- Novo Nordisk Inc. (Montclair, CA)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to identify business opportunities… more
- State of Indiana (Indianapolis, IN)
- School Medicaid Specialist Date Posted: Apr 16, 2024 Requisition ID: 442324 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with ... may be commensurate with education and job experience. Role Overview: The School Medicaid Specialist is a liaison between the state Education and Medicaid … more
- Insight Global (Annapolis, MD)
- Job Description Insight Global is looking for a Medicaid Specialist to support a large hospital system in Annapolis, MD. A Medicaid Specialist is a ... healthcare professional who specializes in the administration of Medicaid programs. They play a crucial role in ensuring...insurance plans have access to the care they need. Medicaid specialists may also be known as case managers… more
- Bear Mountain Health Care (MA)
- …Home Medicaid EXPERT? Bear Mountain Healthcare is currently seeking a full time Medicaid Pending Specialist to assist in the completion of Medicaid ... facilities in Massachusetts. Duties include: . Responsible for working Pending Medicaid applications and re-determinations in order to ensure financial eligibility.… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- MEDICAID PROGAM SPECIALIST 1/2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4467009) Apply MEDICAID PROGAM SPECIALIST 1/2 ... participates in a Career Progression Group (CPG) and may be filled as a Medicaid Program Specialist 1 or 2. The level at which the vacancy is filled will be… more
- City of New York (New York, NY)
- … Medicaid Administration Program (MAP) is recruiting for fourteen (14) Eligibility Specialist II to function as a Medicaid Eligibility Specialist , ... EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to...Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible… more
- UNC Health Care (Goldsboro, NC)
- …the health and well-being of the unique communities we serve. Summary: The Medicaid Eligibility Specialist screens, coordinates and facilitates the Medicaid ... the eligibility criteria. Obtains eligibility for patients entitled to Medicaid for the purpose of obtaining reimbursement for services...on complex financial concepts and procedures of applying for Medicaid . 6. In some cases, may act as the… more
- Providence (OR)
- …empower them._** **Providence Health Plan is calling an Community Enrollment Services Specialist , Medicaid who will:** + Educate and assist community members ... Service Experience preferably in a social service, health insurance or Medicaid capacity **Preferred qualifications for this position include:** + Bachelor's Degree… more
- Providence (Salem, OR)
- …we must empower them._** **Providence Health Plan is calling an Associate Claims Specialist , Medicaid who will:** + Process claims for members, providers, and ... **Job Shift:** Day **Career Track:** Admin Support **Department:** 5018 OPS PHT CLAIMS MEDICAID OR REGION **Address:** OR Salem 3993 Fairview Industrial Dr SE **Work… more
- Idaho Division of Human Resources (Boise, ID)
- Financial Specialist Sr. - Medicaid Reimbursement Analyst Posting Begin Date: 2024/04/23 Posting End Date: 2024/05/23 Category: Business Sub Category: Accounting ... CONSIDERED. The Idaho Department of Health and Welfare, Division of Medicaid , is currently seeking aMedicaid Reimbursement Analyst(Financial Specialist Senior)… more
- Ciena Healthcare (Southfield, MI)
- The Billing Specialist is responsible for the monthly billing and follow-up function for the residents of the facilities from the corporate office. Billing includes ... Medicare, Medicaid , and Insurances as assigned. Join us with an attractive benefits offering: + Competitive pay + Medical, dental, and vision insurance + 401K with… more
- System One (Raleigh, NC)
- …customer assistance and problem resolution to a wide variety of NC Medicaid providers supported by a multi-customer contact or help desk environment. Responds ... to providers and recipient calls, providing a single point of contact for report problems, make inquires and obtaining guidance about any or all services provided by the service center. USC/Greencard Hybrid - 2 days a month in office Pay $16/HR Essential Job… more
- UNC Health Care (Chapel Hill, NC)
- …strongly preferred** . **Summary** : Performs technical work in obtaining Medicaid /Social Security (SSI) insurance coverage for indigent patients to expedite ... reimbursement for medical services. Positions take the patient through the entire Medicaid application process from application to award or denial. Positions have… more
- Louisiana Department of State Civil Service (New Orleans, LA)
- …of Health and Hospitals, Medical Vendor Administration. Job Distinctions: Differs from Medicaid Program Specialist 2 by the presence of advanced research, ... MEDICAID PROGRAM MONITOR Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4485275) Apply MEDICAID PROGRAM MONITOR Salary $4,177.00 -… more
- Wider Circle (Taylor, MI)
- Wider Circle is looking for a Community Health Engagement Specialist in Taylor, MI to join our circle and play a vital role in running Connect for Life, our ... apply!* Responsibilities + You will lead the Wider Circle Medicaid program in your assigned area, using the Wider...You will enroll prospective members in the Wider Circle Medicaid program. and you will hold yourself accountable for… more
- HCA Healthcare (Brentwood, TN)
- …invested over 156,000 hours volunteering in our communities. As a Provider Enrollment Specialist with Parallon you can be a part of an organization that is ... organization. We are looking for an enthusiastic Provider Enrollment Specialist to help us reach our goals. Unlock your...GED preferred + 1 year of related experience in Medicaid Enrollment, Managed Care Enrollment, or Provider Enrollment +… more
- Somatus (Mclean, VA)
- …mental well-being + Community engagement opportunities + And more! The Regulatory Specialist , SLA, is responsible for performing different tasks to ensure service ... level agreements and accreditation standards are complete. **This role requires you to be on-site at our corporate office in Mclean, VA.** Responsibilities + Collaborate with Quality Accreditation and Regulations team and leadership to assist in identifying… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** Supports the delivery of all Medicaid billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing ... standards, are familiar with the rules and regulations of Medicaid billing and are skilled at problem solving and...correct diagnosis, and procedure codes are utilized. 4. Submits Medicaid claims, including the maintenance of bill holds and… more
- University of Colorado (Aurora, CO)
- …a directly related field from an accredited institution. + CAS (certified addiction specialist ) certification. + One (1) year of Medicaid /insurance specialist ... The University of Colorado Anschutz Medical Campus is seeking a Medicaid Utilization Review Specialist (full time, University Staff/Non classified)… more
- Truman Medical Centers (Kansas City, MO)
- …self-pay patients to review eligibility for the University Health Discount and/or Medicaid . The Utilization Specialist will be expected to communicate financial ... myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Utilization Specialist 101 Truman Medical Center **Job Location** Truman Support… more
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