Remote Medicaid Policy & Payment Model Lead
RXinsider LTD.
OptumServe Consulting/The Lewin Group (OSC/Lewin) seeks a Senior Medicaid policy and implementation advisor to lead cross-cutting Medicaid initiatives, coordinate across AHEAD task teams, and deliver policy guidance to CMS and state partners.
You will translate complex policy into actionable recommendations, develop technical assistance products, and mentor junior staff in a dynamic federal healthcare consulting environment.
#J-18808-Ljbffr$104k - $143k
...for a Value-Based Programs Lead who will support... ...operational support of specialty Medicaid value-based payment (VBP) models in alignment with segment... ...Workstyle: This is a remote position. Travel: This... ...Opportunity Employer It is the policy of Humana not to...Remote workPolicyFull timeTemporary workWork at officeWork from homeHome officeMonday to Friday- ...Team Lead - Medicaid Analytics / T-MSIS/TAF, Remote ~ Direct Hire ~100% Remote ~ Will be processed for a Public Trust Clearance. ~ NO THIRD PARTY... ...individual will serve as a bridge between customers, policy/research SMEs, analysts, developers, and leadership to...Remote workPolicyPermanent employmentFull timeContract workH1bVisa sponsorship
$164.78k - $314.96k
...active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.The OpportunityAs the AI Model Governance & Monitoring Lead, you will lead the development and...Remote workPolicyFull timeH1bWork at officeHome officeRelocation packageFlexible hours- ...This is a fully remote position with a U.S. based company. The Medicaid Team Lead is primarily responsible for overseeing cases... ...delegation and engagement, modeling leadership behaviors Work... ...staff updated on process and policy changes Promptly respond to...Remote workPolicy
$80k - $128k
Medical Review Team Lead - Medicaid Job Locations US Requisition ID 2... ...judgment within broadly defined policies and practices to determine... ..., review sophisticated data model output, and utilize a... ...the Government Make claim payment decisions based on clinical...Remote workPolicyContract workFor contractorsFor subcontractorWork at officeShift workNight shift- ...financial markets. About the Role As Payments Lead, you’ll own the full lifecycle of... ...prevention and response: manage fraud tools and policies, ensuring a balance between risk control... ...and technical proficiency: able to model economics, analyze funnel data, and...Remote workPolicyFull timeLocal area
- ...member relationships are prioritize The Lead Payment Processor acts as the senior processor and... ...Reserve requirements, and internal policies. Participates in audits, examinations, vendor... .... Work Environment: In Office with remote options Qualified applicants will receive...Remote workPolicyTemporary workWork at officeLocal areaImmediate start
$115.2k - $158.4k
...Senior Portfolio Enablement Lead is a strategic... ...supportLimited Geography Remote - This is a remote position... ...provided a bi-weekly payment for their internet expense... ...with Medicare and Medicaid, families, individuals,... ...Opportunity EmployerIt is the policy of Humana not to...Remote workPolicyBi-weekly payFull timeTemporary workWork at officeWork from homeHome office$70 - $90 per hour
...Finance Expert — Model Risk, Compliance & Payments is a remote review track for evaluating AI outputs across risk analysis... ..., narrative reasoning, and policy adherence; flag compliance and reconciliation... ...and report drift to the program lead. Nice to have Big Four, bulge...Remote jobPolicyFor contractorsWork experience placement10 hours per week$94.9k - $130.5k
...Integrity (PI) Contract Lead is an important... ...and financial models. KEY ACCOUNTABILITIES... ...Integrity and/or Payment Integrity... ...such as contracts, policy and operations manuals... ...Information Work Style : Remote Work at Home... ...with Medicare and Medicaid, families,...Remote workPolicyOngoing contractFull timeContract workTemporary workWork at officeWork from homeHome office$80k
...currently seeking a OCM Lead to join our team in... ...culture, operating model, and day-to-day... ...of experience with Medicaid eligibility processes, including policy, determinations,... ...pay range for this remote role is $65,000 - $... ...will never ask for payment or banking information...Remote workPolicyTemporary workWork at officeFlexible hours$115.2k - $158.4k
...The IT Vendor Management Lead for Mergers and... ...maintenance and retention policies, standards and procedures... ...be provided a bi-weekly payment for their internet expense... ...: While this is a remote position, occasional travel... ...people with Medicare, Medicaid, families, individuals,...Remote workPolicyBi-weekly payFull timeContract workTemporary workWork at officeWork from homeHome office- ...looking for “Great People Who Lead” at all levels in the organization... ...seeks a IT Developer Lead - Medicaid Management Information System... ...claims towards a program and policy driver for health outcomes primarily... ...and Finance - payment of medical, pharmacy, dental and...PolicyFor contractorsWork at office
$104k - $143k
...Claims Risk Management Lead reports to the Director... ...resolution of alleged claim payment errors, supports... ...contract requirements, policies, and procedures. Document... ...: While this is a remote position, occasional travel... ...with Medicare and Medicaid, families, individuals,...Remote workPolicyFull timeContract workTemporary workFor subcontractorInterim roleWork at officeWork from homeHome office- ...Adheres to FCHC’s dress code policies. Employee appearance... ...JOB TITLE: LEAD FRONT DESK ASSOCIATE... ...applications. 9. Collects payments of fees for current or... ...person and utilizing Video Remote Interpreting - VRI).... ...companies, Medicare/Medicaid, physician offices, etc...Remote workPolicyWork experience placementWork at office
$55k - $65k
...Opportunity: We at Flywire are seeking a Payment Experience Team Lead in the Americas. Payment... ...equal opportunity employer and follows a policy of administering all employment decisions... ...and training. #LI-Hybrid Remote Work : No Employment Type :...Remote workPolicyFull timeWork at officeLocal areaImmediate startFlexible hours$145k - $200k
...CompanyPalantir builds the world’s leading software for data-... ...in enabling ML models in production. We deploy... ...roles that allow for “Remote” work on an exceptional... ...never be asked to submit a payment or share financial... ...processed by Palantir, please see our Privacy Policy.Remote workPolicyFull timeWork experience placementWork at officeWork from homeRelocation package$142.3k - $195.7k
...communityHumana is seeking a Lead Cloud Architect -... ...on NoSQL data modeling, partitioning,... ...levels, indexing policies, monitoring, and... ...provided a bi-weekly payment for their internet... ...: While this is a remote position,... ...with Medicare and Medicaid, families, individuals...Remote workPolicyBi-weekly payFull timeTemporary workWork at officeWork from homeHome office$170k - $200k
...Brand, and Government and Policy Affairs. Transamerica... ...for Transamerica Model Risk Management (MRM) Analytics... ...(in-office, hybrid, remote) and operational needs.... ...information such as ID or payment for equipment upfront.... ...their best lives. As a leading global investor and...Remote workPolicyFull timeWork at officeWorldwideRelocation package- ...strengthen compliance coverage for customers and payment activity involving Latin America. This... ...and translate changes into workable policies, controls, procedures, and system requirements... ...planning through implementation is preferred. *OPEN TO NYC, MIAMI OR REMOTE*...Remote workPolicy
- ...currently seeking a Engagement Lead to join our team in Atlanta,... ...needs. While many positions offer remote or hybrid work options, these... ...recruiters will never ask for payment or banking information and... ...protected veteran status. For our EEO Policy Statement, please click here....Remote workPolicyWork at officeFlexible hours
- ...System (ACI MTS Implementation Lead) Location: Chicago, IL 60601... ...Domain: Banking & Fintech Payments Pay Rate: $49.00/hr W2 | $6... ...processes, lines, queues, and remote records. * Handle database operations... .... DISCLAIMER AI Usage Policy: Pacer Group uses AI to assist...Remote workPolicyContract workWeekend work
- ...We are currently seeking a OCM Lead to join our team in San Diego,... ...Yrs.Location: San Deigo, CA / Remote with USAMandatory Industry... ...recruiters will never ask for payment or banking information and will... ...protected veteran status. For our EEO Policy Statement, please click here....Remote workPolicyWork at officeFlexible hours
$227k - $307k
...innovation in fintech. QB Payments is core to solving it:... ...Partnerships to lead this agenda. This position... ...the Affrrim partnership model to expand financing options... ...sound, risk-policy aligned, and poised for... ...$307,000 California Remote (Not Bay Area) $208,500...Remote workPolicyWorldwideShift work- ...currently seeking a Engagement Lead to join our team in... ...LocationPhiladelphia, PA, USA (Fully Remote)Allocation50%Primary SkillArtificial... ...recruiters will never ask for payment or banking information and... ...protected veteran status. For our EEO Policy Statement, please click here....Remote workPolicyWork at officeFlexible hours
- ...SAP S4 HANA PP/QM Functional Lead to join our team in Plano, Texas... .... While many positions offer remote or hybrid work options, these... ...recruiters will never ask for payment or banking information and will... ...protected veteran status. For our EEO Policy Statement, please click here....Remote workPolicyWork at officeFlexible hours
- ...environment The Accounts Payable Lead is a key member of the Finance... ...invoices, employee expenses, payment transactions, vendor records,... ...financial controls, policies, contracts, and accounting standards... ...RESPONSIBILITIES Mon/Tues/Fri - Remote Wed & Thursday are in-...Remote workPolicyWeekly payFull timeContract workBank staffWork at officeLocal area
$86.8k - $165.2k
...With our three market leading businesses, world-class... ...maturation of current model‑based engineering tools... ...as on-site, hybrid or remote.The salary range for this... ...-bargaining agreement. Payments under these annual programs... ...Act. Privacy Policy and Terms:Click on this...Remote workPolicyTemporary workWork experience placementWork at officeFlexible hours$170.45k - $243.5k
...impact.Purpose & Scope The Lead (Director), Medical... ...limited to Payers, HCPs, policy makers, related key... ...outputs (e.g., RWE, economic models, dossiers, publications... .../CMS [Medicare, Medicaid]) and solid understanding... ...Northbrook, Illinois. Remote work from anywhere in the...Remote workPolicyWork at officeLocal areaWork from homeWorldwide$107.5k - $204.5k
...With our three market leading businesses, world-class... ...seeking a highly skilled Model‑Based Tools Design... ...as on-site, hybrid or remote.The salary range for this... ...-bargaining agreement. Payments under these annual programs... ...Act. Privacy Policy and Terms:Click on this...Remote workPolicyTemporary workWork experience placementWork at officeFlexible hours
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