HartfordRecruiter Since 2001
the smart solution for Hartford jobs

Medicaid Operations Director

Company: CareCentrix
Location: Hartford
Posted on: April 5, 2021

Job Description:

Medicaid Operations Director in Hartford, Connecticut - Careers at Hartford, CT Skip Branding

  • Provider Portal: HomeBridge---
  • Patient Questions & Billing
    • Post-Acute Care
    • Home Health & Home DME
    • Home Infusion
    • Home Sleep
    • Request a Consultation
      • About Us
      • Blog
      • Resources
      • Careers
      • News
      • Contact Us Follow Us Our Solutions
        • Post-Acute Care
        • Home Health & Home DME
        • Home Infusion
        • Home Sleep Resources
          • All
          • Podcasts
          • Whitepapers
          • Webinars
          • Infographics Our Company
            • About Us
            • News
            • Careers
            • Contact Us
            • Report Fraud Certification to Manage Risk, Improve Security Posture and Meet Compliance Requirements If you have difficulty understanding English, we offer language assistance and interpretation services at no cost to you. For help, please call 1-844-359-5381. If you have hearing or speech loss and use Telecommunications Relay Services (TRS) or a Text Telephone (TTY), dial 711 to connect with a TRS operator. Espa--ol - --------- - --------- - Ti---ng Vi---t - Ayisyen Krey--l - --------- - -------------- - Polskie - Tagalog - Fran--ais - P------------ - Deutsche - -------- - ------------------ - Portugu--s - --------------- - Albanian - Other Languages To access our nondiscrimination notice, please click here .--To sign an authorization form to release your Protected Health Information (PHI), please click here .--To sign a Medicare Appointment of Representative form, please click here .--To access the Patients Rights and Responsibilities, please click here . Under the CareCentrix Utilization Management (UM) Program: 1) UM decision making is based on appropriateness of care & service and existence of coverage; 2) CareCentrix does not specifically reward practitioners or other individuals for issuing denials of coverage or service care; and 3) Financial incentives for UM decision makers do not encourage decisions that result in under-utilization. CareCentrix maintains a drug-free workplace. Copyright -- 2019 CareCentrix, Inc. All rights reserved.--Terms and Conditions - Privacy Policy Medicaid Operations Director in Hartford, Connecticut - Careers at Hartford, CT Skip to Main Content Please Enable Cookies to Continue Please enable cookies in your browser to experience all the personalized features of this site, including the ability to apply for a job. Welcome page Welcome Page Returning Candidate? Log back in! Medicaid Operations Director Job Locations US-CT-Hartford Job ID 2021-11005 Category Product Development Overview As the Medicaid Operations Director, you will provide operational oversight and analysis of the organization's Medicaid product operations and develop operational programs, policies, and processes to deliver targeted quality and production metrics for the Medicaid products. This role assumes management of and accountability for the day-to-day and long-term operational success. Serve as the subject matter expert for program operations. Responsibilities In this role you will:
              • Direct and manage all non-clinical operational activities of the Medicaid product operations, including the development and implementation of effective metrics to monitor productivity and compliance with regulatory mandates.
              • Ensure that quality, performance, productivity and SLAs are met.
              • Identify opportunities to improve existing Medicaid operational policies and procedures and develops new policies and procedures to gain maximum efficiency and client satisfaction.
              • Develop strategies meant to assist the business in meeting its critical goals and objectives in the most efficient manner possible.
              • Provide direction to internal departments as it relates to Medicaid benefits, payment of services, and any other non-clinical issues that are presented.
              • Develop and oversee the production of standard reports to monitor and report on overall department metrics and care management program evaluation. Qualifications You should reach out if:
                • You have a Bachelor's Degree in Business, Health Services Administration or related field.
                • You have 7-10 years of experience in healthcare or managed care operations administration.
                • You have 3-5 years of experience with Medicaid and duals operations.
                • You have demonstrated adaptability and flexibility to change and to new ideas and approaches.
                • You have the ability to analyze processes and problems to prioritize, plan and handle multiple tasks simultaneously. CareCentrix maintains a drug-free workplace. We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law. Options Apply for this job online Apply Share Email this job to a friend Refer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed Loading... Application FAQs Software Powered by iCIMS

Keywords: CareCentrix, Hartford , Medicaid Operations Director, Executive , Hartford, Connecticut

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Executive Jobs

Fast Food Manager - Airport - Dunkin'
Description: EARN A 300 HIRING BONUS FOR JOINING OUR TEAM br br GROW With US br br For 30 years Hudson Group has led the way and prides itself in knowing what matters in travel retail. As airports and transportation (more...)
Company: Hudson Group
Location: Malden
Posted on: 04/14/2021

Service Manager Jobs: Hiring Immediately! Full Time / Part Time - $12-$22/Hr
Description: Find your next job here Will
Company: Retail Jobs
Location: Pittsfield
Posted on: 04/14/2021

Assistant Salon Manager - Shop Rite Plaza
Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let--s talk Maybe you--re a stylist who wants more
Company: Great Clips
Location: Milford
Posted on: 04/14/2021

Inventory Manager - Manufacturing
Description: Job Description Job Summary Picks parts and kits materials for use in the
Company: Avantor
Location: Leominster
Posted on: 04/14/2021

Manager, Product Management - Ad Platform (Campaign Lifecycle)
Description: Job Summary:DMED Ad Platforms is responsible for delivering global adverting technology solutions for Disney's Linear and Addressable channels, brands and streaming services. With unmatched scale, premium (more...)
Company: Disney Media & Entertainment Distribution
Location: Hicksville
Posted on: 04/14/2021

Assistant Store Manager
Description: DescriptionStaples is focused on our customer and our community. As a Retail Sales Manager aka Assistant Store Manager , you will make an impact driving sales in Staples retail, technical services portfolio (more...)
Company: Staples
Location: Pittsfield
Posted on: 04/14/2021

Registered Nurse - Home Care Case Manager
Description: Full-time Homecare Registered Nurse Case Manager needed in Connecticut Reference Code: KAM Qualifications: Graduation from an accredited NLN program in nursing. Baccalaureate nursing degree. Possession (more...)
Company: KA Recruiting, Inc.
Location: West Haven
Posted on: 04/14/2021

11B Infantryman - Management Training
Description: The Infantry is the backbone of the Army. These Soldiers fill the literal boots on the ground who are responsible for taking or holding ground during any combat operation. You rsquo ll attack, repel, (more...)
Company: Army National Guard
Location: Middletown
Posted on: 04/14/2021

Director of Services Delivery
Description: Failed loading page
Company: List Engage
Location: Framingham
Posted on: 04/14/2021

Project Manager III - Science and Technology
Description: Program Manager III - Remote The Manufacturing Science and Technology team is seeking an individual to manage projects that support development and validation projects through regulatory submissions. (more...)
Company: Apex Systems
Location: Framingham
Posted on: 04/14/2021

Log In or Create An Account

Get the latest Connecticut jobs by following @recnetCT on Twitter!

Hartford RSS job feeds