- Neighborhood Health Plan of Rhode Island (Smithfield, RI)
- …Job Category Professional / Experienced Description The Policy and Claims Research Specialist is responsible for supporting the Payment Integrity initiatives and ... with a managed care organization or a health care related organization (HMO; Medicaid /Medicare) One ( 1 ) or more years' experience working in direct relation… more
- Inside Higher Ed (Augusta, GA)
- …two structural interventionalist, three electrophysiologists, two advanced heart failure specialist and thirteen general cardiologists. Augusta University has the ... practice and educational programs have continued to grow and expand. Responsibilities 1 . Develop a robust out-patient clinical practice with three (3) one-half day… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1 FA/Trainee 1 FA/Trainee 2 FA (NY HELPS) ... 10007 Duties Description Duties Include:Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 (Financial Analysis) prepares and… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1 /Trainee 1 /Trainee 2 (NY HELPS) ... Zip Code 12204 Duties Description Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 will join the Match-Based Reviews Unit… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1 /Trainee 1 /Trainee 2 (NY HELPS) ... software systems including eMedNY and FACTS is preferred. A willingness to learn.The Medicaid Integrity Specialist 1 position will support the Division… more
- Commonwealth Care Alliance (Boston, MA)
- …research, as necessary on all new and revised coding logic, related Medicare/ Medicaid policies for review/approval through the Payment Integrity governance ... the required certification OR willing to get certified within 1 year of employment - + Certified Professional Coder...Medicaid and Medicare) + Medical Coding, Compliance, Payment Integrity and Analytics + Direct and relevant experience with… more
- University of Rochester (Canandaigua, NY)
- …equity considerations._ **Responsibilities:** GENERAL PURPOSE In addition to the duties of Medicaid Enrollment and Outreach Specialist (MEOS I), MEOS II supports ... that ideal are the values we share: equity, leadership, integrity , openness, respect, and accountability. Together, we will set...Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States… more
- HCA Healthcare (Richmond, VA)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Coding Integrity Specialist II-Outpatient Coder with Parallon you can be a part ... our organization. We are looking for an enthusiastic Coding Integrity Specialist II-Outpatient Coder to help us...Undergraduate (associate or bachelors) degree in HIM/HIT preferred + 1 year acute care observation and/or same day surgery… more
- Rush University Medical Center (Chicago, IL)
- …veteran status, and other legally protected characteristics. **Position** Admission Registration Specialist 1 - Admitting **Location** US:IL:Chicago **Req ID** ... **Work Type:** Full Time (Total FTE between 0.9 and 1 .0) **Shift:** Shift 1 **Work Schedule:** 8...the circumstances of each case. **Summary:** The Admissions Registration Specialist I is responsible for reviewing patient registration for… more
- New York State Civil Service (New York, NY)
- …Agency Medicaid Inspector General, NYS Office of the Title Investigative Specialist 1 /Trainee 1 /Trainee 2 Occupational Category Other Professional ... provided to Medicaid participants. The Division of Medicaid Investigations ensures the integrity of the...email to ###@omig.ny.gov with a subject line of Investigative Specialist 1 /NYC, or by fax to ###,… more
- University of Washington (Seattle, WA)
- …insurance coverage and/or Financial Assistance + Refer uninsured patients for Medicaid /Financial eligibility screening + Prepare estimates of fees upon request from ... appropriate insurance opportunities + Complete applications which include Health Care Exchange, Medicaid , Medicaid Expansion, and Medicare Part D + Manage and… more
- Trinity Health (Howell, MI)
- …the safety of patient information by verifying patient identity to preserve the integrity of the patient record and ensures all records are complete, accurate, and ... Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Vision, Mission, Core Values, Standards of Conduct, as well… more
- MyFlorida (Orlando, FL)
- INVESTIGATION SPECIALIST I - 60060474 Date: Oct 1 , 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 858739 Agency: Children and Families Working Title: INVESTIGATION SPECIALIST I - 60060474 Pay Plan: Career Service Position Number: 60060474… more
- New York State Civil Service (Albany, NY)
- …Agency Medicaid Inspector General, NYS Office of the Title Investigative Specialist 1 /Trainee 1 /Trainee 2 Occupational Category Other Professional ... apply data to investigations. Understanding of the Medicaid program.The Division of Medicaid Investigations ensures the integrity of the Medicaid program… more
- Louisiana Department of State Civil Service (Gretna, LA)
- …As part of a Career Progression Group, vacancies may be filled as a Child Welfare Specialist Trainee, Specialist 1 , Specialist 2 or Specialist ... with dignity, compassion and respect, while providing services with integrity . At The Department of Children and Family Services,...1 ,649.60 bi-weekly (Pay Level SS-411) + Child Welfare Specialist 1 - SER: $ 1… more
- Louisiana Department of State Civil Service (LA)
- …Specialist Trainee - SER: $ 1 ,649.60 bi-weekly (Pay Level SS-411) Child Welfare Specialist 1 - SER: $ 1 ,764.80 bi-weekly (Pay Level SS-412) Child ... with dignity, compassion and respect, while providing services with integrity . Help make a difference and join our team...perform professional child welfare services. Differs from Child Welfare Specialist 1 by the absence of independence… more
- MyFlorida (Wildwood, FL)
- INVESTIGATION SPECIALIST I - 60065277 Date: Sep 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 861743 Agency: Children and Families Working Title: INVESTIGATION SPECIALIST I - 60065277 Pay Plan: Career Service Position Number: 60065277… more
- MyFlorida (Fort Myers, FL)
- REGISTERED NURSE SPECIALIST - 64030599 Date: Sep 26, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 860461 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64030599 Pay Plan: Career Service Position Number: 64030599 Salary:… more
- Magellan Health Services (Albuquerque, NM)
- The Network Contract Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for ... Presbyterian Health Plan with Medicaid , Medicare, and Commercial lines of business. This role...updates, Letters of Direction, and other required modifications. The specialist will also ensure all contract updates are compliant… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Health Insurance Recovery Specialist ** **Job Class: Human Services Program Specialist 2** **Agency: Human Services Dept** + **Job ID** : 89335 + ... + **Division/Unit** : Health Care Administration / Health Care Integrity and Accountability + **Work Shift/Work Hours** : Day...multiple openings This position is responsible for assuring that Medicaid is the payer of last resort in cases… more
