Top 20 companies that use Medicaid

2. CVS Health

How CVS Health uses Medicaid:

• Assisted patients with insurance coverage issues and answered any Medicaid/Medicare questions.
• Input data for medical care and insurance claims Updated patient information regarding Medicare and Medicaid
• Billed for specialty drugs for all payers Commercial - all Blue Cross and Blue Shield and all Medicaid's.

Most common skills for CVS Health:

• Customer Service
• Patients
• CVS
• Inventory Management
• HIPAA
• Computer System

3. Hueman

4. Signature Healthcare

How Signature Healthcare uses Medicaid:

• Skilled Medicaid charting on a daily basis.
• Provided assistance in completing Medicaid Applications, Advance Directives, and various services for the Patient.
• Completed electronic documentation on a daily basis for Medicare and Medicaid patients.

Most common skills for Signature Healthcare:

• Vital Signs
• Patients
• Stoves
• Groceries
• Medicaid
• Patient Demographics

5. Healogics

Most common skills for Healogics:

• Patients
• Ongoing Management
• UltiPro
• Data Warehouse
• Fixed Assets
• EMR

6. Public Consulting Group

How Public Consulting Group uses Medicaid:

• Managed all third party liability recovery activities on behalf of West Virginia Medicaid through a management consulting engagement.
• Researched and verified active and termed insurance policies for NC Medicaid recipients.
• Ensured authorized Medicaid payees received appropriate payment distributions in accordance with client contracts.

Most common skills for Public Consulting Group:

• Medicaid
• SQL
• ITIL
• Supportive Services
• Community Resources
• Process Improvement

7. Guidehouse

8. Prime Therapeutics

How Prime Therapeutics uses Medicaid:

• Collaborated with organizational leadership to meet and manage corporate initiatives and State Medicaid contractual obligations.
• Served as Subject Matter Expert (SME) in Medicare and Medicaid regulations and health care innovation strategies.

Most common skills for Prime Therapeutics:

• SAS
• Hippa
• End-To-End Testing
• Medicare
• HIPAA
• Outbound Calls

9. Marshfield Clinic Health System

Most common skills for Marshfield Clinic Health System:

• Ultrasound
• CPT
• Patients
• Content Development
• Discharge Planning
• QA

10. UnitedHealth Group

How UnitedHealth Group uses Medicaid:

• Verified pricing and prior authorizations by researching state mandated Medicaid guidelines and benefit plan documents/certificates.
• Verified and updated disclosure for Tennessee Medicare/ Medicaid.
• Serve as a primary contact for Texas Medicaid Ancillary providers related to contracting, credentialing, reimbursement methodology and billing requirements.

Most common skills for UnitedHealth Group:

• HIPAA
• Medicaid
• Elasticsearch
• Customer Service
• SAS
• Process Improvement

11. Soliant

Most common skills for Soliant:

• Customer Accounts
• Language
• Visualization
• Catheter
• Community Outreach
• Pre-K

12. Centene

How Centene uses Medicaid:

• Investigate possibilities of Medicaid fraud as a member of the Louisiana plan for the Centene Corporation.
• Maintain an organization that is in full compliance with all regulatory requirements; Medicare Medicaid Plans Compliance Officer.
• Partnered with Executive team to develop strategic plan and coach all segments of the Operations teams through statewide Medicaid expansion.

Most common skills for Centene:

• Medicaid
• CMS
• NCQA
• Process Improvement
• Quality Standards
• PowerPoint

13. Highmark

How Highmark uses Medicaid:

• Ensured compliance with the Delaware Division of Medicaid and Medical Assistance managed care contract with Highmark Health Options.
• Certified Application Counselor (2014) by the Centers for Medicare & Medicaid Services (CMS).
• Exceeded the 2016 Medicaid LOB MLR expectation.

Most common skills for Highmark:

• Strong Analytical
• Customer Service
• Medicare
• PL/SQL
• Process Improvement
• Test Cases

14. Hawaii Pacific Health

Most common skills for Hawaii Pacific Health:

• Crisis Management
• HIPAA
• Radiology
• Clinical Documentation
• Patients
• Account Balances

15. Molina Healthcare

How Molina Healthcare uses Medicaid:

• Reviewed, modified as necessary, and re-billed rejected/denied Medicaid and Medicare claims.
• Program management of Washington Medicaid Integration Partnership (WMIP) for Aged, Blind, and Disabled Medicaid Recipients.
• Educated member on eligibility status, prior authorization and benefits available to them under Medicare, Medicaid and Marketplace.

Most common skills for Molina Healthcare:

• Medicaid
• HIPAA
• HR
• Quality Customer Service
• Medicare
• HEDIS

16. New York State Dept Of State

Most common skills for New York State Dept Of State:

• Equipment Maintenance
• Cost Estimates
• Public Safety
• Safety Guidelines
• Motor Vehicle
• Web Content

17. New York State Restaurant Association

Most common skills for New York State Restaurant Association:

• Student Learning
• Strategic Plan
• Construction Drawings
• Monetary Transactions
• Press Releases
• Plumbing

18. UnityPoint Health

Most common skills for UnityPoint Health:

• Patients
• Insurance Claims
• Hippa
• Patient Accounts
• Patient Charts
• OSHA

19. My Florida Regional Mls

Most common skills for My Florida Regional Mls:

• Patients
• Customer Satisfaction
• SharePoint
• Press Releases
• Credit Card Transactions
• Business Plan

20. SSM Health

How SSM Health uses Medicaid:

• Utilize EMOMED to verify patient eligibility and claim account information regarding Medicaid coverage.

Most common skills for SSM Health:

• Patients
• Patient Care
• Process Improvement
• CPT
• SharePoint
• Blood Products