- Staffing Solutions Organization (Albany, NY)
- …Onsite 50% Remote ** **Duties:** + Apply knowledge and experience of Medicaid regulations, program policy, current system design and integration with other ... reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3)...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Staffing Solutions Organization (Albany, NY)
- …of Eligibility & Marketplace Integration (DEMI) Executive Team** **50% Onsite / 50% Remote ** **Summary:** The Medicaid Program Advisor will be part ... reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3)...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Manager 2 in Albany, NY** **Division of Eligibility & Marketplace ... Integration (DEMI)** **Bureau of Division Support (BDS)** **Hybrid - 50% Onsite 50% Remote...15 Bureaus across five locations Statewide. The Bureau provides support and assistance in advancing critical program … more
- Staffing Solutions Organization (Albany, NY)
- …governing a wide range of services and programs for children provided under the Medicaid program including the Children's Health Home program , the voluntary ... Medicaid Registered Nurse in Albany, NY** **Division of Program Development & Management (DPDM)** **Bureau of Specialized Services...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- PharmaCord (Jeffersonville, IN)
- …role. Candidates may be eligible for a hybrid schedule (50% in office, 50% remote ) once training is successfully completed (training program usually lasts about ... and attendance standing, and are consistently meeting KPI's as outlined within the program business rules. Remote work eligibility is subject to all work… more
- HealthCare Support (Houston, TX)
- Utilization Review RN HealthCare Support is actively seeking a Utilization Review RN to fill an opening with a Prestigious HealthCare Company in Remote Houston ... acute setting. 3 years of UR/UM Highlight lines of business worked- Texas Medicaid , CHIP, marketplace Highlight experience - was it inpatient or outpatient Microsoft… more
- Stanford Health Care (Palo Alto, CA)
- …detailed review of medical records. Ensure compliance with Medicare, Medicaid , third-party guidelines, Local Coverage Determinations (LCD), National Coverage ... departments to gather necessary information and clarify clinical documentation to support appeals. + Collaboration with Management: Identify and escalate denial… more
- Staffing Solutions Organization (Albany, NY)
- … Medicaid enrollment and premium reimbursement. + Understand the Medicare Savings Program as it applies to NY Medicaid . + Demonstrate systems processes ... position is eligible for 50-100% telecommuting. Consideration for 100% remote work may be given based on the candidate's...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Staffing Solutions Organization (Albany, NY)
- …Populations** **Training will be 100% In-Office and will move to a 50% Remote Schedule.** **Duties:** The Senior Healthcare Program Specialist (level 2 or ... Term Care and SSI-Related Populations, supporting state centralization of Medicaid eligibility determinations for the non-MAGI eligibility group (the...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Commonwealth Care Alliance (Boston, MA)
- …this position does not have direct reports. Essential Duties & Responsibilities: - Support LTSS network program operations o Developing agendas, taking, and ... o Maintain training agendas, presentations, and attendance sheets o Support LTSS Program Manager in times of...that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Familiarity with and full support… more
- Commonwealth Care Alliance (Boston, MA)
- …on performance metrics (eg, HEDIS, readmissions, community tenure) and follow up to support improvement efforts. Program and Partnership Support - Partner ... in alignment with clinical licensure. - Strong understanding of Medicare, Medicaid (MassHealth), and dual-eligible program operations, including regulatory and… more
- Commonwealth Care Alliance (Boston, MA)
- …and value-based contracting programs through data analysis and performance oversight. ** Program Operations and Development** + Support the design, ... behavioral health, and/or social needs. + Strong understanding of **Medicare, Medicaid (MassHealth), and dual-eligible program operations** , including… more
- LEL Home Services (Indianapolis, IN)
- …Friendly, supportive rapport with all Individuals, families, DSPs and members of the support team File compliance Qualifications Program Manager must have a ... Program Manager Reports to : Regional Director Setting : Remote (in community and at home office) Classification : Full-time; non-exempt Summary : A Program … more
- RELI GROUP INC (Baltimore, MD)
- …Oversee development of BAM dashboards and metrics reporting to enhance partner program integrity and support enterprise oversight Coordinate task dependencies, ... Job Details Job Location Windsor Mill, MD Remote Type Fully Remote Position Type...Position Summary: RELI Group is seeking a highly skilled Program Manager to lead the execution of the Information… more
- Staffing Solutions Organization (Albany, NY)
- …**Community Enrollment and Eligibility Processing (CEEP)** **Hybrid: 50% Onsite 50% Remote ** **Item 1255** **Summary:** The Healthcare Program Associate will ... of social services and providers to receive applications for Medicaid and any applicable documentation. + Preparing materials for...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Staffing Solutions Organization (Albany, NY)
- …governing a wide range of services and programs for children provided under the Medicaid program including the Children's Health Home program , the voluntary ... of Specialized Services for Children (BSSC)** **50% Onsite 50% Remote ** **Summary:** The Bureau of Specialized Services for Children...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Commonwealth Care Alliance (Boston, MA)
- …to coordinate events, manage projects, and resolve daily operational issues. - Support program leadership in developing and maintaining CCA Policies and ... other requirements. - Develop a deep understanding of all program measures and metrics to support delegated...Medicaid and Medicare products and programs - Value-based program oversight and performance tracking - Experience working within… more
- Staffing Solutions Organization (Kent, OH)
- …including H-1B sponsorship) by SSO. Under the federal laws relating to the F-1 STEM EAD program , SSO may be able to support a STEM EAD extension application at ... they serve. **Position Title:** **CUSTOMER SERVICE REPRESENTATIVE I -** **Enrollment/Call Queue Support ** + Respond to inbound calls to the provider relations line.… more
- Staffing Solutions Organization (Albany, NY)
- …to provide system requirements related to eligibility and enrollment in New York's Medicaid program . Specific duties and responsibilities may include but are not ... & Business Requirements-Eligibility Systems Modernization Group** **50% Onsite 50% Remote ** **Duties:** Within the Division of Eligibility and Marketplace...the federal laws relating to the F-1 STEM EAD program , SSO may be able to support … more
- Commonwealth Care Alliance (Boston, MA)
- …shared accountability, and a culture of partnership across the network. Value-Based Program Support - Support Provider Engagement and Delegation ... and regulatory benchmarks. - Ensure provider network compliance with CMS, state Medicaid agency, and NCQA standards. - Lead initiatives to streamline provider… more
