Medicaid Project Manager-RHTP Lead the project management and operational implementation of all Medicaid RHTP funded projects to ensure they meet Medicaid strategic objectives. Manage the operational and business work flows and tasks in support of the
Senior Project Manager Community Engagement Operations & Partnerships Location: Remote with Onsite Duration: At least 5 Years from projected start date Hrs./Wk.: 35 Note: Primarily remote, with in-person attendance required for community meetings, regional sessions, RSAC
Essential Duties and Responsibilities: - Review cases and summarize the facts of each case and assess issues involved in the case to certify or non-certify requested treatments. - Provide written clinical rationales for CA Workers Compensation
Essential Duties and Responsibilities: - Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations. - Render medical necessity determinations for Medicare State East cases assigned. - Resolve all other technical issues within
Essential Duties and Responsibilities: - Supervise a team of employees through cultivation of a high performance team - Ensure adequate staff coverage for assigned program area - Serve as subject matter expert for identified area of