Medicaid Managed Care/Medicare Advantage Subject Matter Expert

Job SummaryWe are seeking a highly skilled Medicaid Managed Care/Medicare Advantage Subject Matter Expert to join our team at General Dynamics Information Technology. As a key member of our team, you will play a critical role in ensuring the integrity of the Medicaid program by identifying and analyzing vulnerabilities, determining risk factors, and...

Job SummaryWe are seeking a highly motivated and experienced Sales Representative to join our team at Frontier Management (OR). As a Sales Representative, you will be responsible for promoting our Medicare Advantage plan to eligible individuals in your assigned territory.Key ResponsibilitiesProspecting and Sales: Identify prospective enrollees and determine...

Job SummaryThis position serves as a Special Education Subject Matter Expert who will provide specific knowledge, skills, and expertise in the areas of systems change, family engagement of the Individualized Education Program (IEP) process, and evidence-based practices to implement behavioral interventions for students with intensive academic, behavioral,...

About the RoleThe Medicaid Behavioral Health Division is seeking a highly skilled Health Policy Analyst II to join our team. As a key member of our division, you will play a critical role in researching, analyzing, and interpreting healthcare policies and federal and state regulations for implementation.Key ResponsibilitiesConduct comprehensive analysis and...

Job DescriptionJob Title: Medical Coding SpecialistCompany: Three Point SolutionsJob Summary:We are seeking a highly skilled Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will play a critical role in supporting value-based reimbursement and medical policy models.Key Responsibilities:Value-Based Reimbursement Expertise:...

**Job Summary**Communicare Health Services is seeking a highly motivated and experienced Sales Representative to join our team. As a Medicare Sales Representative, you will be responsible for promoting and selling our Medicare Advantage plans to eligible individuals in your assigned territory.**Key Responsibilities:**Identify and pursue new business...

Overview of the RoleThe Chief Executive Officer (CEO) of Medicaid Services is a transformative leader tasked with steering MedStar's Maryland health plan towards enduring success and sustainable advancement. This role demands a fervent advocate for health equity, combined with strategic acumen in maneuvering through the intricacies of the Medicaid landscape...

Position Overview:As a pivotal member of our organization, the Manager of Care Management Support will play a crucial role in overseeing the administration of care management services in alignment with our Medicaid contract.Key Responsibilities:- Provide essential support in assessing and evaluating the needs of members to promote optimal health outcomes.-...

POSITION SUMMARY:The Clinical Care Management Supervisor is responsible for overseeing and coordinating the functions of Inpatient Management Clinical Navigators (Registered Nurses). This role is essential in ensuring compliance with established policies and procedures to enhance the quality of care while managing healthcare expenditures. Onsite presence at...

Position OverviewSalary: $20/HrCompany: Connections That Matter, Inc.Location: Remote; Client's HomePay Rate: $20 per hourEmployment Type: ContractualShifts Available: Day, Evening, Night, WeekendsAbout Connections That Matter, Inc.Connections That Matter, Inc. is a premier healthcare organization dedicated to providing empathetic care and a comprehensive...

Job SummarySage Health is seeking a highly skilled Primary Care Physician to join our team in Waverly/Baltimore. As a Primary Care Physician, you will be responsible for providing high-quality patient care and working collaboratively with our care team to deliver exceptional patient outcomes.Key ResponsibilitiesEvaluate and Treat Patients: Conduct thorough...

Introduction\r GRADE24\r LOCATION OF POSITIONMDH, Office of Enterprise Technology - Project Portfolio Office, Baltimore, MD\r Main Purpose of JobThis leader will partner with State of Maryland Medicaid Administration (MMA) business\rleaders and executives to oversee the project lifecycle and manage the project portfolio after\rintake. The PfMP will manage...

Position OverviewSalary: $20/HrLocation: Remote; Client's HomePay Rate: $20 per hourEmployment Type: ContractualShifts Available: Day, Evening, Night, WeekendsAbout Connections That Matter, Inc.Connections That Matter, Inc. is a premier healthcare organization dedicated to providing empathetic care and a comprehensive range of health services to our...

Position OverviewSalary: $20/HrCompany: Connections That Matter, Inc.Location: Remote; Client's HomePay Rate: $20 per hourEmployment Type: ContractualShifts Available: Day, Evening, Night, WeekendsAbout UsConnections That Matter, Inc. is a premier healthcare organization dedicated to providing empathetic care and a wide range of health services to our...

Job SummaryAs a key member of the LifeBridge Health team, the Inpatient Social Work Team Leader - Care Management will provide daily management and supervision of workflow activities in the Care Management Department. This role serves as the subject-matter expert for workflow processes, ensuring adherence to regulatory requirements and standards. The...

Job SummaryAs a key member of the LifeBridge Health team, the Inpatient Social Work Team Leader - Care Management will be responsible for providing daily management and supervision of workflow activities in the Care Management Department. This role will serve as the subject-matter expert for workflow processes, ensuring adherence to regulatory requirements...

Job SummaryAs a key member of the LifeBridge Health team, the Inpatient Social Work Team Leader - Care Management will be responsible for providing daily management and supervision of workflow activities in the Care Management Department. This role will serve as the subject-matter expert for workflow processes, ensuring adherence to regulatory requirements...

Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: This is a hybrid role requiring you to work in the Hanover, MD office 1 day per weekWork-life balance...

Job SummaryAs a key member of the LifeBridge Health team, the Inpatient Social Work Team Leader will provide daily management and supervision of workflow activities in the Care Management Department. This role serves as the subject-matter expert for workflow processes, ensuring adherence to regulatory requirements and standards. The successful candidate will...

Job OverviewArch Systems is in search of a seasoned and proficient Senior Technical Program Coordinator to spearhead the Marketplace Learning Management System (MLMS) initiative for the Centers for Medicare and Medicaid Services (CMS). This role is pivotal in managing, supervising, and executing the MLMS project, ensuring the effective delivery of...