- Commonwealth Care Alliance (Boston, MA)
- …appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities including project management ... and (e)assistance to these external partners as necessary. The Specialist is expected to work with managers and staff...ASAPs and LTSC Agencies related to member rosters and enrollment records o Perform data quality checks, and additional… more
- Commonwealth Care Alliance (Boston, MA)
- …experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare /Medicaid) + Experience in health plan provider ... Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with… more
- Fallon Health (Worcester, MA)
- …Enrollment Process** + After initial account executive contact with referral, the enrollment specialist (ENSP) supports next steps toward enrollment , ... + Supports documentation gathering and submission for final Government Program Enrollment Specialist (GPES) review and MassHealth application submission. +… more
- Molina Healthcare (Oshkosh, WI)
- … Medicare products accurately and thoroughly complete and submit required enrollment documentation, consistent with Medicare requirements and enrollment ... beneficiaries accurately understand the product choices available to them, the enrollment process (eligibility requirements, Medicare review/approval of their … more
- Beth Israel Lahey Health (Westwood, MA)
- …**High School diploma or GED required. Bachelor's degree preferred.** **Year of experience 3-7** **Provider Enrollment experience is strongly preferred.** ... data . Maintains knowledge of NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and Medicaid). (essential)**… more
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview The Licensure and Provider Enrollment Specialist will be a member of the Corporate Legal Department and will ... work with all Medicare and Medicaid enrollment applications and related...+ Bachelor's Degree preferred or an equivalent level of experience and education. + Paralegal experience helpful,… more
- University of Miami (Medley, FL)
- …Miami/UHealth Central Business Office has an exciting opportunity for a full-time Provider Enrollment Specialist to work in Miami, FL. The Provider Enrollment ... Specialist develops and implements a comprehensive provider enrollment process, which identifies well-defined policies and procedures and criteria used to… more
- Molina Healthcare (East Moline, IL)
- …of Health Care Markets, primarily Medicaid. + Previous healthcare marketing, enrollment and/or grassroots/community outreach experience a plus. + 5+ ... is seeking a dynamic **Community Engagement & Growth Sr Specialist ** in/near the Rockford or East Moline area **.**... will collaborate with internal teams (Quality, Provider Relations, Medicare , and Marketplace) to align activities and ensure a… more
- Aston Carter (Menasha, WI)
- …Data Entry Specialist to support the Family Saving Plan (FSP) open enrollment and Medicare data entry operations. This temporary position plays a critical ... Data Entry Specialist Job Description We are seeking a detail-oriented...& Qualifications + High School Diploma required. + Prior experience in health insurance or enrollment processing… more
- Penn Medicine (Lancaster, PA)
- …of professional clinical experience in the area of specialty + Current enrollment in an accredited Clinical Nurse Specialist degree program qualifying them ... Medicine Lancaster General Health is seeking a Clinical Nurse Specialist (CNS) **_or_** CNS Fellow with Cardiac and/or Critical...specialty area + Five 5 years of professional clinical experience in the area of specialty + A healthcare… more
- Independent Health (Buffalo, NY)
- …diploma or GED required. + One (1) year of customer service and/or sales experience required. Experience working with Medicare preferred. + Current license ... fosters growth, innovation and collaboration. **Overview** The Red Shirt Promotion Specialist will be responsible for sales acquisition and retention strategies for… more
- University of Colorado (Aurora, CO)
- …determinants of health such as issues of housing, transportation, Medicaid and/or Medicare enrollment , food/nutrition, access to health care, provide referrals ... **Peer Recovery Specialist Patient Services** **Description** **University of Colorado Anschutz...Mondays to Fridays. **Important: Applicants MUST have personal, lived experience with Substance Use Disorder (SUD), and recovery from… more
- Molina Healthcare (Chicago, IL)
- …understanding of Health Care Markets, primarily Medicaid. + Previous healthcare marketing, enrollment and/or grassroots/community outreach experience a plus. + 5 ... Healthcare of Illinois** is seeking a dynamic **Community Engagement & Growth Specialist ** in/near the **Chicagoland** area **.** This role will help drive choice… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …to Medicare , Medicaid, and other insurance programs. The Intake Specialist will collaborate closely with patients, family members, external partners, and ... minimum of one (1) year of related healthcare and/or human services work experience required; Homecare client enrollment -related work experience preferred… more
- New York State Civil Service (Wassaic, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Human Resources Specialist Trainee / 1 - Dutchess Occupational Category Administrative or General ... Duties Description Under the direction of a Human Resources Specialist 2, the Human Resources Specialist 1...higher degree ANDEither1. One year of professional human resources experience OR2. A Juris Doctor, master's or higher degree… more
- Molina Healthcare (Los Angeles, CA)
- …understanding of Health Care Markets, primarily Medicaid. + Previous healthcare marketing, enrollment and/or grassroots/community outreach experience a plus. + 5 ... relationships? Molina Healthcare is hiring a Sr Community Engagement & Growth Specialist in LA County (see listed locations). This important position is more… more
- Silicon Valley Power (Santa Clara, CA)
- **Office Specialist III** Print (https://www.governmentjobs.com/careers/cityofsantaclaraca/jobs/newprint/5143640) **Office Specialist III** Salary $86,781.00 - ... Specific Plan revisions, and Santa Clara Station Area Specific Plan. The Office Specialist III will be essential to the administration and fiscal functions of the… more
- TEKsystems (Mountain View, CA)
- Description Prepare and submit enrollment and re- enrollment applications for healthcare providers to Medicare , Medicaid, and commercial insurance plans. ... in healthcare administration or related field preferred. 1-2 years of experience in provider enrollment , credentialing, or healthcare administration. Strong… more
- Centene Corporation (Harrisburg, PA)
- …Relations Specialist is responsible for leading activities to achieve membership/ enrollment goals through various means including, but not limited to, marketing ... and Medicare only:** Bachelor's degree in Marketing, Business Administration or equivalent experience **For Medicare only:** Travel up to 80% Must be willing… more
- Ochsner Health (New Orleans, LA)
- …concurrently to meet required standards and deadlines, and maintaining Medicare certifications/enrollments and Medicaid enrollments for all facilities. In addition, ... field. Preferred - Master's degree in healthcare or related field. **Work Experience ** Required - 2 years in healthcare compliance, licensing and certification,… more
