Current jobs related to Medicaid Provider Operations - Columbus - C Vs Pharmacy
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Columbus, Ohio, United States Humana Full timeJob DescriptionHumana is seeking an experienced Associate Director to lead our Medicaid Provider Services team. As a key member of our Corporate Medicaid segment, you will be responsible for developing and implementing strategic plans to drive optimal provider experience and performance.Key Responsibilities:Lead a dynamic team responsible for developing and...
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Medicaid Claims Specialist
2 weeks ago
Columbus, Ohio, United States Alvis Full timeMedicaid Billing Specialist RoleWe are seeking a dedicated Medicaid Billing Specialist to support our team at Alvis. This role involves managing financial and contract activities for individuals with intellectual and/or developmental disabilities.Key Responsibilities:Assist with Medicaid billing and general accounting functionsProvide client advocacy and...
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Medicaid Claims Specialist
3 weeks ago
Columbus, Ohio, United States Alvis Full timeMedicaid Billing SpecialistWe are seeking a highly skilled Medicaid Billing Specialist to join our team at Alvis. As a key member of our financial services team, you will be responsible for managing financial and contract activities for individuals with intellectual and/or developmental disabilities.Key Responsibilities:Assist with the management of...
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Business Analyst
2 weeks ago
Columbus, Ohio, United States MAXIMUS Full timeJob Title: Business Analyst - Medicaid SpecialistWe are seeking a skilled Business Analyst with a strong analytical mindset to transform user needs into actionable operational solutions. In this role, you will dive deep into our systems, driving improvements that enhance program performance and ensure compliance with Medicaid standards.Key...
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Medicaid Claims Specialist
4 weeks ago
Columbus, Ohio, United States Alvis Full timeMedicaid Billing Specialist RoleWe are seeking a skilled Medicaid Billing Specialist to join our team at Alvis. This role is responsible for managing financial and contract activities for individuals with intellectual and/or developmental disabilities.Key Responsibilities:Assist with the management of financial activities for individuals with intellectual...
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Medicaid Health Systems Specialist
2 weeks ago
Columbus, Ohio, United States State of Ohio Full timeJob SummaryAs a Medicaid Health Systems Specialist with the State of Ohio, you will play a critical role in ensuring the effective delivery of Medicaid services to eligible individuals. This position requires strong analytical and communication skills, as well as the ability to work collaboratively with various stakeholders.Key ResponsibilitiesMonitor and...
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Medicaid Data Support Specialist
2 weeks ago
Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full timeJob Title: Medicaid Data Support SpecialistJob Summary:The Medicaid Data Support Specialist will provide technical support to the Medicaid program by analyzing and interpreting data to inform program decisions. The ideal candidate will have strong analytical skills, excellent communication skills, and the ability to work effectively in a team environment.Key...
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Medicaid Quality Improvement Manager
2 weeks ago
Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full timeJob SummaryWe are seeking a highly skilled Medicaid Quality Improvement Manager to join our team at the Ohio Department of Medicaid. As a key member of our organization, you will be responsible for ensuring the highest quality of care for Medicaid recipients.Key ResponsibilitiesDevelop and implement quality improvement initiatives to enhance the delivery of...
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Medicaid Quality Improvement Manager
4 weeks ago
Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full timeJob SummaryWe are seeking a highly skilled Medicaid Quality Improvement Manager to join our team at the Ohio Department of Medicaid. As a key member of our organization, you will be responsible for ensuring the highest quality of care for Medicaid recipients.Key ResponsibilitiesDevelop and implement quality improvement initiatives to enhance the overall...
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Medicaid Eligibility Advocate
3 months ago
Columbus, United States St. Francis Full timeDescription Schedule: Monday-Friday 11:30AM-8:00PM, On-site Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Medicaid Eligibility Advocate with St. Francis you can be a part of an organization that is devoted to giving back! Benefits St. Francis, offers a total rewards package that...
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Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full timeJob SummaryWe are seeking a skilled Compliance Specialist to join our team at the Ohio Department of Medicaid. The successful candidate will be responsible for ensuring compliance with Medicaid health systems regulations and guidelines.Key ResponsibilitiesDevelop and implement compliance programs to ensure adherence to Medicaid regulationsConduct regular...
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Columbus, United States State of Ohio Full timeWhat You Will Do at ODM: Office: Operations Bureau: Business Operational Support Working Title: Medicaid Health Systems Specialist (PN 20046335) Job Preview: Technical Assistance Specialist * Monitors and evaluates providers, projects, program or service delivery * Develop and present Medicaid eligibility training sessions for county staff, state...
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External Auditor
2 months ago
Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full timeJob SummaryWe are seeking a skilled External Auditor to join our team at the Ohio Department of Medicaid. As a Hybrid Auditor, you will be responsible for conducting audits and providing recommendations to improve the efficiency and effectiveness of our programs.Key ResponsibilitiesConduct audits of Medicaid programs to ensure compliance with state and...
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Authorization Review Nurse
2 months ago
Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full timeJob SummaryThe Ohio Department of Medicaid is seeking a skilled Clinical Authorization Review Nurse to join our team as a Medicaid Health Systems Specialist - RN. As a key member of our organization, you will be responsible for reviewing and authorizing medical services to ensure compliance with Medicaid regulations.Key ResponsibilitiesConduct thorough...
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County Engagement Manager
1 month ago
Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full timeJob SummaryWe are seeking a skilled County Engagement Manager to join our team at the Ohio Department of Medicaid. This is a hybrid role that requires a unique blend of health administration expertise and engagement skills.Key ResponsibilitiesDevelop and maintain relationships with county officials and stakeholders to promote Medicaid health systems...
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Clinical Authorization Review Nurse
3 weeks ago
Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full timeJob SummaryThe Ohio Department of Medicaid is seeking a skilled Clinical Authorization Review Nurse to join our team as a Medicaid Health Systems Specialist - RN. As a key member of our organization, you will be responsible for reviewing and authorizing medical services to ensure compliance with Medicaid regulations.Key ResponsibilitiesConduct thorough...
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County Engagement Manager
3 weeks ago
Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full timeJob SummaryWe are seeking a skilled County Engagement Manager to join our team at the Ohio Department of Medicaid. This is a full-time position that will work closely with county officials to develop and implement effective health administration strategies.Key ResponsibilitiesDevelop and maintain relationships with county officials to promote Medicaid health...
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Medicaid Eligibility Specialist
1 week ago
Columbus, Ohio, United States St. Francis Full timeAbout the RoleThe Medicaid Eligibility Advocate is a key member of our team at St. Francis, responsible for conducting eligibility screenings, assessing patient financial requirements, and counseling patients on insurance benefits and co-payments.This role is a liaison between the patient, hospital, and governmental agencies, actively involved in all case...
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Clinical Authorization Review Nurse
5 days ago
Columbus, Ohio, United States Ohio Department of Developmental Disabilities Full timeJob SummaryWe are seeking a skilled Clinical Authorization Review Nurse to join our team at the Ohio Department of Medicaid. As a Hybrid Clinical Authorization Review Nurse, you will be responsible for reviewing and authorizing medical services for Medicaid recipients. This is a full-time position with a competitive hourly rate of $31.86.Key...
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Senior Provider Education Specialist
3 weeks ago
Columbus, Ohio, United States Humana Full timeJob Title: Senior Provider Education ProfessionalBecome a part of our caring community and help us put health firstHumana Healthy Horizons is seeking a Senior Medicaid Provider Education Professional to drive best-in-class provider experience for Humana's Medicaid segment. This professional will update content and complete an annual review of provider...
Medicaid Provider Operations
3 months ago
Designs enterprise-wide and/or cross-functional solutions to address business problems. This work results in initiatives that significantly impact organizational strategy, enabling the organization to be competitive in the marketplace and effectively Operations, Support, Continuous Improvement, Consultant, Operation, Business, Technology, Retail
