- US Tech Solutions, Inc. (Linthicum Heights, MD)
- Duration: 03 Months Job Summary: looking for a Medicaid Eligibility Retention Specialist to work with and assist members to retain or renew their Medicaid ... eligibility and remain a member in the ABHMD Managed...years of healthcare experience 2+ years' experience specifically with Medicaid/ Medicare program operations 1+ years' experience with Medicaid policy,… more
- CVS Health (Moon Township, PA)
- …variety of enrollment questions or concerns. Maintains enrollment data in eligibility systems to ensure compliance with CMS guidance requirements. Required ... Supervisor + Keep a positive attitude as changes occur Preferred Qualifications + Medicare industry experience. + Familiarity with Medicare Enrollment systems +… more
- CVS Health (Moon Township, PA)
- …variety of enrollment questions or concerns. Maintains enrollment data in eligibility systems to ensure compliance with CMS guidance requirements. Required ... Supervisor + Keep a positive attitude as changes occur Preferred Qualifications + Medicare industry experience. + Familiarity with Medicare Enrollment systems +… more
- CVS Health (Columbia, SC)
- …enrollment related issues/requests involving member specific information -The eligibility Consultant must have a full understanding of Medicare Guidelines ... care more personal, convenient and affordable. Position Summary - As an Eligibility Consultant you will respond, research, and resolve eligibility and other… more
- CVS Health (Phoenix, AZ)
- …make health care more personal, convenient and affordable. Position Summary The Eligibility Consultant is responsible to research and validate enrollment ... information, handle member inquires and participate in enrollment/disenrollment projects. The Eligibility Consultant will support training initiatives and work… more
- CVS Health (Harrisburg, PA)
- …Employee will manage employer groups. They are responsible for handling all eligibility tasks related to their assigned employer groups in addition to providing ... mentoring, discussing Medicare enrollment guidelines during internal and external calls and...Administer client needs where you respond, research, and resolve eligibility and other enrollment related discrepancies involving member specific… more
- CVS Health (Tallahassee, FL)
- …or concerns. Maintains enrollment databases and coordinates transfer of non-electronic eligibility data. Additional Responsibilities to include but not limited to ... the following: + Responds, researches, and resolves eligibility and/or billing related issues involving member specific information; Works directly with clients,… more
- Mathematica (Columbus, OH)
- …care workforce, and quality monitoring is also preferred. Understanding of dual Medicare -Medicaid eligibility and coordination is preferred, but not required. ... related field; and 5 or more years of experience ( Consultant ) or 7/+ years of experience (Sr. Consultant...work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts… more
- WellSense (Boston, MA)
- Provider Relations Consultant (Boston/Northeast MA) - $5,000 sign on bonus! WellSense Health Plan is a nonprofit health insurance company serving members across ... Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25...no matter their circumstances. As a WellSense Provider Relations Consultant , you'll act as the primary liaison between WellSense's… more
- State of Colorado (Denver, CO)
- Nurse Consultant RN, Acute Services Care - HFEMS FAA02056 Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4295262) Apply Nurse Consultant ... time of applying. CLASS CODE & CLASSIFICATION DESCRIPTION: Nurse Consultant (C7E1XX) Be BOLD and make a real difference...and guidelines as set forth in the Centers for Medicare and Medicaid Services (CMS) and State regulations, Principles… more
- Adecco US, Inc. (Woonsocket, RI)
- …assisting a local client, recruiting for Quality Management Registered Nurse Consultant working from home. For instant consideration, Apply Now! Requires an ... unrestricted active license 3 years of clinical experience required- Managed Care/ Medicare experience required.( This experience is not negotiable ) Schedule: M-F… more
- Elevance Health (New York, NY)
- …work and in office days 1-2 times per week. The **Group Underwriting Consultant Sr.** is responsible for determining acceptability of insurance risks and appropriate ... CPCU, CLU, LOMA, HIAA, PAHM or other insurance related courses preferred. + Medicare experience is strongly preferred. For candidates working in person or remotely… more
- US Tech Solutions (Linthicum, MD)
- **Job Summary:** looking for a Medicaid Eligibility Retention Specialist to work with and assist members to retain or renew their Medicaid eligibility and remain ... the disenrollment of members due to loss of their Maryland Medicaid eligibility . **Responsibilities:** * Understand, and assure compliance to and adherence with, the… more
- Wipfli LLP (Spokane, WA)
- …make a difference, Wipfli is the place for you. Responsibilities: + Prepare Medicare /Medicaid cost reports and payment reconciliations for a variety of providers and ... long-term care, pet insurance, ID theft protection, and supplemental life/AD&D. Eligibility for all benefits programs is dependent on annual hours expectation,… more
- MetroLink (Los Angeles, CA)
- …for professional services task orders; manage contract task orders and oversee consultant scope of work. + Monitor expenditures during design and prepare reports ... if he/she is covered under a SCRRA health plan. Eligibility begins the first of the month following hire...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… more
- MetroLink (Los Angeles, CA)
- …with a Commuter/Passenger or Class 1 Freight Railroad or as a consultant or contractor working on long-term assignments involving Commuter/Passenger or Class 1 ... if he/she is covered under a SCRRA health plan. Eligibility begins the first of the month following hire...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… more
- Silicon Valley Power (Santa Clara, CA)
- …communication skills; a proven record of preparing and administering consultant contracts and agreements; experience preparing construction documents; experience ... for water and sewer projects. As well as procures consultant and construction contracts for the design and construction...law requires all employees to provide verification of their eligibility to work in this country. Please be informed… more
- Silicon Valley Power (Santa Clara, CA)
- …track record of designing and delivering utility projects and administering consultant and construction contracts. The qualified candidate will have experience ... systems * Provide construction management, construction contract administration, and consultant contract administration for public works projects * May prepare… more
- HCA Healthcare (Brentwood, TN)
- …but are not limited to: MACRA/MIPS, 21st Century CURES, Centers for Medicare and Medicaid Innovation (CMMI) projects; Accountable Care Organizations (ACO); Advanced ... Alternative Payment Models (AAPM); Medicare Advantage; and commercial payer value programs. This position...the evaluation and management of provider and entity (TIN) eligibility for government and other payer programs. This position… more
- SUNY Upstate Medical University (Syracuse, NY)
- … Enrolled with Medicare Identification Number (or PTAN) OR be eligible for Medicare Enrollment within 6 months of hire ( eligibility criteria for NP requires ... their scope of practice. TEACHING AND STAFF DEVELOPMENT 1. Acts as a consultant to nursing staff and when appropriate participates in inservice training for the… more
