The best part of this company is the commitment to associates, which naturally leads to commitment to members.

Abigail
Medical Director, Mid-South

 
 

Equal Opportunity Employer
It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster.

If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact yourcareer@humana.com for assistance.

Humana Health and Safety Policy
Humana and its subsidiaries will require full vaccination for associates and select contractors who conduct work outside of their home on behalf of Humana. This applies to those who work within our facilities; interact directly with members and patients; attend in-person meetings or trainings; and/or represent Humana at events or volunteer activities. Medical and religious exemptions will be available, and this policy will not supersede state or local laws. Learn more

Humana Security Notice
Humana will never ask, nor require a candidate to provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact yourcareer@humana.com to validate the request.

California Residents
If you are a California resident and would like to review our California Consumer Privacy Act (CCPA) Policy click here:

CA Resident Privacy Policy

 
 

Clipped from: https://careers.humana.com/job/13503444/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

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AnthemLouisville, KY

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• Description SHIFT: Day JobSCHEDULE: Full-timeBe part of an extraordinary teamWe are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
  
• You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change.
  
• Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
  
• Build the Possibilities.
  
• Make an extraordinary impact.
  
• Anthem s Medicaid Proposal Development Team is looking for a Director of Writing for Proposal Development to join its team.
  
• This people leader will lead our internal writing team and editors.
  
• S/he also staffs and manages our live proposal work with external writers to supplement our internal writing staff.
  
• S/he is also responsible for the completion and quality of our Medicaid Proposal writing, tracking performance, and maintaining our core content library.
  
• [This position can work remotely from any US Anthem office]How you will make an impact:Responsible for directing and conducting activities related to the development of the Medicaid proposal process, to include strategic messaging and writing and/or support of effective and efficient development of responses to Requests for Proposal(s) to expand the Medicaid business in both new and existing markets.
  
• Primary duties may include, but are not limited to: Incorporates evaluation of the market and customer values and develops win themes and tactics to ensure messages are evident in the response and the Company is well-positioned to win the business.
  
• Considers the competitive environment, customer goals, objectives, and the RFP requirements in the development of strategies to deliver the Company’s messages effectively and timely.
  
• Leads and manages the writing team which includes both internal and external resources and/or leads the development of proposal tools and processes to ensure they are consistent with win themes, style guide, and other presentational tactics, as identified in the RFP Response and Leadership Strategy processes (to include issues management, document production and assessment of the proposal to drive a complete, fully compliant and effective proposal response).
  
• Hires, trains, coaches, counsels, and evaluates the performance of direct reports.
  
• QualificationsBA/BS degree and a minimum of 7 years of related experience including at least 5 years of leadership experience; or any combination of education and experience, which would provide an equivalent background.
  
• The health of our associates and communities is a top priority for Anthem.
  
• 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.
  

 
 

 
 

Clipped from: https://jobsearcher.com/j/director-writing-and-proposal-development-medicaid-at-anthem-in-louisville-ky-kxVno41?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

100% Remote, Hours are 8-5PM (with 1 hour lunch) MST.

Description:

Client seeking a State Government Project Manager who is well versed in Medicaid.

Client has released a RFP and is seeking a candidate who can help review potential vendors, select a vendor, create the project SOW, handle contract negotiations and expectations. Then work with selected vendor from project kick off to planning, implementing, testing and into maintenance.

Candidate must be willing to OWN this new MMISR Module and work across teams and businesses, schedule meetings and coordinate calendars to ensure project progress, candidate must feel confident directing anf working with vendors. Above all else, candidate must be a self-starter and able to manage this Module and own it’s project-long success.

Candidate must have exceptional communication skills and ability to handle vendor, stakeholders, executives and technology staff.

Candidate will be responsible for running meetings, ensuring the vendor is hitting deadlines and deliverables

Candidate will be responsible for documentation and project status reports to stakeholders and executives

Medicaid is a requirement for this role. Ideally a candidate who understands Medicaid billing is an ideal candidate. This candidate will be interacting with the client’s Medicaid Benefits Management System implementation, so being well versed in Medicaid processes and CMS requirements will be required for success in this role.

Candidate will report to the Medicaid Division (Business focused division) but will interact and partner heavily with the technology staff and team to execute this work successfully.

Candidate can sit 100% remote. Hours are 8-5PM (with 1 hour lunch) MST. Project meetings will happen during these hours, so it is critical a candidate is able and willing to work within these hours.

About TEKsystems:

We’re partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That’s the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

 
 

Clipped from: https://www.jobserve.com/us/en/search-jobs-in-Sacramento,-California,-USA/MEDICAID-PROJECT-MANAGER-40E0C9AB14F538990D/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Job Description

POSITION SUMMARY: This role is responsible to ensure out of state Medicaid enrollment documents are complete and submitted to ensure reimbursement for our hospitals and to maintain the re-enrollment cadence, when appropriate. In addition, this position is the subject matter expert on each state’s enrollment and billing requirements and performs analysis of the state’s provider manuals to ensure accurate and timely creation of claims within the revenue cycle billing platforms to ensure timely and accurate electronic billing. Works closely with other revenue cycle work stream leaders and will provide assistance and education to the collection and denial team members to recover reimbursement in a timely manner. This position will facilitate all responsibilities related to out of state Medicaid enrollment, billing and education and ensure that all patient/customer interactions meet LCMC’s goals vision and standards. This job description is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. JOB SPECIFICATIONS: Education: Minimum Required: High School Diploma Preferred: Undergraduate Degree Experience: Minimum Required: Two years of Revenue Cycle operations experience to include billing or collections. Preferred: Specialized focus on Medicaid or Managed Medicaid third party payer billing and/or collection interactions. Prior experience with submission of provider enrollment applications is a plus. Special Skills/Training: Minimum Required: Excellent problem-solving skills, ability to create and maintain Excel spreadsheets, knowledge of billing and collection procedures. Preferred: Medicaid credentialing, billing and/or collection experience preferred. Previous interaction via payer meetings experience highly desirable. Ability to research and formulate plan to ensure provider enrollment and work closely with IT and Billing leaders to devise claim form requirement to ensure reimbursement electronically and assist cash posting team with 837/835 electronic files. POSITION DUTIES: Out of State Medicaid Expertise + Develop comprehensive knowledge of OOS Medicaid program application process based on individual state requirements and coordinate inventory and timeline for enrollment applications and billing templates. Out of State Medicaid Credentialing Process + Maintain each entity’s credentialing documents necessary to apply for a participating provider number. Organization and Development Skills + Devise certification cadence to ensure provider numbers remain active. Facilitate Epic Build & Maintance + Maintain expertise related to billing and collection for each OOS Medicaid plan and facilitate the claim billed in EPIC to ensure LCMC claims submission meets the OOS Medicaid requirements. Out of State Medicaid Billing & Collection of AR + Responsible for OOS Medicaid collection of A/R and the accurate creation of Epic payer plans and billing templates to allow for accurate electronic billing and facilitation of electronic remittance processes. LCMC Health is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status or any other characteristic protected by law.

 
 

Clipped from: https://b-jobz.com/us/web/jobposting/917422032?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

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Crescens IncRaleigh, NC Full-time

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• Job Description Job Title: Data Architect -Medicaid Location: Raleigh, NC (Remote) Duration: 10 Months
  
• This is a remote position and candidates are welcome anywhere in the US
  
• Equipment will be provided and VPN access and collaboration tools are available
  
• Job Description: The client is seeking Data Architects to perform work for the Medicaid Enterprise System implementation project.
  
• Remote work from anywhere in the USA The client is seeking a long-term Data Architect to perform work associated with the Medicaid Enterprise Systems (MES) project.
  
• This person will lead the design of highly complex and innovative data architectures, will participate within an industry best-practice Enterprise Architecture methodology and will oversee the implementation and operation of various vendor-provided technology solutions.
  
• This person must be able to work directly with business and process owners to evaluate their needs and to translate those needs into highly effective functional and non- functional requirements.
  
• This role is responsible for the development and refinement of Data Management standards and processes along with documentation to support all aspects of the data architectures.
  
• This documentation will include aspects of Master Data Management along with various types of data modeling and data stewardship.
  
• This role requires a person that possesses a strong and diverse background in both traditional and modern data architecture concepts, tools, solutions and practices.
  
• This person must have working knowledge of the various platforms that are available and how different analytical, reporting and business intelligence tools will function within different environments.
  

 
 

Clipped from: https://jobsearcher.com/j/data-architect-medicaid-at-crescens-inc-in-raleigh-nc-PVZppak?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

RCM Health Care Services New York, NY

For more than 30 years, this health plan has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life. They provide the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens, and Staten Island through a comprehensive list of products.
RN Team Leader (Case Management) Hybrid – Work from Home and if conditions improve may require 1 or 2 days a week in Manhattan Office.
Medicaid Care Manager Team Lead
Position Overview:

• Under the direction of the Director of Medicaid ICM, the Medicaid Team Leader ensures that staff adhere to the Medicaid contractual requirements, policies and procedures and workflows established to manage the vulnerable Medicaid population.
  
• The Team Leader manages the daily activities of the Medicaid team (Care Managers and Care Management Associates) to ensure quality outcomes i.e., reduction in emergency room visits and hospital admissions, improved member satisfaction and cost effectiveness.
  
• The Team Leader facilitates the successful execution of the Integrated Case Management program by providing day to day supervision and applying problem solving skills to ensure the delivery of member-centered care management, improved access to community resources and improvement of the overall health status of members.
  
• Job Description
  
• Provide clinical guidance and supervision to assigned Care Managers and clinical support staff to promote efficient and effective delivery of care management services.
  
• Supervise day to day activities to make certain that case management services are provided in accordance with clinical guidelines, established processes and organizational standards.
  
• Supervise the entire care management workflow including case referrals, assignments, interventions and goal setting, follow-up/follow-through activities, documentation, and escalations.
  
• Ensure care management activities are conducted in a safe, efficient, and effective manner to promote continuity and quality of care.
  
• Review, develop and modify day to day workflows to ensure timely follow up.
  
• Perform ongoing quality review of cases to ensure accuracy and compliance.
  
• Evaluate and document staff performance; coach staff to improve both quality and quantity of skills attaining optimal performance.
  
• Utilize data to track, trend and report productivity and outcome measures; work with the management team to implement necessary improvement strategies.
  
• Coordinate Interdisciplinary Care Team rounds with providers, care managers and care management associates, this includes scheduling meetings, identifying members for presentation, and ensuring completion and documentation of follow up activities.
  
• Collaborate Behavioral Health to develop strategies and best practices that lead to desired goals and objectives for members who are co-managed.
  
• Use expert verbal and non-verbal communications skills to motivate and gain co-operation of members and their caregivers.
  
• Resolve issues and mitigate conflict encountered during daily operations; appropriately escalate issues to the Sr. Director of Care Management.
  
• Identify and report potential risk, operational opportunities and barriers encountered.
  
• Conduct monthly audits for the purpose of departmental/organizational reporting and providing formal feedback to case management staff.
  
• Create and submit operational weekly/monthly/quarterly reports.
  
• Work with the leadership team to develop and implement ongoing training and development efforts.
  
• Actively participate in staff training and meetings.
  
• Encourage regular communication and inform staff of relevant departmental and organizational updates.
  
• Employ critical thinking and judgment when dealing with unplanned issues.
  
• Develop and maintain collaborative relationships with clinical providers, facility staff and community resources.
  
• Ensure staff comply with orientation requirements, annual and other mandatory trainings, organizational and departmental policies, and procedures.
  

Minimum Qualifications

• Bachelor’s Degree required; Masters preferred
  
• A minimum of 5 years of Care Management experience in a health care and/or Managed Care setting required.
  
• Minimum of 2 years managerial/leadership experience in a Managed Care and/or health care setting required.
  
• Proficiency with computers navigating in multiple systems and web-based applications
  
• Confident, autonomous, solution driven, detail oriented, high standards of excellence, nonjudgmental, diplomatic, resourceful, intuitive, dedicated, resilient and proactive
  
• Strong verbal and written communication skills including motivational coaching, influencing and negotiation abilities
  
• Excellent time management and organizational skills
  
• Strong problem-solving skills
  
• Ability to prioritize and manage changing priorities under pressure
  
• Proficient in Microsoft Office applications including Word, Excel, and PowerPoint and Outlook.
  
• Ability to proficiently read and interpret medical records, claims data, pharmacy and lab reports, and prescriptions required
  
• Ability to work closely with member and caregiver.
  
• Ability to form effective working relationships with a wide range of individuals.
  
• Registered Nurse with a current New York State License is required
  

Salary up to $110,000 with Generous Benefits (Pensions Plan)

 
 

Clipped from: https://www.ziprecruiter.com/c/RCM-Health-Care-Services/Job/RN-Team-Leader-Medicaid-Case-Management-BSN-Hybrid/-in-New-York,NY?jid=2a049f259dae198a&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

 
 

Job ID: LH-1047764

Description:

• This role will allow the opportunity to work 2 days a week from home *
  

Job Purpose:

This position is responsible for leading the business development growth of our Medicaid programs, the identification of new business opportunities; development of a Medicaid solution and approach for RFI/RFP responses. This position is a subject matter expert on Medicaid business development opportunities for the enterprise, working closely with stakeholders across the enterprise to educate on Medicaid business goals and partner on Medicaid product and program implementation activities. This position is responsible for managing and developing direct reports and indirectly managing matrix teams to support various Medicaid quality performance initiatives.

Required Job Qualifications:

• Bachelor’s AND 4 years of experience operations; OR 8 years of experience in health insurance operations.
  
• 3 years of experience leading and managing teams.
  
• Experience in project management.
  
• Experience managing operations for Medicaid, Dual Demonstration or other related Medicaid Medicare Advantage programs
  
• Experience in business planning, time management, project management and organization skills with ability to multitask and manage multiple, concurrent projects and priorities.
  
• Experience planning and driving business initiatives through implementation.
  
• Executive presence with the ability to influence inside and outside HCSC.
  
• Demonstrated ability to manage multiple complex priorities.
  
• Business and financial acumen; experience with operating, capital budgeting and financial forecasting.
  
• Experience leading and formulating a strategy and delivering results; building strong connections with people and teams.
  
• Experience working in a matrixed organization across multiple geographic areas.
  
• Knowledge of the external market, competition and regulatory environment to create value for the enterprise.
  

Preferred Job Requirements:

• 3 years of experience with Medicaid Managed Care.
  
• Knowledge of health plan systems, work processes, roles and inter-relationships with overall organization.
  
• Medicaid procurement experience
  
• Experience working with Medicaid state agencies and regulators
  
• Strong communication skills
  
• CA
  

LI-AK1

LI-HYBRID

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Requirements:

Expertise Government Programs Job Type Full-Time Regular Location IL – Downers Grove, IL – Chicago

Clipped from: https://getwork.com/details/0c2c02057a4fc0367f08e1d819dbd5c9?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

• Humana • Metairie, LA 70001
  

Job #2041112640

•  
• Description
  

The Medicaid Senior Market Development Professional will serve as the Pharmacy business SME

for the Medicaid line of business. This role will be responsible for the implementation of required deliverables prior to award, Medicaid day to day operations, issue resolution and process improvements, RFP responses, and will also serve as the PBM Liaison, as needed. This role will work in conjunction with pharmacists and operational partners as well as market contacts.

Responsibilities

This role consists of, but is not limited to, the following responsibilities:

• Assist with RFP responses
  
• Assist in developing and maintaining the Medicaid Pharmacy RFP library
  
• Work with Medicaid Leadership to define client deliverables and expectations
  
• Establish relationships with all HPS Operational areas for collaboration regarding client deliverables
  
• Ensure documentation tracking for all issues, action items, deliverables, decisions, etc.
  
• Responsible for facilitating calls/meetings/discussions for action plan development
  
• Monitor and drive action plan to resolution
  
• Proactive identification of potential client issues of concern
  
• Responsible for day to day operational oversight
  
• Report escalated issues to Leadership for awareness
  
• Manage all pre-implementation deliverables
  
• Serve as PBM Medicare Business Owner and Liaison
  

Required Qualifications

• Bachelor’s Degree in Business, Finance or a related field
  
• 5 years of professional work experience
  
• 3+ years of Pharmacy or PBM experience
  
• 3+ years of project management experience
  
• Previous Medicaid experience
  
• Experience presenting to internal and external customers
  
• Experience in claims processing and daily operations
  
• Previous healthcare implementation experience and successful track record in facilitating and consulting across teams
  
• Excellent communication skills, both oral and written
  
• Comprehensive knowledge of Microsoft Word and Excel
  

Preferred Qualifications

• Strong problem solving skills
  
• Previous RFP experience
  
• Familiar with RFP databases (RocketDocs)
  
• Project Management certification
  
• 3 – 5 years of Medicaid experience
  
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  

Additional Information

Must have accessibility to high speed DSL or Cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance for Humana systems is 10Mx1M

Vaccination Info

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 testing protocols OR??
  
• Provide proof of applicable exemption including any required supporting documentation
  
• ??Medical, religious, state and remote-only work exemptions are available.
  

Interview Format

• As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
  
• If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
  
• Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from
  ~~~
  with instructions to add the information into the application at Humana’s secure website .
  

Scheduled Weekly Hours

40

 
 

 
 

Clipped from: https://www.nexxt.com/jobs/medicaid-senior-market-development-professional-metairie-la-2041112640-job.html?utm_campaign=google_for_jobs&utm_source=google&utm_medium=organic&aff=2ED44C72-8FD2-4B5D-BC54-2F623E88BE26&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

DataStaff is seeking a Remote
Medicaid Business Integration Analyst for a long-term contract opportunity with one of our direct clients located in Raleigh, NC.

This position will require compliance with any COVID-19 vaccination policies that are promulgated by DataStaff, Inc.’s client and/or state, and local laws.

This position is 100% remote and available to candidates within the US.

Job Responsibilities:

• Champion our departments key strategies with the goal of creating the opportunity for healthier outcomes for our citizens through clinical and technological innovation.
  
• This oversight may include development and monitoring of the Medicaid Managed Care product strategies while collaborating with other divisions and external stakeholders to develop and implement targeted strategies to streamline processes.
  
• Create user stories, technology roadmaps and customer research in relation to Medicaid initiatives and strategic goals.
  
• Represents business functions within Medicaid and partners with IT to ensure delivery of relevant and impactful software and solutions.
  
• Interact with the Medicaid Business Information Analytics Office, Data Office, Information Technology Division, Privacy and Security Office, Policy Office, General Counsel, Office of Procurement, Contracts and Grants, among others.
  
• Leads and directs cross-functional activities that provide effective oversight of Medicaid Programs.
  
• Manages direct and hybrid reporting relationships and staff, sets priorities, establishes accountabilities, and defines roles/responsibilities to secure necessary resources not under direct supervision, while maintaining peak levels of performance and compliance.
  
• Collaborates and develops workgroups around product deliverables with Product Owners, Business Leads, Technical Leads and Management.
  
• In-depth knowledge and understanding of products across functions and business segments in healthcare that meets departmental goals.
  
• Directing the conception, development and implementation of new product initiatives, including current product enhancements.
  
• Provides feedback and input to senior-level decision-makers to develop long-range strategic alternatives for product solutions.
  
• Communicate project goals and timelines, next steps and results to team members, project managers and the executive team.
  
• Through a variety of communication/meeting methods, determines the customer’s needs, leads product discovery and translates these into detailed and actionable requirements for the MES PMU.
  
• Able to assess emerging products and partners to measure and address their potential value or risk to the department, as well as make recommendations on which new technologies to invest in or leverage.
  
• Provide in-person, conference calls, or virtual trainings on product knowledge, usage and implementation.
  
• Use database queries to analyze performance indicators, evaluate survey data, define successful criteria for testing and product acceptance.
  
• Fluently discuss the financial and/or operational benefits associated with proposed product capabilities.
  
• Ensures compliance with all applicable policies and procedures.
  
• Manages the product lifecycle from conception through implementation.
  
• Successful development of IT systems in support of the Medicaid program.
  
• Expressly engage with the business owners to develop the strategy behind how each MES module will support the business requirements definition and will own the translation and specification of all functional requirements.
  
• Work integrally with MES IT Program Managers and the MES Systems Integrator to manage the launch of features and systems.
  
• Evaluate and analyze work done by Medicaid SMEs, Business and Technical Leads, Data Leads, Engineers, and Architects to ensure the business requested capability, implemented design, and delivered functionality is successful and useful to the stakeholders.
  
• Performs other duties as assigned.
  

Required Skills:

• 7 Years – Knowledge of Enterprise IT Systems, system integration principles, and associated change management best practices.
  
• 7 Years – Has an understanding of CMS’ Seven Standards and Conditions and the Medicaid program
  
• 7 Years – Demonstrated ability to manage multiple priorities and projects, function in a fast-paced moving constantly changing, deadline driven environment
  
• 7 Years – Proficient use of Microsoft Project, Word, Excel, PowerPoint, Access, and Adobe software
  
• 7 Years – Skills in persuasion, negotiation, relationship management, conflict resolution, and effective oral and written communication at all levels
  
• 7 Years – Proven track record of launching successful user-focused products preferably in the enterprise, analytics or healthcare space.
  
• 7 Years – Previous experience creating business use cases, requirements, and process maps/data flows.
  
• 7 Years – Experience working in a combination of business analysis, product management, project management and/or software application development.
  
• 7 Years – Excellent communication skills and attention to detail with specific experience developing, editing, and presenting summaries, reports, and complex in
  
• 7 Years – Experience handling HIPAA and PII data.
  
• 7 Years – Medicaid Program knowledge or related HealthCare Information System experience
  

Desired Skills:

• 7 Years – Proven experience and working knowledge of agile development methodologies, environment and tools.
  
• 7 Years – Experience using or implementing Cloud technologies IaaS, PaaS, SaaS.
  
• 7 Years – Experience in product management in a healthcare or government setting
  
• 7 Years – Managed Care knowledge or experience
  
• 7 Years – MITA knowledge or experience
  

This position is available on a corp-to-corp basis or as a W2 position with a competitive benefits package. DataStaff offers medical, dental, and vision coverage options as well as paid vacation, sick, and holiday leave. As many of our opportunities are long-term, we also have a 401k program available for employees after 6 months.

 
 

Clipped from: https://www.dice.com/jobs/detail/83bcb26fee5427b3a888075d87aa1009?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Della Infotech Inc. Philadelphia, PA

Job Description

Additional Information: This will be a temp to perm position based on performance. 

This is an entry level position, but previous work experience in another area can be considered. Manager is needing someone in the Eastern time zone, this will be a remote role. A minimum of an associate’s degree with 5 years related experience is required and a bachelor’s degree is preferred

Company Description

Della Infotech Inc is in the staffing business for 10 years. Over the years, we have placed hundreds of candidates to various temp and permanent positions with our 50+ happy clients all over US and Canada including Fortune 500 corporations.

Della Infotech Inc.

Why Work Here? Amazing clients all over the US, always reachable representatives, on-time payments and excellent benefits!

Della Infotech Inc is in the staffing business for 10 years. Over the years, we have placed hundreds of candidates to various temp and permanent positions with our 50+ happy clients all over US and Canada including Fortune 500 corporations.

 
 

Clipped from: https://www.ziprecruiter.com/c/Della-Infotech-Inc./Job/LTC-Auditor-(Audits,-Long-term-care,-Medicaid,-Providers)-REMOTE/-in-Philadelphia,PA?jid=e875f093707e2c5f&utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic