- Genesis Healthcare (NH)
- …Position Highlights *Provide comprehensive training and support to nursing center staff on Medicaid eligibility processes, policies, and best practices. ... you have a knack for navigating the complexities of Medicaid eligibility ? Then join us as a...*Identify and address center-specific challenges that hinder timely Medicaid collections. *Collaborate with nursing center staff ,… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) in Albany, NY** **Division of Eligibility ... Executive Team** **50% Onsite / 50% Remote** **Summary:** The Medicaid Program Advisor will be part of an executive...will be part of an executive team of SSO/PCG staff that will report directly to the Director of… more
- MyFlorida (West Palm Beach, FL)
- …to programmatic functions of the iBudget Waiver program, and in working with Medicaid waiver support coordinators The Work You Will Do Processes documentation ... of group dynamics. This position with APD will serve staff and management across the Agency. Your work will...within the established policy and procedures. Performs duties to support the Regional Medicaid Waiver Unit, including… more
- Guidehouse (Atlanta, GA)
- …implementation issues into documented actionable insights for diverse stakeholders ranging from Medicaid program staff to system vendors and internal leadership. ... client deliverables, and support ongoing engagement execution. + Supervise and support the development of staff + Effectively manage client interaction and… more
- Staffing Solutions Organization (Albany, NY)
- …of Long Term Care and SSI-Related Populations, supporting state centralization of Medicaid eligibility determinations for the non-MAGI eligibility group ... (the aged, blind and disabled Medicaid population) and transition of this Medicaid eligibility group to a new State-based eligibility system. Duties of… more
- Louisiana Department of State Civil Service (Opelousas, LA)
- …Job Duties: + Act as a liaison with the fiscal intermediary and Medicaid Eligibility Systems to address recipient and provider service/payment discrepancies and ... and emergency preparedness activities. + Assist in training LTC staff and support continuous quality improvement initiatives...section of the Current Job Opportunities page. *Information to support your eligibility for the position must… more
- Genesis Healthcare (Philadelphia, PA)
- …*Collaborate with nursing center staff to work towards positive Medicaid Eligibility accounts receivable outcomes *Ensure efficient resource allocation to ... making a meaningful impact in the communities we serve. Responsibilities The National Medicaid Eligibility Advisor is the subject matter expert on Revenue Cycle… more
- University of Rochester (Canandaigua, NY)
- …Required. + 2-3 years related experience as a MEOS I or experience with Medicaid Eligibility Preferred. + or equivalent combination of education and experience ... Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States...standards of practice through mentoring and assisting MEOS 1 staff to develop their expertise in procuring public entitlements… more
- Bear Mountain Health Care (MA)
- Are you a Nursing Home Medicaid EXPERT? Bear Mountain Healthcare is currently seeking a full time Medicaid Pending Specialist to assist in the completion of ... Medicaid applications, conversions, and reviews in various facilities in... applications and re-determinations in order to ensure financial eligibility . . Processing of all appropriate forms applicable to… more
- Abbott House (Bronx, NY)
- …(SOR) NYS Division of Criminal Justice Services (DCJS) fingerprinting NYS Justice Center Staff Exclusion List (SEL) NYS OMIG Medicaid Exclusion List Complete ... Job Summary: The Medicaid Managed Care Liaison is the primary contact...area or provider network Interact with clinical and billing staff Refer children for needed services and assist in… more
- NTT DATA North America (Albany, NY)
- …Systems and have responsibility for design and software development for the Continuing Medicaid Eligibility Modernization program. The mission of the program is ... to implement eligibility determinations for the Medicaid complex (Non-MAGI)...of individuals including management, users, vendors and other technology staff _Minimum Qualifications:_ + Bachelor's degree and 8 years… more
- City of New York (New York, NY)
- …It is also responsible for evaluating and assessing the resources of Medicaid Nursing Home residents through computer bank matches. Claims and Collections also ... assess the income and resources available to the community spouse refusing to support his or her institutionalized spouse and pursue payment when the refusing spouse… more
- University of Rochester (Rochester, NY)
- …Social Work or Business Administration + And 1 years related experience such as a Medicaid Eligibility Examiner or Medicaid Eligibility Supervisor + Or ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR… more
- Staffing Solutions Organization (Albany, NY)
- … for the development and introduction of a new, modern Medicaid eligibility and enrollment system to support certain populations who currently have ... of Eligibility & Marketplace Integration (DEMI)** **Bureau of Division Support (BDS)** **Hybrid - 50% Onsite 50% Remote** **Summary:** This position is… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk score calculation, submissions, enrollment,… more
- Humana (Lansing, MI)
- …Oversee the External Oversight Team (Quality Assurance professionals and Care Management Support Assistants) staff and monitors compliance with Home and ... and Humana requirements for Long-Term Services and Supports (LTSS) eligibility determination and service authorization. The Manger, Quality Assurance collaborates… more
- CVS Health (TX)
- …The Medical Director is part of a centralized team that supports the Medical Management staff and may support other health plans as needed. The Medical Director ... Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, Florida, Illinois, Kentucky,… more
- CVS Health (AZ)
- …- Experience in a Medicaid and/or Medicare setting. - Bachelor's Degree **We support a hybrid work environment. If selected and you live near a suitable work ... not limited to the following: - Develops, motivates, evaluates and coaches staff on work procedures, proper call handling and teamwork delivering excellent customer… more
- Communities Connected for Kids (Port Saint Lucie, FL)
- …hours of removal. Completes FSFN interface with FLORIDA system names CCKids as Medicaid Payee. Attends staff meetings, in-service training, and other meetings, ... impact in the lives of children in need of support + Unique rewards that come from seeing families...services you referred them to + Salary for the eligibility specialist position starts as high as $39,000 annually… more
- City of New York (New York, NY)
- …assistance for all HASA clients and their families. The Eligibility and Support Manager provides direction to subordinate staff in the development of ... assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides... staff and manages the operations of the Eligibility and Support Services Units, ensuring that… more