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Medicaid Job Hunter: 10/28/2019

We scour the internets for Medicaid jobs listings to save you time.

 

 

In this packet…

  1. Director, Medicaid Care Management | AdvantageCare Physicians
  2. NaviCare Account Manager Sales Rep. Fallon Health | Fallon Health
  3. Medicaid Eligibility Advocate in Odessa, TX – HCA Healthcare
  4. Project Manager (Remote – Medicaid Healthplan Operations) | Molina Healthcare
  5. Support Specialist – Medicaid | Moda Health
  6. Clinical Operations Manager – Behavioral Health | CareOregon
  7. VP- Medicaid Programs | Henry Ford Health System
  8. Prior Authorization/Utilization Review Nurse – Job at Independent Care Health Plan (iCare)
  9. DOM-Medicaid Program Nurse III
  10. Pharmacy Director (NC Medicaid)

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Medicaid Job Hunter: 10/21/2019

We scour the internets for Medicaid jobs listings to save you time.

 

 

In this packet…

 
  1. Nurse Medical Management I – Medicaid HCMS | Anthem, Inc.
  2. Association of State and Territorial Health Officials Medical Director Medicaid LOB Job in Detroit, MI
  3. Anthem Health Plans of Virginia Network Relations Consultant Manager (NC Medicaid Alliance Operations) in Cary, NC
  4. Health Insurance Specialist | The Job Network
  5. Managing Consultant – Healthcare Value Transformation CMS-64 State Medicaid/Medicare Audit Services | Navigant
  6. Behavioral Health Care Coordinator
  7. Assistant Director, Provider Relations – Contracts Administration – The Health Plan
  8. Registered Nurse, Atlanta, Georgia
  9. i2i Population Health | Product Solutions Specialist
  10. Nurse Medical Management I – Medicaid HCMS in Fort Worth, Texas, United States

Medicaid Industry Jobs Hunter 10.21.19

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Medicaid Job Hunter: 10/14/2019

We scour the internets for Medicaid jobs listings to save you time.

 

 

In this packet…

  1. Medicaid Program / Healthcare Policy Analyst -Austin | Chandra Technologies, Inc
  2. Market Medical Director, Vivida Health Plan | The Job Network
  3. Medicaid Health Systems Administrator 1 | Ohio Department of Medicaid
  4. Director, Consumer Experience & Strategy – Health Plan Products & Services – Great New R -Worcester | Fallon Health
  5. MEQC Health Program Manager | State of Utah
  6. In-Patient Concurrent Review Nurse l or ll (RN) REMOTE – WA State Medicaid (PS28851) in Cerritos, California, United States
  7. Outreach Representative, CareConnections Long Beach, CA | Molina Healthcare
  8. Medicaid Clinical Pharmacy Lead | Humana | LinkedIn
  9. Performance Monitoring Specialist, Clinical at WellCare
  10. Medicaid Specialist I
 

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Medicaid Who’s Who Interview: Sharon Raggio

Sharon Raggio, LMFT, LPC, MBA  is President and CEO Mind Springs Health

Check out her LinkedIn profile HERE.

Which segment of the industry are you currently involved?

Mind Springs Health is the leading provider of mental health and addiction treatment on the western slope of Colorado and lives out its mission of providing recovery and resiliency to people, families, and communities through its excellent continuum of behavioral health care services – from mobile crisis response to 12 outpatient offices to West Springs Hospital, the only psychiatric hospital between Denver and Salt Lake City.  We are pleased to be in over 100 schools as well as in locations with over 100 different partners.  We believe it is critical to our mission that we offer our services where people are, as that is a secret sauce ingredient to engagement and change. 

How many years have you been in the Medicaid industry?

We have been in the Medicaid business since our inception in 1972!  Personally I have worked in Community Mental Health for over 40 years….yes…. I started when I was 12! 

What is your focus/passion? (Industry related or not)

I personally love what Community Mental Health offers!  It is a sacred honor to be a partner in creating change in an individual, family, or community.  There is nothing that fills my heart like Community Mental Health!  The best news is that people can and do recover!  I am very pleased that we are starting to recognize the co-morbidity between physical & mental health and excited to be at whole-person planning tables. 

What is the top item on your “bucket list?”

Absolutely going to Italy!  I had the good fortune of living in Europe for many years as a young adult and now I’d love to go back with my family.  The Italian culture is unique! 

What do you enjoy doing most with your personal time?

Beside travel, which expands me as a person, I love to walk with our two standard poodles, Timbuktu and Corrina.  We live in western CO and have rich outdoor beauty to explore.  I also love to read good mystery books. 

Who is your favorite historical figure and why?

Marie Curie, a Polish and naturalized-French physicist and chemist who conducted pioneering research on radioactivity. She was the first woman to win a Nobel Prize, the first person and only woman to win it twice, and the only person to win it in two different scientific fields. She was also the first woman professor at the University of Paris.  Some of her more famous quotes include “Nothing in life is to be feared. It is only to be understood.” And when questioned about being a woman with a family & working   in science she replied “Well, it has not been easy”.  

What is your favorite junk food?

It has to be vanilla ice cream with chocolate syrup on a very hot day!  Nothing quite like that sensation of cold ice cream, hot chocolate souse, and a hot day!  YUM! 

Of what accomplishment are you most proud?

We recently were honored to receive the IHI Sherman Award for Patient Engagement.  Our amazing staff developed “Rapid Recovery Clinics” for people with depression and the model allows patients to choose when they want to be seen, how often, and who they want to see of their treatment team.  The results are amazing, with 68% of people moving into a recovery phase from depression in only 6 weeks!  That means people are doing well, our clinical staff know they made a difference, and our offices can serve more people in need!  A triple win! 

For what one thing do you wish you could get a mulligan?

I have come to understand that relationships are what are important in life.  My do-over would involve absolutely involve healing a relationship.  It is important to be quick to recognize when I make a mistake or push too hard on a relationship.  Forgiveness goes along with this concept. 

What are the top 1-3 issues that you think will be important in Medicaid during the next 6 months?

I think state governments struggle with how to fund and pay providers for Medicaid.  While there are many ideas about value-based payments, there is a grand experiment occurring with how to make that actionable and what the valued outcomes should be.  Additionally, specific to the world of behavioral health, we have a crisis-level shortage of providers.  Funding prevention and resiliency-building programs is a policy I hope States will shift towards in the near future. 

———————

Know someone in the space who’s doing great work and is an all around interesting person?

Send a note to clay@mostlymedicaid.com to nominate them for the next round of Medicaid Industry Who’s Who Interviews

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Medicaid Job Hunter: 10/07/2019

We scour the internets for Medicaid jobs listings to save you time.

 

 

In this packet…

  1. Supervisory Health Insurance Specialist | Centers for Medicare & Medicaid Services
  2. Medicaid Eligibility Advocate – Nashville | TriStar Skyline Medical Center
  3. Medicaid Field Care Manager; Behavioral Health | Humana
  4. Director of Pharmacy | Medicaid Managed Care PBM | The Job Network
  5. Manager, Ethics & Compliance at Centene Corporation
  6. Manager, Medicaid Program | Heatlh People Inc.
  7. Program Specialist V | Texas Health and Human Services
  8. Vice President & Chief Executive Officer Health Plan In | Banner Health System
  9. Prior Authorization/Utilization Review Nurse | iCare Independent Care Health Plan
  10. Health Plan Specialist I (Inbound)
 

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Medicaid Job Hunter: 09/30/2019

We scour the internets for Medicaid jobs listings to save you time.

 

 

In this packet…

  1. Health Insurance Specialist | Centers for Medicare & Medicaid Services
  2. Project Manager with HMO, Medicaid and Medicare experience | The Job Network
  3. Health Care Policy & Financing Researcher and Writer | State of Colorado
  4. Research Associate – Health Insurance Access and Value Based Care | IMPAQ International
  5. Medicaid Liaison | McLaren Health Care
  6. Medicaid & Medicare Claims Educator
  7. Nurse | Centers for Medicare & Medicaid Services
  8. Utah Medicaid Case Coordinator | Avalon Health Care Group
  9. Payment Reform Program Officer | Center for Health Care Strategies, Inc.
  10. Managed Care Coding Specialist (MPS2/MPOI)
 
 

Medicaid Industry Jobs Hunter 09.30.19

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Menges Group 5 Slides Series for June & August 2019

The Menges Group puts out these great analyses and insights each month. And is kind enough to let us repost them for the MM audience. Check out themengesgroup.com to learn more about the work they do. 

The June 2019 Edition was produced by Manisha Gupta and Mohammed Hamdan.  It focuses on the level of marketing spending in the MCO industry, comparing the Medicaid, Medicare, and commercial sectors.  On average, we found that Medicaid MCOs
used 0.19% of their revenues on marketing, advertising, and commissions.  These percentages were much higher among Medicare-dominant MCOs (2.26%) and commercial MCOs (3.43%).

The August 2019 edition was produced by Grace Williams and summarizes our analyses of NCQA’s most recent quality ratings for commercial/private MCOs.  Kaiser Permanente led the multi-state MCOs with a stellar 4.28 average rating, scoring
over half a point higher than the 2nd place MCO and scoring more than ¾  of a point higher than the national average.

MCO Marketing Spending Across Product Types–June 2019

August 2019 Private NCQA Ratings

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Medicaid Job Hunter: 09/23/2019

We scour the internets for Medicaid jobs listings to save you time.

 

 

In this packet…

  1. Medicaid Medical Director – Medical Specialist 4 – Job at Minnesota Department of Human Services
  2. STAR+PLUS Manager/Service Coordination/RN
  3. State of Florida 68010652-Systems Project Consultant Job in Tallahassee, FL
  4. (16) Medical Director Medicaid LOB | WellCare Health Plans | LinkedIn
  5. MyFlorida 68059450 – Government Operations Consultant II in Virtual, USA, United States
  6. General Eligibility Policy Specialist. | State of Colorado | LinkedIn
  7. Director Office Of Strategy Performance and Results Job in BALTIMORE, MD
  8. Chief Medical Officer Aetna Better Health of KS (Medicaid) Job at Aetna in Overland Park, Kansas
  9. University of Utah Health Health Plans Quality Improvement Specialist in Murray, Utah, United States
  10. Healthcare Management Solutions Medicaid Compliance Reviewer Job in Fairmont, WV
 

Medicaid Industry Jobs Hunter 09.23.19

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Medicaid Job Hunter: 09/16/2019

We scour the internets for Medicaid jobs listings to save you time.

 

 

In this packet…

  1. Nurse Case Manager | Fallon Health
  2. Manager, Conversion Strategy | Centene Corporation 
  3. Nurse Auditor – Medicare/Medicaid Review – Home Based | Delmarva Foundation 
  4. Medicaid Liaison | McLaren Health Care
  5. Medicaid Eligibility Advocate | HCA Healthcare
  6. Payment Reform Program Officer
  7. Health Insurance Specialist
  8. Director Medicaid Plan Marketing | Anthem, Inc.
  9. Medical Director Medicaid LOB | WellCare Health Plans
  10. Program Officer – Medicare-Medicaid Integration/LTSS

Medicaid Industry Jobs Hunter 09.16.19