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Marsh And McLennanPhoenix, AZ Full-time

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• Government-Sponsored Healthcare Clinical Consultant (RN)
  
• What can you expect?
  
• We specialize in assisting government-sponsored programs in becoming more efficient purchasers of health services.
  
• We bring the best critical thinkers forward in helping our clients explore and address today’s complex healthcare issues.
  
• This role provides you with an opportunity to work in a team environment to ensure client recommendations contain multiple points of view
  
• Beyond the in-depth training provided, new employees are included on client teams immediately, providing unique opportunities to learn while helping team members with critical workloads and making a difference to our clients
  
• As part of Mercer, the Government Human Services Consulting team offers its expertise within a small business atmosphere
  
• What’s in it for you?
  
• Mercer’s Health business has the world’s largest and most influential benefits brokerage and healthcare consulting capabilities
  
• Work with a team that provides the optimal combination of local-market knowledge and nationally-driven healthcare best practices
  
• Contribute to a multi-disciplinary team solving some of health care’s biggest challenges
  
• We run many social and new-hire events, outings, and employee networks.
  
• Having fun in the work you do comes from being a part of a client team and contributing to its success
  
• We believe that diversity makes us better and we are deliberate in building a diverse workforce
  
• Participate on multiple project teams as a subject matter expert in health managed care programs and operations.
  
• Our projects are diverse and include strategic planning; program design; managed-care procurement; performance based contracting; managed-care readiness and post implementation reviews; managed care reporting, monitoring and performance management; briefing documents; focused studies; and, healthcare analytics, clinical support for actuarial analyses
  
• Coordinate and manage project teams, ensuring the team is within budget, on time and producing work consistent with the scope of work and ensuring communication with client, project team and senior client leader.
  
• Have strong written and verbal communication skills with the ability to develop and present reports on project results to clients, managed care entities and related entities
  
• Coordinate with client and sector leaders to develop new business, including defining the proposal strategy; leading the proposal process, drafting technical and financial proposals, conducting sales presentations and identifying opportunities for expanded revenue with existing clients
  
• Work with the clinical sector leader to identify and secure resources, ensuring work is leveraged to the right skill and career level, and providing team members opportunity to develop skills and expertise
  
• Spend time learning and staying current on market trends and the regulatory environment; considering the implication of new trends or changes in policies or regulations on clients’ programs
  
• Develop intellectual capital; take your best thinking and lead or participate in the development of tools or processes that can be leveraged for multiple clients
  
• Identify topics for presentation in newsletters, webinars and at national conferences; participate in preparation and delivery of newsletter articles and presentations.
  
• BA/BS degree required
  
• Licensed Registered Nurse (RN) required (within continental U.S.)
  
• Minimum ten years of relevant experience required
  
• Medicaid or Managed Health Care experience
  
• Critical thinking and analytical problem-solving skills
  
• Excellent interpersonal skills
  
• Ability to manage, motivate, and mentor more junior level staff
  
• Strong oral and written communication skills
  
• Strong mathematical skills; command of Excel a plus
  
• Ability to prioritize and handle multiple tasks in a demanding work environment with a proven track record in leading large, complex projects
  
• Ability to work independently and on a team
  
• Expertise in long-term services and supports (LTSS) and home and community-based services (HCBS)
  
• Expertise with special populations such as children’s health, long-term care, maternal-infant health, geriatrics
  
• Relentless curiosity and a desire for continuous learning
  
• Deep desire and experience solving complex problems
  
• Experience with clinical informatics and/or experience using and interpreting health care data to build better health programs
  
• Medicaid Managed Care experience in a clinical or quality role
  
• Experience with HEDIS and other nationally recognized healthcare quality measures
  
• To learn more about Mercer’s GHSC practice, please visit
  
• believes in building brighter futures by redefining the world of work, reshaping retirement and investment outcomes, and unlocking real health and well-being.
  
• Mercer’s more than 25,000 employees are based in 44 countries and the firm operates in over 130 countries.
  
• Mercer is a business of Marsh & McLennan (NYSE: MMC), the world’s leading professional services firm in the areas of risk, strategy and people, with 76,000 colleagues and annual revenue of $17 billion.
  
• Through its market-leading businesses including , and , Marsh & McLennan helps clients navigate an increasingly dynamic and complex environment.
  
• For more information, visit.
  
• Follow Mercer on Twitter.
  
• Mercer LLC and its separately incorporated operating entities around the world are part of Marsh & McLennan Companies, a publicly held company (ticker symbol: MMC).
  

 
 

 
 

Clipped from: https://jobsearcher.com/j/senior-medicaid-consultant-rn-clinical-consultant-at-marsh-and-mclennan-in-phoenix-az-RGr9jan?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

State of Wisconsin

 
 

 Madison, WI Full Time

Job Posting for Research Analyst – Medicaid Services at State of Wisconsin

The Department of Health Services (DHS) strives to protect and promote the health and safety of all people of Wisconsin through the efforts of a dedicated and diverse workforce. DHS works to ensure access to individuals, families, and communities to achieve positive health outcomes in the areas of abuse prevention, mental health, public health, family care, long-term care, and much more.

The Division of Medicaid Services (DMS), Bureau of Fiscal Accountability and Management (BFAM) is recruiting for two Research Analysts in Madison, WI.

What We Offer: We are searching for people with diverse backgrounds to join our dynamic and team oriented environment. We promote professional growth and create a healthy work/life balance and inclusive culture. As an employee of the state of Wisconsin, you’ll also have access to an amazing benefits package, including paid time off, low-cost insurance options, and participation in the Wisconsin Retirement System, which is considered among the best in the country! The State of Wisconsin is also a qualifying employer for the federal Public Service Loan Forgiveness Program.

Who We Are: DHS is one of the largest and most diverse state agencies in Wisconsin, with an annual budget of roughly $11.5 billion and more than 6,100 employees. DHS oversees health and social service programs, and is committed to protecting and promoting the health and safety of the people of Wisconsin. DHS is located at 1 W. Wilson St. in downtown Madison. For more information about DHS, visit our website.

Click here to see what working for the State of Wisconsin is all about!

Note: These positions will be required to report to the 1 W. Wilson Street office in Madison, WI at least three (3) days per week, and have the option to work remotely two (2) days per week. This may vary depending on training or operational need.

 
 

Clipped from: https://www.salary.com/job/state-of-wisconsin/research-analyst-medicaid-services/j202202150621502979685?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

 
 

 
 

This is a 100% Remote Project. The consultant can reside anywhere within USA.

NCDHHS 676105: NC Department of Health and Human Services (DHHS) Information Technology Division (ITD) seeks an IT Product Manager to join the Medicaid Enterprise System (MES) project. Technology, Business, and Policy expertise are key.

This role is 100% remote and candidates across the US are welcomed to apply.

The IT Product Manager will serve as a member of the DHHS Medicaid Enterprise System (MES) Program providing IT product management within the MES portfolio. This position will champion our departments key strategies with the goal of creating the opportunity for healthier outcomes for our citizens through clinical and technological innovation. This position is responsible for providing independent product oversight for NCDHHS’ Medicaid products. This oversight may include development and monitoring of the Medicaid Managed Care product strategies, while collaborating with other DHHS divisions and external stakeholders to develop and implement targeted strategies to streamline processes. This position will create user stories, technology roadmaps and customer research in relation to Medicaid initiatives and strategic goals. The IT Product Manager represents DHHS business functions within NC Medicaid and partners with IT to ensure delivery of relevant and impactful software and solutions. This position will interact with the NC Medicaid Business Information Analytics Office, DHHS Data Office, Information Technology Division, Privacy and Security Office, Policy Office, General Counsel, Office of Procurement, Contracts and Grants, among others.

• Leads and direct 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 meet 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.
  
• Performs other duties as assigned.
  

In addition the IT Product Manager (ITPDM) is responsible for the successful development of IT systems in support of the Medicaid program. The ITPDM will 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. The ITPDM will work integrally with MES IT Program Managers and the MES Systems Integrator to manage the launch of features and systems. The ITPDM will 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. Medicaid/Health Care and or Managed Care experience is highly desired and will be preferred.

Clipped from: https://www.dice.com/jobs/detail/d1dbbb076dfb83ea3b2bc6b620f7c4a7?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Location: Company:

 
 

The Wake County Health and Human Services Economic and Social Services Division has over 225 Human Services Caseworkers who provide critical resources for the citizens of Wake County. Caseworkers determine eligibility based on factors such as income,…Worker, Health, Management, Retail, County

 
 

Clipped from: https://www.adzuna.com/details/2901944741?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Title: QA Lead with Medicaid

Location: Remote

Length: Long term

Restriction: W2 or C2C

Description:

Interview Type: Skype *** Very long term project; initial PO for 1 year, expect to go for 4+ years *** Remote project

This role is NOT for a tester. The MES Program Quality Lead will be responsible for ensuring that the IT Program will produce high quality outcomes and deliverables, by analyzing and developing program management PROCESSES. The role will work handson to document processes and other artifacts, work with the business and technology teams to identify process owners, and drive organizational quality through process agreement and adherence. The Quality Lead will be an expert in Visio or other process documentation software, and will have excellent facilitation skills. Knowledge of PMI processes, methodology and best practices, as well as Agile (Scrum and SAFe are ideal) methodology. Six Sigma certification is also considered a strong asset.

This Lead will ideally have experience in traditional waterfall project management as well as agile project management, and be well versed in PMI methodology. Experience in IT and healthcare project management is strongly desired. This role is expected to be a Subject Matter Expert in program and project organization and management, so can work fairly independently in mocking up process designs based on best practices combined with program institutional knowledge. Vendor management and outsourcing experience is also an asset as this program will be establishing processes to manage a complex IT outsourced environment with many vendors, which is a substantial change for the organization. Therefore, Organizational Change Management (OCM) experience is also strongly preferred as the program matures and grows. The ideal candidate also is an expert in crafting high quality project and program documentation based on their expert knowledge of PMI and project management processes.

This role will be on a team of Project Quality Leads supporting the IT Quality Manager for the MES Program.

This role is 100% remote and be can located anywhere in the US.

Required Skills

7 years of

Knowledge of Enterprise IT Systems, system integration principles, and associated program, project, and program quality management best practices.

Expert knowledge of PMI processes, methodology and standards

Knowledge of planning, design and implementation of a Program Quality Management program including the policy, framework and procedures

Demonstrated ability to manage multiple priorities and projects, function in a fastpaced moving constantly changing, deadline driven environment

Proficient use of Microsoft Project, Word, Excel, PowerPoint, Access, and Adobe software

Expert use of process documentation software and process documentation generation. Microsoft Visio is highly desired.

Skills in persuasion, negotiation, relationship management, conflict resolution, and effective oral and written communication at all levels

Highly desired skills:

3 years of Expert knowledge of Agile principles, processes, and methodology. Scrum and/or SAFe preferred.

7 years of Six Sigma Certification

Nice to have skills:

7 years of

MITA knowledge or experience

Has an understanding of CMS Seven Standards and Conditions and the Medicaid program

 
 

Clipped from: https://www.postjobfree.com/job/ojeitd/qa-lead-with-medicaid-remote-or?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Primary Location: United States of America-OHIO-Franklin County-Columbus

Work Locations: Lazarus 5 50 West Town Street Columbus 43215

Organization: Ohio Department of Medicaid

Classified Indicator: Classified

Bargaining Unit / Exempt: Exempt

Schedule: Full-time

Work Hours: 8:00AM – 5:00PM

Compensation: $33.69/hour

Unposting Date: Mar 1, 2022, 10:59:00 PM

Job Function: Health Administration

Job Level: Individual Contributor

 
 

Agency Contact Name: ODM Human Resources

Agency Contact Information:
HumanResources@medicaid.ohio.gov

 
 

Health Innovation Research Manager (Medicaid Health Systems Administrator 1)

(220001LS)

 
 

Job Duties

The Ohio Department of Medicaid (ODM) is committed to improving the health of Ohioans and strengthening communities and families through quality care. In 2020, ODM introduced a new vision for Ohio’s Medicaid program – one that strengthens Ohio’s future and ensures everyone has the chance to live life to its full potential.

 
 

Today, more than 90 percent of Ohio Medicaid members are supported by managed care organizations. During the year ahead, ODM will begin implementing a new vision for care; focusing on the individual, a strong partnership among MCOs and the department, and supporting specialization in addressing critical needs.

 
 

A program that puts the individual first

 
 

Adopting Governor DeWine’s philosophy of service to Ohioans, ODM embarked on an aggressive effort to redesign its managed care program. The goal is to provide more personal, holistic care and supports for millions of Ohioans served by Medicaid. Listening to feedback from more than 1,100 individuals and organizations we identified five procurement goals that would put the individual front and center of Medicaid’s program and policy decisions. They are:

 
 

• Emphasize a personalized care experience,
  

 
 

• Improve care for children and adults with complex behavioral health needs,
  

 
 

• Improve wellness and health outcomes,
  

 
 

• Support providers in better patient care and
  

 
 

• Increase program transparency and accountability.
  

 
 

 
 

Unless required by legislation or union contract, starting salary will be set at step 1 of the pay range.

 

Working Title: Health Innovation Research Manager

 
 

Classification: Medicaid Health Systems Administrator 1 (PN 20047483)

 
 

Office: Health Innovation & Quality

 
 

Bureau: Health Research & Quality
 

Job Overview:

As the Health Innovation Research manager, you will serve as the agency manager to evaluate Medicaid’s programs and initiatives to transform health systems through partnership with Ohio’s academic community and health leaders. This includes conducting program development, program analysis and comparative studies to determine the impact of the transformation initiative, e.g., evaluate the impact of implementing quality improvement practices in nursing facilities on health outcomes, analyze palliative care trends, research effective practices to improve individualized care in nursing facilities. In addition you will provide strategic oversight of policies & procedures governing Medicaid Technical Assistance and Policy Program (MedTAPP) and other similar programs.

 

 
 

Qualifications

Completion of graduate core program in business, management or public administration, public health, health administration, social or behavioral science or public finance; 12 months experience in the delivery of a health services program or health services project management (e.g., health care data analysis, health services contract management, health care market & financial expertise; health services program communication; health services budget development, HMO & hospital rate development, health services eligibility, health services data base analysis).
 

• Or 12 months experience as a Medicaid Health Systems Specialist, 65293.
  

-Or equivalent of Minimum Class Qualifications for Employment noted above.

Knowledge of social or behavioral science; business or public administration and management practices; health care federal & staff laws & regulations; public medical assistance programs; agency policies & procedures; health care statistics, terminology & methods; purchasing & payment practices of health care services; comprehensive health planning; public budgeting & finance; public relations; employee training & development*; supervisory principles & techniques*.

 
 

Skill in operating personal computer & applicable software applications.

 
 

Ability to analyze & apply multiple factors & present findings & conclusions; read & comprehend clinical records; determine appropriate level of health care; determine accuracy of clinical assessments & data; assess & monitor quality assurance & corrective action plans; prepare & oversee comprehensive & technical reports; interpret social welfare information & technical materials in books, journals & manuals; handle sensitive contacts & inquiries from public, consumers, providers & government officials in person, via telephone &/or written correspondence.

 
 

Demonstrated competence in the following: developing self, adapting for impact, continuously improving quality, focusing on customers, acting with integrity, building productive relationships, fostering team development, directing & measuring work, informing, managing priorities, making effective decisions, developing staff & others, valuing cultural diversity, managing projects, leveraging organizational resources, demonstrating intellectual capacity, &/or thinking strategically managing change, navigating organizational politics, cultivating vision & purpose, innovating, solving problems, & acting decisively.

(*) Developed after employment.

Supplemental Information:

This position is overtime exempt.

 
 

Travel required, as needed. Must provide own transportation. Or, in order to operate a state vehicle, you must have a valid driver’s license from state of residence.

 
 

Attachments to your application are not accepted for this job posting. Please be sure to provide detail in the job history section of the application.

 
 

All answers to supplemental questions must be supported by the work experience/education provided on your civil service application.

 
 

The Ohio Department of Medicaid is committed to providing access, equal employment opportunity and reasonable accommodation for individuals with disabilities. To request a reasonable accommodation, contact the Bureau of Human Resources at HumanResources@medicaid.ohio.gov prior to testing or interview.

 
 

Background Check Information

The final candidate selected for this position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant’s prior criminal convictions will be made before excluding an applicant from consideration.

 
 

 
 

Clipped from: https://tarta.ai/j/qjwvAn8BUtwXGc8fdQGo-health-innovation-research-manager-medicaid-health-systems-administrator-1-in-columbus-ohio-at-state-of-ohio-jobs?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

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Anthem, IncAtlanta, GA

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• Be part of an extraordinary team
  
• We 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?
  
• Medical Director – North Carolina Medicaid
  
• Responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost effective medical care is received.
  
• May be responsible for developing and implementing programs to improve quality, cost, and outcomes.
  
• May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations.
  
• May identify cost of care opportunities.
  
• May serve as a resource to staff including Medical Director Associates.
  
• May be responsible for an entire clinical program.
  
• + Supports clinicians to ensure timely and consistent responses to members and providers.
  
• + Provides guidance for clinical operational aspects of a program.
  
• + Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients’ office visits with providers and external physicians.
  
• + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
  
• + Serves as a resource and consultant to other areas of the company.
  
• + May be required to represent the company to external entities and/or serve on internal and/or external committees.
  
• + May chair company committees.
  
• Interprets medical policies and clinical guidelines.
  
• + May develop and propose new medical policies based on changes in healthcare.
  
• + Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
  
• Identifies and develops opportunities for innovation to increase effectiveness and quality
  
• + Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
  
• + Must possess an active unrestricted medical license to practice medicine or a health profession.
  
• + Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
  
• + Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
  
• + For Health Solutions organization (including Behavioral Health) only, minimum of 5 years of experience providing health care is required.
  
• Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.
  
• 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.
  
• 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 Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion.
  
• 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 age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
  
• Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.
  

 
 

Clipped from: https://jobsearcher.com/j/medical-director-nc-medicaid-at-anthem-inc-in-atlanta-ga-9V462ml?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

This position will allow the opportunity to work 2 days a week to work from home

Job Purpose:

This position is responsible for supporting a broad array of strategic, analytical projects and divisional planning; assisting with the development of the business plan and strategy for Medicaid and Medicare, as well as ad hoc analytic projects; interfacing with various business teams to achieve goals and desired outcomes, developing thorough understanding of business needs and coordinating them with the overall HCSC strategy.

Required Job Qualifications:
 

• Bachelor Degree and 3 years experience in strategic planning, market research, product development or network management in health care industry OR Masters/Professional Degree and 3 year of experience strategic planning, market research, product development or network management in health care industry OR 6 year of experience strategic planning, market research, product development or network management in health care industry.
  
• Organization, prioritization, problem solving skills.
  
• Ability to drive consensus and influence at various levels of the organization.
  
• Experience managing projects requiring problem solving, prioritization and organizational skills .
  
• Verbal and written communications skills including interpersonal communication skills to work across departments, present findings and status of projects, build relationships and garner information from various sources.
  
• Experience interacting with staff/management across multiple departments and levels.
  
• Experience conducting business analysis and/or wide ranging research initiatives
  
• Experience with business analytics and information synthesis.
  
• Presentation and group facilitation experience.
  
• PC experience to include Word, Excel, and PowerPoint.
  

Preferred Job Qualifications:
 

• Health insurance or healthcare industry experience.
  
• Management consulting or internal consulting experience
  

*CA

#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 TX – Richardson, IL – Chicago

 
 

Clipped from: https://www.themuse.com/jobs/hcsc/division-strategy-consultant-medicaid-and-medicare?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

State of Wisconsin

 
 

 Madison, WI Full Time

Job Posting for Research Analyst – Medicaid Services at State of Wisconsin

The Department of Health Services (DHS) strives to protect and promote the health and safety of all people of Wisconsin through the efforts of a dedicated and diverse workforce. DHS works to ensure access to individuals, families, and communities to achieve positive health outcomes in the areas of abuse prevention, mental health, public health, family care, long-term care, and much more.

The Division of Medicaid Services (DMS), Bureau of Fiscal Accountability and Management (BFAM) is recruiting for two Research Analysts in Madison, WI.

What We Offer: We are searching for people with diverse backgrounds to join our dynamic and team oriented environment. We promote professional growth and create a healthy work/life balance and inclusive culture. As an employee of the state of Wisconsin, you’ll also have access to an amazing benefits package, including paid time off, low-cost insurance options, and participation in the Wisconsin Retirement System, which is considered among the best in the country! The State of Wisconsin is also a qualifying employer for the federal Public Service Loan Forgiveness Program.

Who We Are: DHS is one of the largest and most diverse state agencies in Wisconsin, with an annual budget of roughly $11.5 billion and more than 6,100 employees. DHS oversees health and social service programs, and is committed to protecting and promoting the health and safety of the people of Wisconsin. DHS is located at 1 W. Wilson St. in downtown Madison. For more information about DHS, visit our website.

Click here to see what working for the State of Wisconsin is all about!

Note: These positions will be required to report to the 1 W. Wilson Street office in Madison, WI at least three (3) days per week, and have the option to work remotely two (2) days per week. This may vary depending on training or operational need.

Clipped from: https://www.salary.com/job/state-of-wisconsin/research-analyst-medicaid-services/j202202150621502979685?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic

 
 

Job Description


The Pharmacist Director – Californa Medicaid develops and leads clinical pharmacy organization and selects and builds a strong team through training, diverse assignments, coaching, risk-taking, empowerment, performance management and other development techniques.


The Director is responsible for achieving financial results consistent with KPM objectives and will champion strategic direction and tactical game plans for delivery of pharmaceutical care. Will improve operational efficency by directing and changing enhancements to business processes, policies, and infra-structure. The Pharmacy Director plans and executes clinical pharmacy budget, participates in and influences external and internal pharmaceutical/health development efforts, and actively supports Aetna sales and on-going customer relations efforts.


Required Qualifications

• A current, unrestricted clinical license to practice pharmacy in the State of California is required
  
• Candidate must reside within California, ideally near or within the Sacramento market
  
• Degree in Pharmacy; Business degree a plus.
  
• 3+ years experience in managed care or completion of a managed care pharmacy residency
  
• 5+ years administrative experience
  
• Ability and willingness to travel up to 30%
  
• Computer literacy and demonstrated proficiency is required in order to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel.
  
  
  

COVID Requirements


CVS Health requires its Colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.


If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 10 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. In some states and roles, you may be required to provide proof of full vaccination before you can begin to actively work. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.


If you are unable to be fully vaccinated due to disability, medical condition, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. In some states and roles, you may be required to have an approved reasonable accommodation before you can begin to actively work. If your request for an accommodation is not approved, then your employment may be terminated.


Preferred Qualifications

• 5+ years Managed Medicaid Pharmacy Experience
  
• Completion of Accredited Residency Program specific to Medicaid Pharmacy
  
  
  

Education


B. S. Pharmacy at minimum


Pharm. D. preferred


Business Overview


At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.


We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

 
 

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