Industry/Sector Health Services Specialism Operations Management Level Director & Summary At PwC ... program design Travel Requirements Up to 80% Job Posting End Date The salary range for this ...
Industry/Sector Health Services Specialism Operations Management Level Director & Summary At PwC ... program design Travel Requirements Up to 80% Job Posting End Date The salary range for this ...
Health Program Representative
Salt Lake City, UT · Hybrid
$16.25 - $19.50/hr
Seeking candidates with excellent customer service skills AND medical program experience to join the Office of Managed Health Care. To provide education to Medicaid and CHIP members regarding their ...
Health Program Representative
Salt Lake City, UT · Hybrid
$16.25 - $19.50/hr
Seeking candidates with excellent customer service skills AND medical program experience to join the Office of Managed Health Care. To provide education to Medicaid and CHIP members regarding their ...
As the program matures, the Administrator will own ongoing operations, financial execution ... Compliance & Risk Management * Maintain compliance with HIPAA, OSHA, Medicare, Medicaid, and other ...
As the program matures, the Administrator will own ongoing operations, financial execution ... Compliance & Risk Management * Maintain compliance with HIPAA, OSHA, Medicare, Medicaid, and other ...
As the program matures, the Administrator will own ongoing operations, financial execution ... Compliance & Risk Management * Maintain compliance with HIPAA, OSHA, Medicare, Medicaid, and other ...
As the program matures, the Administrator will own ongoing operations, financial execution ... Compliance & Risk Management * Maintain compliance with HIPAA, OSHA, Medicare, Medicaid, and other ...
As the program matures, the Administrator will own ongoing operations, financial execution ... Compliance & Risk Management * Maintain compliance with HIPAA, OSHA, Medicare, Medicaid, and other ...
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As the program matures, the Administrator will own ongoing operations, financial execution ... Compliance & Risk Management * Maintain compliance with HIPAA, OSHA, Medicare, Medicaid, and other ...
Payer Quality Consultant, Director
$155K - $410K/yr
... and Medicaid program requirements - Leading teams to generate a vision and trust - Building collaborative relationships and seeking feedback - Managing planning, organizing, and delivery of ...
Payer Quality Consultant, Director
$155K - $410K/yr
... and Medicaid program requirements - Leading teams to generate a vision and trust - Building collaborative relationships and seeking feedback - Managing planning, organizing, and delivery of ...
Case Manager - RN
Francis, UT · On-site
Knowledge of Medicare, Medi-cal and Medicaid programs and benefits. * PCC Knowledge preferred. * Certificate as a certified Case Manager (CCM) a plus. * Must maintain all required continuing ...
Case Manager - RN
Francis, UT · On-site
Knowledge of Medicare, Medi-cal and Medicaid programs and benefits. * PCC Knowledge preferred. * Certificate as a certified Case Manager (CCM) a plus. * Must maintain all required continuing ...
Assessing needs and educating customers about DWS programs, policies, and services and providing assistance in the application for temporary assistance programs (Food Stamps, Financial, Medicaid ...
Assessing needs and educating customers about DWS programs, policies, and services and providing assistance in the application for temporary assistance programs (Food Stamps, Financial, Medicaid ...
Assessing needs and educating customers about DWS programs, policies, and services and providing assistance in the application for temporary assistance programs (Food Stamps, Financial, Medicaid ...
Assessing needs and educating customers about DWS programs, policies, and services and providing assistance in the application for temporary assistance programs (Food Stamps, Financial, Medicaid ...
PS Clinical Optometrist
Salt Lake City, UT · On-site
$125K - $200K/yr
... Medicaid participating physician and as a participating provider under such managed care contracts and other federal programs and any successors to existing programs, as University may reasonably ...
PS Clinical Optometrist
Salt Lake City, UT · On-site
$125K - $200K/yr
... Medicaid participating physician and as a participating provider under such managed care contracts and other federal programs and any successors to existing programs, as University may reasonably ...
PS Clinical Optometrist
Salt Lake City, UT · On-site
$125K - $200K/yr
... Medicaid participating physician and as a participating provider under such managed care contracts and other federal programs and any successors to existing programs, as University may reasonably ...
PS Clinical Optometrist
Salt Lake City, UT · On-site
$125K - $200K/yr
... Medicaid participating physician and as a participating provider under such managed care contracts and other federal programs and any successors to existing programs, as University may reasonably ...
PS Clinical Optometrist
Salt Lake City, UT · On-site
$125K - $200K/yr
... Medicaid participating physician and as a participating provider under such managed care contracts and other federal programs and any successors to existing programs, as University may reasonably ...
PS Clinical Optometrist
Salt Lake City, UT · On-site
$125K - $200K/yr
... Medicaid participating physician and as a participating provider under such managed care contracts and other federal programs and any successors to existing programs, as University may reasonably ...
PS Clinical Optometrist
$125K - $200K/yr
... Medicaid participating physician and as a participating provider under such managed care contracts and other federal programs and any successors to existing programs, as University may reasonably ...
PS Clinical Optometrist
$125K - $200K/yr
... Medicaid participating physician and as a participating provider under such managed care contracts and other federal programs and any successors to existing programs, as University may reasonably ...
PS Clinical Optometrist
Salt Lake City, UT · On-site
$125K - $200K/yr
... Medicaid participating physician and as a participating provider under such managed care contracts and other federal programs and any successors to existing programs, as University may reasonably ...
PS Clinical Optometrist
Salt Lake City, UT · On-site
$125K - $200K/yr
... Medicaid participating physician and as a participating provider under such managed care contracts and other federal programs and any successors to existing programs, as University may reasonably ...
Lead Overpayment Recovery Analyst, Payment Integrity - Health Plan (Remote)
Salt Lake City, UT · Remote
Required Qualifications At least 4 years of business analyst experience in a managed care organization (MCO), and at least 2 years of experience in Medicaid and/or Medicare programs, or equivalent ...
Lead Overpayment Recovery Analyst, Payment Integrity - Health Plan (Remote)
Salt Lake City, UT · Remote
Required Qualifications At least 4 years of business analyst experience in a managed care organization (MCO), and at least 2 years of experience in Medicaid and/or Medicare programs, or equivalent ...
Required Qualifications At least 4 years of business analyst experience in a managed care organization (MCO), and at least 2 years of experience in Medicaid and/or Medicare programs, or equivalent ...
Required Qualifications At least 4 years of business analyst experience in a managed care organization (MCO), and at least 2 years of experience in Medicaid and/or Medicare programs, or equivalent ...
Required Qualifications At least 4 years of business analyst experience in a managed care organization (MCO), and at least 2 years of experience in Medicaid and/or Medicare programs, or equivalent ...
Required Qualifications At least 4 years of business analyst experience in a managed care organization (MCO), and at least 2 years of experience in Medicaid and/or Medicare programs, or equivalent ...
Required Qualifications At least 4 years of business analyst experience in a managed care organization (MCO), and at least 2 years of experience in Medicaid and/or Medicare programs, or equivalent ...
Required Qualifications At least 4 years of business analyst experience in a managed care organization (MCO), and at least 2 years of experience in Medicaid and/or Medicare programs, or equivalent ...
Lead Overpayment Recovery Analyst, Payment Integrity - Health Plan (Remote)
West Valley City, UT · Remote
Required Qualifications At least 4 years of business analyst experience in a managed care organization (MCO), and at least 2 years of experience in Medicaid and/or Medicare programs, or equivalent ...
Lead Overpayment Recovery Analyst, Payment Integrity - Health Plan (Remote)
West Valley City, UT · Remote
Required Qualifications At least 4 years of business analyst experience in a managed care organization (MCO), and at least 2 years of experience in Medicaid and/or Medicare programs, or equivalent ...
Representative Payee Case Manager - Full Time
Provo, UT · On-site
$23.35 - $29.58/hr
Help clients access benefits including SSA, Medicaid, and VA resources * Monitor client progress ... May require a Food Handler's Permit depending on program assignment * Spanish speakers may qualify ...
Representative Payee Case Manager - Full Time
Provo, UT · On-site
$23.35 - $29.58/hr
Help clients access benefits including SSA, Medicaid, and VA resources * Monitor client progress ... May require a Food Handler's Permit depending on program assignment * Spanish speakers may qualify ...
Medicaid Program Manager information
What are the main challenges Medicaid Program Managers face in coordinating between state agencies and healthcare providers?
Medicaid Program Managers often navigate the complexities of aligning policies and procedures between state agencies and a diverse range of healthcare providers. Challenges can include managing frequent regulatory changes, ensuring compliance with both federal and state guidelines, and facilitating clear communication among stakeholders. Additionally, they must address provider concerns, resolve billing or service disputes, and adapt program initiatives to meet evolving healthcare needs. Strong organizational and relationship-building skills are essential to succeed in this collaborative and dynamic environment.
What does a Medicaid Program Manager do?
A Medicaid Program Manager oversees the administration and implementation of Medicaid programs at the state or organizational level. Their responsibilities include ensuring compliance with federal and state regulations, managing budgets, coordinating with stakeholders, and improving service delivery for Medicaid recipients. They often analyze data, develop policies, and work to enhance program efficiency and effectiveness. This role requires strong leadership, organizational, and policy analysis skills to ensure that eligible populations receive proper healthcare services.
What are the key skills and qualifications needed to thrive as a Medicaid Program Manager, and why are they important?
To thrive as a Medicaid Program Manager, you need expertise in healthcare administration, knowledge of Medicaid regulations, and a relevant degree such as public health or healthcare management. Familiarity with Medicaid Management Information Systems (MMIS), data analytics tools, and compliance software is typically expected. Strong leadership, problem-solving, and communication skills enable effective team management and stakeholder engagement. These skills ensure efficient program operation, regulatory compliance, and the delivery of quality services to beneficiaries.
What are popular job titles related to Medicaid Program Manager jobs in Utah? For Medicaid Program Manager jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Medicaid Program Manager jobs in Utah look for? The top searched job categories for Medicaid Program Manager jobs in Utah are:
What cities in Utah are hiring for Medicaid Program Manager jobs? Cities in Utah with the most Medicaid Program Manager job openings:
$155K - $410K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 11 hours ago
PwC rating
8.4
Based on 74 frontline employees who took The Breakroom Quiz
19th of 57 rated business consultants
Job description
Industry/Sector
Health ServicesSpecialism
OperationsManagement Level
DirectorJob Description & Summary
At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance.As an operations consulting generalist at PwC, you will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clients in optimising operational efficiency and effectiveness. Working in this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements.
Translating the vision, you set the tone, and inspire others to follow. Your role is crucial in driving business growth, shaping the direction of client engagements, and mentoring the next generation of leaders. You are expected to be a guardian of PwC's reputation, understanding that quality, integrity, inclusion and a commercial mindset are all foundational to our success. You create a healthy working environment while maximising client satisfaction. You cultivate the potential in others and actively team across the PwC Network, understanding tradeoffs, and leveraging our collective strength.
Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
Lead in line with our values and brand.
Develop new ideas, solutions, and structures; drive thought leadership.
Solve problems by exploring multiple angles and using creativity, encouraging others to do the same.
Balance long-term, short-term, detail-oriented, and big picture thinking.
Make strategic choices and drive change by addressing system-level enablers.
Promote technological advances, creating an environment where people and technology thrive together.
Identify gaps in the market and convert opportunities to success for the Firm.
Adhere to and enforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance) the Firm's code of conduct, and independence requirements.
The Opportunity
As part of the Operations Consulting team you will drive the strategic direction and execution of innovative Medicaid programs. As a Director you will set the vision for business growth, mentor future leaders, and maintain impactful executive-level client relations, making sure that our initiatives align with the utmost standards of quality and integrity.
Responsibilities
- Establish a vision for business expansion and sustainability
- Mentor and develop emerging leaders within the team
- Identify and leverage market opportunities for growth
- Foster collaboration across teams to enhance service delivery
- Promote a culture of innovation and continuous improvement
What You Must Have
- Bachelor's Degree
- At least 10 years of experience
What Sets You Apart
- Master's Degree in Health Administration, Business Administration/Management, Public Policy Analysis, Public Health, Economics, Government preferred
- Demonstrating thought-leader level abilities in Medicaid programs
- Designing and launching Medicaid programs for growth
- Enhancing existing Medicaid programs within regulatory environments
- Utilizing Medicaid data for financial modeling and insights
- Leading teams to generate vision and trust
- Building collaborative relationships and providing guidance
- Managing complex operations tasks and projects
- Communicating effectively in written and verbal formats
- Leveraging quantitative analyses to construct analytical frameworks and synthesize complex data into meaningful insights
- Possessing experience with Health Plan Medicaid operations, finances, business processes, and program design
Travel Requirements
Up to 80%Job Posting End Date
The salary range for this position is: $155,000 - $410,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glanceAs PwC is anequal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.Learn more about how we work: https://pwc.to/how-we-workFor only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines