Remote Medicaid Policy & Governance Specialist
Humana
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, and drive improvements with clinical and operational stakeholders. The role requires a bachelor’s degree, healthcare industry experience, and proficiency with Excel, PowerPoint, Word, and SharePoint.
#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
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...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- ...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
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$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
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- ...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
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$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
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...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
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...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- ...Job Description Accounting Governance Controls Specialist \n \n Hybrid – Downtown Chicago, IL (2 days onsite, 3 days remote) \n Start Date: ASAP (2 weeks from point of... ...agreements and in accordance with established policies, processes and procedures. \n...Remote workPolicyContract workLocal areaImmediate startVisa sponsorshipWork visa
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$66.5k - $122.23k
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Title: Change Control Specialist Belong. Connect. Grow. with KBR! KBR... ...(TRMC). Operating in a fully remote capacity, this specialist manages... ...functions and formal change governance. The candidate must possess... ...or levels, per internal policy or contractual designation. Additional...Remote workPolicyTemporary workLocal areaWorldwideHome officeRelocation packageFlexible 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
- ...Title: Revenue Cycle Management Specialist I Reports to: Revenue... ...Part-Time Work Setting: Remote Position Overview:... ...payer requirements, and internal policies Protect PHI and follow all... ...settings Familiarity with Medicaid, Medicare, and commercial payers...Remote workPolicyPart timeMonday to Friday
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