Program integrity, analytics, and compliance; CMS initiatives, waivers, and APD-funded programs ... Medicaid Directors and Deputy Directors; State CIO/CTO and Medicaid IT leadership; Program, finance ...
New
Program integrity, analytics, and compliance; CMS initiatives, waivers, and APD-funded programs ... Medicaid Directors and Deputy Directors; State CIO/CTO and Medicaid IT leadership; Program, finance ...
New
Program integrity, analytics, and compliance; CMS initiatives, waivers, and APD-funded programs ... Medicaid Directors and Deputy Directors; State CIO/CTO and Medicaid IT leadership; Program, finance ...
Program integrity, analytics, and compliance; CMS initiatives, waivers, and APD-funded programs ... Medicaid Directors and Deputy Directors; State CIO/CTO and Medicaid IT leadership; Program, finance ...
Program integrity, analytics, and compliance; CMS initiatives, waivers, and APD-funded programs ... Medicaid Directors and Deputy Directors; State CIO/CTO and Medicaid IT leadership; Program, finance ...
Program integrity, analytics, and compliance; CMS initiatives, waivers, and APD-funded programs ... Medicaid Directors and Deputy Directors; State CIO/CTO and Medicaid IT leadership; Program, finance ...
Program integrity, analytics, and compliance; CMS initiatives, waivers, and APD-funded programs ... Medicaid Directors and Deputy Directors; State CIO/CTO and Medicaid IT leadership; Program, finance ...
Program integrity, analytics, and compliance; CMS initiatives, waivers, and APD-funded programs ... Medicaid Directors and Deputy Directors; State CIO/CTO and Medicaid IT leadership; Program, finance ...
Program integrity, analytics, and compliance; CMS initiatives, waivers, and APD-funded programs ... Medicaid Directors and Deputy Directors; State CIO/CTO and Medicaid IT leadership; Program, finance ...
Program integrity, analytics, and compliance; CMS initiatives, waivers, and APD-funded programs ... Medicaid Directors and Deputy Directors; State CIO/CTO and Medicaid IT leadership; Program, finance ...
Program integrity, analytics, and compliance; CMS initiatives, waivers, and APD-funded programs ... Medicaid Directors and Deputy Directors; State CIO/CTO and Medicaid IT leadership; Program, finance ...
Program integrity, analytics, and compliance; CMS initiatives, waivers, and APD-funded programs ... Medicaid Directors and Deputy Directors; State CIO/CTO and Medicaid IT leadership; Program, finance ...
At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like ... Participates in ongoing, comprehensive training programs as required. * Follows policies and ...
At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like ... Participates in ongoing, comprehensive training programs as required. * Follows policies and ...
At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like ... Participates in ongoing, comprehensive training programs as required. * Follows policies and ...
At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like ... Participates in ongoing, comprehensive training programs as required. * Follows policies and ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Medicaid Eligibility Advocate
Austin, TX · On-site
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Medicaid Eligibility Advocate
Austin, TX · On-site
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Medicaid Eligibility Advocate
Cibolo, TX · On-site
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Medicaid Eligibility Advocate
Cibolo, TX · On-site
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Medicaid Eligibility Advocate
Addison, TX · On-site
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Medicaid Eligibility Advocate
Addison, TX · On-site
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Medicaid Eligibility Advocate
Plano, TX · On-site
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Medicaid Eligibility Advocate
Plano, TX · On-site
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Participates in ongoing, comprehensive training programs as required. * Follows policies and ... integrity, collections, payment compliance, credentialing, health information management, customer ...
Medicaid Program Integrity information
What is the difference between Medicaid Program Integrity vs Medicaid Claims Examiner?
| Aspect | Medicaid Program Integrity | Medicaid Claims Examiner |
|---|---|---|
| Primary Focus | Detecting and preventing fraud, waste, and abuse in Medicaid programs | Reviewing and processing Medicaid claims for accuracy and compliance |
| Required Credentials | Typically healthcare or compliance certifications, knowledge of Medicaid policies | Healthcare or claims processing certifications, attention to detail |
| Work Environment | Regulatory agencies, government offices, compliance departments | Insurance companies, healthcare providers, government Medicaid offices |
Medicaid Program Integrity professionals focus on safeguarding Medicaid funds by identifying fraudulent activities, while Medicaid Claims Examiners primarily verify claims for accuracy and proper coding. Both roles require healthcare knowledge and certifications but differ in their core responsibilities and work settings.
What are popular job titles related to Medicaid Program Integrity jobs in Texas? For Medicaid Program Integrity jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Medicaid Program Integrity jobs in Texas look for? The top searched job categories for Medicaid Program Integrity jobs in Texas are:
What cities in Texas are hiring for Medicaid Program Integrity jobs? Cities in Texas with the most Medicaid Program Integrity job openings:
Sr. Sales Executive - Consulting Services - State Medicaid
Plano, TX • On-site
Other
Posted yesterday
Job description
Sr. Sales Executive - Consulting Services - State Medicaid
NTT DATA Services Public Sector Vertical is currently looking for a Sr. Sales Executive to join our Government Consulting and Advisory (GCA) Team. This is an individual contributor role to lead business development for management and IT consulting services with State Medicaid agencies/departments. Deep Medicaid domain knowledge, a proven track record selling public-sector consulting services, and trusted relationships with state health and human services leadership are essential.
Key Responsibilities:
- Identify emerging agency needs related to: Medicaid Enterprise Systems (MES/MMIS); Eligibility & Enrollment; Managed Care and Value-Based Care; Program integrity, analytics, and compliance; CMS initiatives, waivers, and APD-funded programs.
- Market-maker who originates deals proactively. Adept at and a track record of creating demand in the market and establishing relationships with decision making buyers.
- Subject Matter Expert (i.e. understands and can articulate the core value chain processes and their associated challenges and opportunities for transformation) in Medicaid.
- Build and maintain trusted relationships with: Medicaid Directors and Deputy Directors; State CIO/CTO and Medicaid IT leadership; Program, finance, and policy leaders within Health and Human Services agencies.
- Utilize a consultative approach to understand the unique challenges, dynamics, constraints and goals of the prospect organization and the key stakeholders and be able to develop a customized transformative proposition.
- Lead the end-to-end sales cycle (collaborating with solution architects, pricing teams, legal, operations, etc.) to structure competitive multi-million-dollar Medicaid deals, from initial prospect engagement through contract negotiation and closure.
- Navigate state procurement processes, ethics rules, and engagement restrictions
The ideal candidate will have:
- Existing relationships with clients at multiple levels across State Medicaid
- Experience supporting all aspects of the sales lifecycle including opportunity identification, qualification, account penetration, pursuit strategy, and contracting processes
- Experience managing capture
- Experience in all aspects of government proposal development
- Solid knowledge of the competitive landscape, including an understanding of key contract vehicles used
- Established relationships across industry with large contractors, SBs, and product vendors
- Ability to partner with alliance/channel partners to craft and support the sale of solutions
- Excellent written and verbal communications skills
Only those candidates with prior experience selling services to State Medicaid clients will be considered. Mandatory Qualifications:
- 15+ years of experience supporting government clients, including State Medicaid
- 10+ years of selling professional services State Medicaid agencies/departments
- Demonstrated success closing multi-million-dollar, multi-year consulting engagements
- Strong knowledge of public-sector procurement and contracting
- Proven ability to operate in long, complex sales cycles
- Bachelor's degree required; advanced degree (MPH, MPA, MBA) a plus
- Fluency in English
About NTT DATA Services
NTT DATA Services is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success.
NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees.