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Managed Medicaid Services jobs - St Louis, MO

Viewing 1 - 10 of 182 jobs

  • Health Payer Management Consulting Medicaid Manager - Location Negotiable

    Accenture - St Louis, MO

    Health Administration transaction processing covering Group Services, Claims, and Provider Networks. The Medicaid ... · Supporting the development and enhancement of Medicaid assets · Supporting the development of Medicaid thought...

    30+ days ago from Accenture

  • Care Manager I (RN) (Face-to-Face, Medicaid Population)

    Programmer Resources Intl - St Louis, MO

    long term goals, treatment and provider options Coordinate services between Primary Care Physician (PCP), specialists, ... education Facilitate member access to community based services Monitor referrals made to community based...

    30+ days ago from Programmer Resources Intl Inc

  • Health Payer Management Consulting Medicaid Consultant - Location Negotiable

    Accenture - St Louis, MO

    Health Administration transaction processing covering Group Services, Claims, and Provider Networks. The Medicaid ... for Medicaid opportunities. Knowledge and experience with Medicaid transaction compliance is needed. The role is...

    30+ days ago from Accenture

  • Medicaid Business Development Leader -Growth Director 100437

    Anthem - St Louis, MO

    Leads the Medicaid business development local market execution strategy in alignment with the overall Medicaid Business ... Leads the enterprise Medicaid team to understand state-specific needs and dynamics and develop new products, services, a...

    30+ days ago from Anthem, Inc

  • Nationwide REMOTE Inpatient Coding Auditor (CCS or RHIA/RHIT) – Managed Care

    Carenational Healthcare Services - St Louis, MO

    Quality Assurance Inpatient Coding Auditor (CCS or RHIA/RHIT) – Managed Care NationWide, Telecommute * Remote opportunit ... according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the...

    5 days ago from CareNational Healthcare Services, LLC

  • Business Office Manager

    Executive Search Solutions - St Louis, MO

    The chosen CBO Biller will be proficient in Medicare, Medicaid / Medi-Cal, HMO, Private Pay, and Managed Care billing ... Medical Biller responsibilities: * Accurately billing for services (Long Term Care, Nursing Home, Hospice, Home Care) *...

    3 days ago from Executive Search Solutions

  • Health Sciences 340B Compliance Manager

    Deloitte Development - St Louis, MO

    to review, design and/or implement products and services * Play substantive/lead role and engagement ... requirements (Average Manufacturer Price, Best Price, Medicaid rebates) * Medicare Part B Program Average Sales...

    1 day ago from Deloitte Development LLC

  • Psychiatric Program Manager - Registered Nurse - Behavioral Health

    Amedisys - St Louis, MO

    capabilities. Knowledgeable and familiar with Medicare, Medicaid, and other third-party payor guidelines. Psychiatric ... buttons and tool bars; ability to self-manage online HR services and online training programs. All qualified applicants...

    6 days ago from Amedisys

  • Manager, Operations (Medicare)

    Centene - Clayton, MO

    the corporation’s business and Center for Medicare and Medicaid Services (CMS) regulatory requirements Provide ... Administration or related field. 5+ years combined managed care operations, project management, or business analysis...

    30+ days ago from Centene

  • Pediatric Nurse Auditor

    Managed Care Staffers - Collinsville, IL

    and interpret medical documentation to identify required services for comparison; validate compliance and complete the ... Fragile Children, ( MNNS, Medical Necessity of Nursing Services). Knowledge of Medicaid and CMS regulations and...

    11 days ago from StartWire