- Aston Carter (Parsippany, NJ)
- …duration of 6 Month(s). Work Environment The rebates team is made up of the Director of Medicaid , a manager, and several team members. About Aston Carter: Aston ... Job Title: Medicaid Claims Analyst MUST have experience from/with: +...summary data on all claim submissions to ensure rebate eligibility and data consistency. + Perform Claim Level Detail… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have experience, ... unique complex needs of the foster care population + Medicaid Managed Care policies and procedure + The ...health care providers, including school and community-based services Maintain eligibility for public or private health insurance Assist with… more
- CVS Health (Princeton, NJ)
- …plan operations, including contracting, claims processing, encounter data processing, and Medicaid eligibility and enrollment + Experience navigating a matrixed ... Behavioral Health Senior Manager of Network Relations will report to the Executive Director of Network Management and will work in close partnership with the ABHNJ… more
- City of New York (New York, NY)
- …which includes the Reimbursement Division, is responsible for determining consumer eligibility for Medicaid reimbursements of out-of-pocket medical expenditures ... Job Description The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs, for the City of New York. Applying… more
- City of New York (New York, NY)
- …Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE DIRECTOR OF SOCIAL SERVICE CIVIL SERVICE TITLE OR BE...Medicaid eligibility review and processing of initial applications, change actions,… more
- City of New York (New York, NY)
- …to process applications including screening, intake, and assessment and monitoring of Medicaid eligibility and all related community alternative health care ... the day-to-day direction of the personnel engaged in processing applications, monitoring Medicaid eligibility and conducting eligibility assessments for… more
- State of Minnesota (St. Paul, MN)
- …administers eligibility , provider enrollment, services, and rates for the Medicaid and MinnesotaCare health care programs. The Office of Inspector General ... impacts to eligibility , payment rates, and covered services under the Medicaid program as well as the administrative resources needed to effectuate changes; +… more
- WellSense (Boston, MA)
- Director of Finance and Strategy, MassHealth Product WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New ... Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical...our members, no matter their circumstances. **Job Summary:** The Director of Finance and Strategy, MassHealth Product will be… more
- University of Colorado (Aurora, CO)
- CU Medicine Family Medicine - Louisville Medical Director Open Rank -Senior Instructor Series - 34358 Faculty **Description** **University of Colorado Anschutz ... Medicine** **Job Title:** **CU Medicine Family Medicine - Louisville Medical Director ** **Open Rank -Senior Instructor Series** **Position #00825042 - Requisition… more
- City of New York (New York, NY)
- …care services at little or no cost. Under the general direction of the Senior Director of Medicaid Community Offices with wide latitude for the exercise of ... independent judgement and initiative, the Director of the Out-Stationed Eligibility Division (OED)...Medicaid Offices' statistical management reports to the Program Director . These reports identify deficiencies and provide information to… more
- New York State Civil Service (Schenectady, NY)
- …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... HELP Yes Agency People With Developmental Disabilities, Office for Title Director of Nursing 3 (Developmental Disabilities) Occupational Category Health Care,… more
- State of Colorado (Denver, CO)
- RAC Program Medical Director (PART-TIME) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4658063) Apply RAC Program Medical Director ... Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other...We are looking for a Part-Time RAC Program Medical Director to join our Cost Control and Quality Improvement… more
- CareFirst (Baltimore, MD)
- …based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the utilization management ... resources. Will be responsible for the Commercial, Federal Employee Program, Medicaid , and Medicare lines of business. Establishes performance metrics to ensure… more
- HCA Healthcare (Richmond, VA)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... Do you want to join an organization that invests in you as an HIM Director Float PRN? At Parallon, you come first. HCA Healthcare has committed up to $300… more
- HCA Healthcare (Portsmouth, NH)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Director of Outpatient Services with Portsmouth Regional Hospital you can be a ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** Would you… more
- University of Colorado (Aurora, CO)
- Medical Director Department of Family Medicine Innovation Practice - Open Rank - 31241 Faculty **Description** **University of Colorado | CU Anschutz Medical ... Medicine | Department of Family Medicine** **Family Physician -** **Medical Director Department of Family Medicine Innovation Practice** **Open Rank -Senior… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** Director , Pharmacy Government Programs is responsible for implementing the organization's pharmacy vision and strategic plan ... for government programs (Medicare and Medicaid ). This role has oversight of pharmacy staff and develops and maintains collaborative relationships with clinical,… more
- Point32Health (Canton, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Director , Utilization Management is responsible for directing, leading, and ... Services, Inpatient & Outpatient) for Point32Health's lines of business. The Director is responsible for ensuring achievement of Point32Health corporate goals;… more
- HCA Healthcare (Kingwood, TX)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... care like family! Jump-start your career as a Assistant Patient Access Director today with HCA Houston Healthcare Kingwood. **Benefits** HCA Houston Healthcare… more
- HCA Healthcare (Nashville, TN)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... colleagues invested over 156,000 hours volunteering in our communities. As an Assistant Director Patient Access with Parallon, you can be a part of an organization… more