policy. X Accept Cookies Functional Lead - Medicaid Job Details Description About GetInsured: What started..., faster, and transforming health care service delivery as we know it. We are looking for a Medicaid Functional Lead...
experience US Citizenship Required: No Job Description: Expert Advisor/ Business Functional Manager We are GDIT. The... / Business Functional Manager overall responsibility for Manages enhancement development across Scrum teams based on the...
communities and residents and to support the safety net required to achieve that purpose. Job Summary The Lead Community..., coach, act as a resource and provide feedback on performance of assigned staff. The Lead will assist the CRC Manager...
with other team members to establish appropriate level of care in accordance with Medicare/Medicaid reimbursement levels. Assists the... authority to supervisory/lead staff. Reviews complaints and grievances filed by personnel and/or residents. Reports...
according to Medicare/Medicaid reimbursement levels. Maintains care plans for each resident; monitors medication and treatment... performance evaluations and disciplinary action as needed. Delegates’ authority to supervisory/lead staff. Reviews complaints...
framework in the setup and delivery of a buy and bill treatment model. This role will provide YOU the opportunity to lead key...-functional team members (i.e., Clinical Nurse Educators and Field Reimbursement Managers) to deliver an integrated product...
sales performance issue information to management. Maintains working knowledge of lead management systems and uses them... environment. Has working knowledge of a functional discipline. Knowledge of sales and marketing to include principles and methods...
value Lead, guide, mentor and grow the team Manage the financial quality of the account What we're looking for Five... with a government or private sector healthcare payer. Two (2) years of knowledge of Medicaid and/or Medicare statutes regulations...
value Lead, guide, mentor and grow the team Manage the financial quality of the account What we're looking for Five... with a government or private sector healthcare payer. Two (2) years of knowledge of Medicaid and/or Medicare statutes regulations...
Oversight with Health Plan Relationships Lead operational execution of population health programs, ensuring alignment... ability to lead with strategic direction, develop tactical plans, and drive performance to meet targets Solid presentation...
-functional and cross-departmental initiatives, inclusive of impact investing and environmental stewardship. Leads teams... (in coordination with Medicaid and Medicare leadership). This position also provides leadership and oversight to the: CalAIM...
will be required to effectively lead with a product management mindset and lead cross-functional teams, contributing to defining and implementing the... response and ongoing operations, ensuring alignment with cross functional teams, including marketing, communication...
project management processes for departmental or cross-functional team initiatives. Lead the development of implementation... project proposals and reports in collaboration with the team. Assemble and lead moderate to large project teams. Design...
, functional genomics, and machine learning. AI will also play a role in how we diagnose and use medicines to enable... technical areas such as GenAI Platform, DevOps, Compute and Cloud. Lead design of major software components of the AIML...
Oversight with Health Plan Relationships Lead operational execution of population health programs, ensuring alignment... ability to lead with strategic direction, develop tactical plans, and drive performance to meet targets Solid presentation...
across all segments (Commercial, Medicaid, Medicare, etc.). Provide the "voice of the payer" to Commercial and cross-functional Team...: Lead the development and evolution of HIV Treatment, Prevention and Franchise Value and Access Strategies, shaping...
Collaboration: Leads entrance calls, exit conferences, and technical calls with delegates. Collaborates with cross-functional... Oversight Audit management on and to co-lead projects. Reports: Prepares and presents comprehensive reports...
goals of the team, and provides feedback to the team lead on any issues identified during research or claims review.... Investigation and/or auditing experience. Skills Required: Knowledge in CPT, HCPCS, ICD-9, ICD-10, Medicare, and Medicaid...
, including but not limited to, the Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care... III leads cross-functional teams and workgroups and communicates updates, challenges, and risks to leadership through...
and assist in other initiatives, as needed. Responsibilities: Your Work In this role, you will: Lead, implement... measures are taken once investigations are completed. Build, develop, and lead team of Compliance & Ethics professionals...