Medicaid Health Systems Administrator

Job 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...

Job 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...

Job 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...

Job 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...

Job 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...

Job SummaryThe Ohio Department of Medicaid seeks a highly skilled Medicaid Quality Improvement Manager to join our team. As a key member of our organization, you will be responsible for ensuring the highest quality of care for our Medicaid recipients.Key ResponsibilitiesDevelop and implement quality improvement initiatives to enhance the overall quality of...

Job SummaryThe Ohio Department of Developmental Disabilities seeks a skilled Healthcare Policy Administrator to join our team. As a key member of our organization, you will be responsible for developing and implementing policies related to Medicaid health systems administration.Key ResponsibilitiesDevelop and maintain policies and procedures related to...

Job 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...

Medicaid 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...

Medicaid 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...

Job Summary We are seeking a skilled RN Compliance and Safety Check Specialist to join our team at the Ohio Department of Medicaid. As a key member of our team, you will be responsible for ensuring the highest level of compliance and safety in our Medicaid health systems. Key ResponsibilitiesConduct thorough compliance and safety checks to ensure adherence...

Job 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...

Job 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...

Job SummaryWe are seeking a highly skilled Healthcare Policy Administrator to join our team at the Ohio Department of Medicaid. As a key member of our team, you will be responsible for developing and implementing state-directed payment policies for Medicaid health systems.Key ResponsibilitiesDevelop and implement state-directed payment policies for Medicaid...

Job 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...

Job SummaryWe are seeking a highly skilled Healthcare Policy Administrator to join our team at the Ohio Department of Medicaid.Key ResponsibilitiesDevelop and implement state-directed payment policies for Medicaid health systems.Collaborate with healthcare administrators to ensure compliance with policy changes.Analyze data to inform policy decisions and...

Job 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...

Job SummaryWe are seeking a skilled Healthcare Policy Administrator to join our team at the Ohio Department of Medicaid. As a key member of our team, you will be responsible for developing and implementing state-directed payment policies for Medicaid health systems.Key ResponsibilitiesDevelop and maintain knowledge of Medicaid policies and...

Job 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...

Job Title: Behavioral Health Policy Integration ManagerJob Summary:We are seeking a highly skilled Behavioral Health Policy Integration Manager to join our team at the Ohio Department of Medicaid. As a key member of our team, you will be responsible for integrating behavioral health policies with Medicaid health systems to ensure seamless delivery of...