- 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
- New York State Civil Service (Albany, NY)
- …Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1/Trainee 1/Trainee 2 (NY HELPS) Occupational Category Other ... Code 12204 Duties Description Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 will join the Match-Based Reviews Unit at OMIG with… more
- Louisiana Department of State Civil Service (Opelousas, LA)
- Medicaid LTC Specialist Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5100280) Apply Medicaid LTC Specialist Salary $4,220.67 - ... and ensuring quality care for those who need it most? As a Medicaid LTC Specialist , you'll play a vital role in analyzing provider data, resolving eligibility… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Waiver Specialist ** **Job Class: Planning Director State** **Agency: Human Services Dept** + **Job ID** : 89550 + **Location** : St. ... Office + **Division/Unit** : Health Care Administration / AC Medicaid Dir Fed Rel + **Work Shift/Work Hours** :...eligible for telework.** This is a 0.50 FTE position Medicaid waivers are legal agreements between Minnesota and the… 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) Occupational ... 10007 Duties Description Duties Include:Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 (Financial Analysis) prepares and analyzes… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1/Trainee 1/Trainee 2 (NY HELPS) Occupational Category No ... including eMedNY and FACTS is preferred. A willingness to learn.The Medicaid Integrity Specialist 1 position will support the Division of System Utilization and… more
- Genesis Healthcare (Everett, WA)
- …complexities of Medicaid eligibility? Then join us as a Regional Floating Medicaid Application Specialist . In an assigned geography, you will improve the ... quality of all revenue cycle management Medicaid Eligibility related functions, from patient pre-admission to discharge, to optimize revenue collection. Position… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Collections Specialist I - Medicaid is responsible for performing collection follow-up on outstanding insurance balances, identifying claim ... adherence to applicable regulations to support revenue cycle operations. As a Collections Specialist I at Community Health Systems (CHS) - SSC Nashville, you'll play… more
- PruittHealth (Norcross, GA)
- …the Elderly and Disabled Waiver Program (EDWP) clients who do not have active Medicaid eligibility [Potential Medicaid Assistance Only (PMAO) or Medicaid ... eligibility or continued eligibility status 3. Assists EDWP clients with the Medicaid Application process and renewals 4. Collects copies of financial documents from… more
- Commonwealth Care Alliance (Boston, MA)
- …that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and ... as necessary on all new and revised coding logic, related Medicare/ Medicaid policies for review/approval through the Payment Integrity governance process.… more
- Commonwealth Care Alliance (Boston, MA)
- …The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance, and ... - AAPC + Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing-related certifications **Required Experience (must have):** + 3+ years in healthcare… more
- National Health Care Associates (Naugatuck, CT)
- …the Beacon Brook Center for Health & Rehabilitation! **-** **Business Office / Medicaid Specialist ** **Full-Time** The position is responsible to support the ... Business Office in processing Medicaid Pending Applications, Redeterminations, Applied Income discrepancies and Resident...Minimum Position Qualifications + 1 year experience in LTC Medicaid + The ability to handle multiple priorities and… 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 ... Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States...MEOS IIs possess advanced knowledge of all aspects of Medicaid , are proficient in research, interpretation and application of… more
- Health Care Service Corporation (Richardson, TX)
- …designation such as Managed Healthcare Professional (MHP) or Certified Employee Benefit Specialist (CEBS) * Medicaid experience **This is a Flex (Hybrid) ... for planning, managing and controlling the activities of a team of Medicaid analysts that provides business intelligence support for business segments; leading… more
- CommonSpirit Health Mountain Region (Pueblo, CO)
- …client may be eligible for and you may assist with as an Eligibility Specialist include: Adult Medicaid , Presumptive Eligibility, CHP+, Family Medicaid , Long ... a greater cause is something we value even more. The Eligibility Specialist is responsible for conducting eligibility screenings, assessment of client financial… more
- Houston Methodist (Houston, TX)
- …enrollment in governmental and commercial managed care plans and medicare and medicaid . The Managed Care Credentialing Specialist position has consistent ... At Houston Methodist, the Managed Care Credentialing Specialist position is responsible for the timely and accurate completion and submission of managed care… more
- Louisiana Department of State Civil Service (Lake Charles, LA)
- …accurately and timely for appropriate routing. Provides direct supervision over the Medicaid Application Specialist . Manages the policies and procedures to ... procedures, rules, legal and ethical standards. + Access Unit & Medicaid Application Management Provides direct supervision over the Administrative Supervisor of… more
- General Dynamics Information Technology (Menands, NY)
- …there is knowledge to be learned to understand and help the providers with their Medicaid claims. **HOW A CUSTOMER SERVICE SPECIALIST II WILL MAKE AN IMPACT** + ... **Experience:** 2 + years of related experience **Job Description:** **CUSTOMER SERVICE SPECIALIST II** Seize your opportunity to make a personal impact as a… more
- Sea Mar Community Health Centers (Seattle, WA)
- …identified by contracted entities such as Accountable Communities of Health and Medicaid / Medicare organizations. + The TOC Integration Specialist must maintain ... a mandatory COVID-19 and flu vaccine organization Transition of Care Integration Specialist - Posting #27558 Hourly Rate: $27.32 Position Summary: Sea Mar Community… more
- State of Indiana (Evansville, IN)
- …for Medicare & Medicaid Services certification as a Psychiatric Medicare/ Medicaid Hospital. Role Overview: Psychiatric Service Specialist provides clinical ... Psychiatric Services Specialist Date Posted: Oct 3, 2025 Requisition ID: 465275 Location: Evansville, IN, US, 47714 Work for Indiana Begin a fulfilling career with… more