Remote Medicaid Policy Governance Specialist
Humana
Humana is seeking a Policy Governance Professional to support the Medicaid Utilization Management Policy Governance program. You will manage end-to-end Medicaid UM Rates and Timeliness evaluation across applicable markets, coordinating data validation, analyzing trends, and preparing written evaluations for leadership review. Reporting to the Policy Governance Lead, you will collaborate with operational, clinical, quality, compliance and market teams to drive improvements and ensure audit-ready #J-18808-Ljbffr
- ...Humana Inc. seeks a Policy Governance Professional to manage the Medicaid Utilization Management Rates and Timeliness evaluation and reporting process across applicable markets, including both physical and behavioral health. You will coordinate schedules, validate data...Remote workPolicy
- ...Humana Inc. is seeking a Policy Governance Professional to manage end-to-end Medicaid Utilization Management (UM) Rates and Timeliness evaluation and reporting across markets. Reporting to the Policy Governance Lead, you will coordinate data validation, analyze trends...Remote workPolicy
- ...seeking a Professional Field Representative to support Wisconsin Medicaid providers as a key liaison for education, issue resolution, and... ...to research and resolve complex issues, deliver training on policies, and ensure clear, timely communication across teams in a fast-...Remote workPolicy
- ...Field Representative to support Wisconsin Medicaid providers as a primary liaison for... ...complex issues, and deliver training on policies and procedures. The role requires at least 2 years of Medicaid/Medicare or government healthcare program experience, strong analytical...Remote workPolicy
- ...Peraton is seeking a policy analyst to support Medicaid initiatives under the SGS NE UPIC contract. You will research and articulate Federal and State regulations, serving as a subject matter expert to educate the team and respond to referrals. The role requires translating...Remote workPolicyContract work
- ...Technologies is seeking a Provider Enrollment Specialist to support WV Medicaid enrollment, maintenance, and renewal... .... The role emphasizes following policies, strong research abilities, and... ...and verbal communication, with a remote work setup and occasional on-site...Remote workPolicy
- ...The State of Alaska is seeking a Medicaid Program Specialist 2 to support the Care Management Program (... ...programs. Responsibilities include policy analysis, drafting procedures, monitoring... ...reviews, with a hybrid in-office and remote work arrangement. #J-18808-LjbffrRemote workPolicyWork at office
- ...Improvement Professional position based in the United States. This remote role supports Medicaid implementation across new state markets and focuses on... ...teams to develop scalable, compliant processes, policies, and training materials that support members and providers...Remote workPolicy
$45.43k - $52k
...lives of others! We are looking for a Medicaid Eligibility Specialist for our Pennsylvania Team.... ...knowledge and understanding of Medicaid policies, regulations, and procedures. Every... ...or coverage Work with government agencies and other stakeholders to address...Remote workPolicyFull time- ...Medicaid SpecialistDo you enjoy using your knowledge and skill set to help make a... ...you to work as a full-time (40hrs/wk.) Remote Medicaid Specialist where your work directly supports positive... ...s), and/or email. You will implement policies, procedures and instructions for...Remote workPolicyFull timeWork at officeLocal area
$95k - $105k
...support and analytical expertise for a Government Medicaid Disproportionate Share Hospital, or DSH... ...consultant will assess regulatory and policy developments, evaluate program administration... ...Ability to work independently in a remote environment and travel on-site when...Remote workPolicyTemporary workLocal area$21 - $22.75 per hour
...Position: Medicaid Enrollment & Intake Specialist (Onsite) Mosaic Location: St. Joseph, MO Remote Status: On-Site Job Id: 140 # of... ...act as liaisons between government entities and patients to... ...organizational standards, policies, and procedures. Perform...Remote workPolicyHourly payWork at officeMonday to Friday$70.1k - $126.2k
...Purpose: Leads the integrity and governance of Centene's and/or its... ...have the flexibility to work remote from home anywhere in the Continental... ...regulatory updates impacting Medicaid and Marketplace regulatory... ...assigned. Complies with all policies and standards. Education/...Remote workPolicyFull timeContract workPart timeFor subcontractorWork at officeWork from homeFlexible hours- ...The Maine State Library seeks a knowledgeable reference and governance specialist to deliver statewide consultation to public libraries, trustees... ..., provide training, and support library management and policy initiatives. This professional role requires collaboration...Remote workPolicy
- ...Humana Inc. is seeking a Policy Governance Professional to manage end-to-end Medicaid UM Rates and Timeliness evaluation across markets, reporting to the Policy Governance Lead. You will coordinate schedules, validate data, and collaborate with operational and clinical...Remote workPolicy
- ...Humana Inc. seeks a Policy Governance Professional to manage Medicaid Utilization Management reporting across markets, coordinating calendars, validation, and deliverables. You will collaborate with operational, clinical, quality, and governance teams to drive timely...Remote workPolicy
- ...Humana Inc. is seeking a Policy Governance Professional to manage end-to-end Medicaid Utilization Management (UM) Rates and Timeliness evaluation and reporting. Reporting to the Policy Governance Lead, you will coordinate schedules, validate data, and collaborate with...Remote workPolicy
- ...Accounting Governance Controls Specialist Hybrid – Downtown Chicago, IL (2 days onsite, 3 days remote) Start Date: ASAP (2 weeks from point of offer) Contract: 6-Month... ...agreements and in accordance with established policies, processes and procedures. Provides...Remote workPolicyContract workLocal areaImmediate startVisa sponsorshipWork visa
- ...who have experience navigating Medicaid referrals, submitting service... ...as designated in the Policy and Procedure Manual and obtain... ...internet connection to facilitate remote workdays; otherwise, working... ...Training and Qualified Brain Injury Specialist training are required upon...Remote workPolicyFull timeContract workWork at officeLocal areaWork from homeFlexible hoursShift workAfternoon shift
- ...Humana Inc. seeks a Policy Governance Professional to manage end-to-end Medicaid UM Rates and Timeliness evaluation across applicable markets, coordinating data validation, performance trends, and stakeholder reviews. You will work with operational, clinical, quality,...Remote workPolicy
$48.48k - $71.3k
...deficiencies. Evaluate regulations and policies, providing expert recommendations for... ...in E-Verify and will provide the federal government with your Form I-9 information to confirm... ...SKILLS: Four years of experience in Medicaid or Medicare program administration, health...Remote workPolicyFull timeWork at officeWork from home- ...audits and implement ISO 27001 end-to-end for customers. Create policies, automated checks, and training content to support customers... ...skills, with the ability to break down complex tasks. ~100% remote work, competitive salary, and generous equity. ~ Annual development...Remote workPolicyLocal areaHome office
- ...connectivity, and access issues across on-site and remote employees Manage the MSP relationship... ...MFA enforcement, and conditional access policies Monitor M365 security and compliance... ...policies Manage security and access governance for AI/LLM tools in use across the org,...Remote workPolicyFor contractorsWork at officeImmediate start
- ...Family: Compliance, Counsel, Governance & Security (CCGS)Job Function... ...Principal Program Subcontracts Specialist will be responsible for all... ...NH; Roanoke, VA; #hybrid; or #remote. Responsibilities and Tasks:... ...compliance with all business policy and procedure and Federal Acquisition...Remote workPolicyContract workTemporary workFlexible hoursNight shift
$79k - $89k
...leadership, shared infrastructure, and clear governance, the ODSAI will align and amplify AI... ...and recommends program frameworks, policies, practices, and operating models that support... ...a hybrid schedule (mix between 3 days remote and 2 days in-person work), subject to change...Remote workPolicyTraineeshipWork experience placementWork at officeFlexible hours$30 - $35 per hour
...Sustainability Reporting Specialist - Seasonal About Measurabl Measurabl... ...ESG (environmental, social, governance) data management solution for... ...Paid Time Off 100% fully remote $400 office set up fund for new... ..., state and local laws. This policy applies to all terms and conditions...Remote workPolicyTemporary workSeasonal workWork at officeLocal areaFlexible hours$104k - $208k
...consent flows, access controls, privacy policies, and user-facing privacy notices Help... ...improve review efficiency, and optimize governance operations Help establish... ...English level Advanced Work Type: Remote Location: United States Working Hours...Remote workPolicyFull timeContract workWork experience placementLocal area$66.5k - $122.23k
...SUMMARY: Join our Legal Governance team as a Board Governance Paralegal... .... Create checklists, policies and procedures to ensure... ...: ~ This is a remote role. This job posting is expected... ...actuaries to clinicians, technology specialists to plan administrators, we...Remote workPolicyHourly payFull timeTemporary workWork experience placementLocal areaWorldwideFlexible hours- ...will have deep expertise in managing and governing Microsoft 365 services, including... ...Compliance: Implement and enforce governance policies across M365 workloads, including data loss... ...functional collaboration in a hybrid or remote environment. Experience with AvePoint...Remote workPolicyWork at office
$85k
...practices that align with the customer's mission. Location Remote Clearance/Certifications Ability to obtain Public Trust... ...and techniques Ensure compliance with federal regulations, policies, and data governance standards throughout process redesigning efforts Required...Remote workPolicyTemporary workFlexible hours
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