- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) in Albany, NY** **Division of ... Eligibility & Marketplace Integration (DEMI) Executive Team** **50% Onsite / 50% Remote** **Summary:** The Medicaid Program Advisor will be part of an… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) in Albany, NY** **Division of ... will move to a 50% Remote Schedule.** **Duties:** The Medicaid Program Advisor (level 2...Term Care and SSI-Related Populations, supporting state centralization of Medicaid eligibility determinations for the non-MAGI … more
- Genesis Healthcare (Philadelphia, PA)
- …while making a meaningful impact in the communities we serve. Responsibilities The National Medicaid Eligibility Advisor is the subject matter expert on ... Revenue Cycle Management Medicaid Eligibility and strives to improve the...*Serve as the liaison between Business Office Managers, Market Medicaid Advisor , Market Floating Medicaid … more
- HCA Healthcare (Price, UT)
- …each individual is recognized. Submit your application for the opportunity below: Medicaid Eligibility Advocate Parallon **Benefits** Parallon offers a total ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...benefits may vary by location._** We are seeking a Medicaid Eligibility Advocate for our team to… more
- CVS Health (IL)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California, Florida, Illinois, ... "Work from Home" position primarily supporting the Aetna Illinois Medicaid plan and the UM team; but part of...Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a… more
- CVS Health (KY)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, California, Florida, Illinois, ... working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred Qualifications:**… more
- CVS Health (Austin, TX)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, Florida, Illinois, Kentucky, ... working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred Qualifications:**… more
- Elevance Health (Woodbridge, NJ)
- **Behavioral Health Medical Director- Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a board-certified psychiatrist licensed and residing in ... and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities.… more
- City of New York (New York, NY)
- …and DHS and develops applications, including a variety of client eligibility and recertification systems, case management systems, housing systems, employment/work ... recruiting for one (1) IT Project Specialist, to function as an Senior Advisor to the Deputy Chief Information Officer, who will: - Administer strategic… more
- Centene Corporation (Tallahassee, FL)
- …may also include additional forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is committed ... a fresh perspective on workplace flexibility. **Position Purpose:** The Network Performance Advisor (NPA) serves as a key point of contact and liaison between… more
- Conduent (Hamilton, NJ)
- …state and local agencies to improve health outcomes and optimize program performance through technology-enabled services and platforms. Our solutions support ... Medicaid , Medicare, and other public health initiatives with a focus on program integrity, member engagement, and operational efficiency. With decades of… more
- Centene Corporation (Columbus, OH)
- …may also include additional forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is committed ... clear metrics and accountability. + Serve as a trusted advisor on population health strategy as part of the...+ Build and maintain strong partnerships with the state Medicaid regulator to ensure compliance and program … more
- Molina Healthcare (Mount Vernon, WA)
- …member outreach (telephonically and/or face-to-face). + Guides members to maintain Medicaid eligibility and with other financial resources as appropriate. ... Community Engagement, CHW, Public Health, Healthcare, Health Care, Managed Care, MCO, Medicaid , Medicare, HEDIS, CAPHS, equity community health advisor , family… more
- New York State Civil Service (Orangeburg, NY)
- …maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid ... on evenings, weekends, and during off hours.4. Serve as health advisor to multi-disciplinary team; provide consultation/peer review to other physicians/clinicians;… more
- Atlantic Health System (Morristown, NJ)
- …fraud and abuse issues, HIPAA compliance, EMTALA, Medicare and Medicaid compliance, licensure issues, pay-to-play issues, corporate governance and regulatory ... appearance releases, consents to videotaping, etc. -As requested, serve as legal advisor to various committees, work groups and task forces. Work collaboratively… more
- Ascendis Pharma (Princeton, NJ)
- …Oversee the administration of rebate programs, including government rebates (eg, Medicaid , Medicare), managed care rebates, and commercial rebates. Ensure accurate ... access, finance, procurement, legal, and contracting partners. Serve as a trusted advisor on contracting and pricing matters, providing guidance and support as… 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 ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- Dignity Health (Phoenix, AZ)
- …and possibly family medicine). + May have roles as Core Faculty and Advisor , support and maintain residency program curricula. + Oversees, prepares and ... and needs of the comumnity. + Single practice. 60% Medicaid . Approximately 40% Private. + General pediatrics age 0-18...**Job Requirements** + MD or DO Degree + Board Certification/ Eligibility + Must have or be eligible for medical… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare, Division of Appeals Operations (DAO), Medicare ... SPECIALIST, GS-0107-14, you will serve as a technical authority and program expert providing high-level technical expertise on cross-cutting operational activities… more
- Houston Methodist (Houston, TX)
- …admission, continued stay and resource use, appropriate level of care and program compliance. Identifies when services no longer meet InterQual/Milliman l criteria, ... case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need for issuing… more