- Lundbeck (Waco, TX)
- …on customer needs and organizational goals, incorporating "total office" account management where applicable. Local Market & Therapeutic Area Expertise - Gather ... anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Apply… more
- Lundbeck (Joliet, IL)
- …based on customer needs and organizational goals, incorporating "total office" account management . Local Market & Therapeutic Area Expertise - Gather and validate ... anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Ability… more
- Hospice Buffalo (Buffalo, NY)
- …plus. Experience Experience in case management . Working knowledge of the Medicaid and Insurance eligibility requirements and process. Experience working with ... for all patients seeking Medicaid . Monitors all patients within program for Medicaid eligibility to be added to patient's chart for DOH reporting… more
- Ohio Department of Aging (Columbus, OH)
- …Administrator 2 (PN 20100458 ) Job Overview : The Ohio Department of Medicaid (ODM) is recruiting for a Physician Administrator with significant clinical experience. ... As the Assistant Medicaid Medical Director , your duties will include: Directing...activities in a clinical focused area of expertise (Utilization Management (UM) or Quality Improvement) to ensure alignment with… more
- State of South Carolina (Columbia, SC)
- …looking for an Eligibility Specialist II (MAGI) who will determine/re-determine Medicaid eligibility according to Medicaid policies and procedures. This ... and apply information about federal rules and standards for processing Medicaid eligibility determinations. Specialists must maintain productive workspaces and… more
- Global Channel Management Inc. (East Hartford, CT)
- About the job Medicaid Appeals Coordinator Medicaid Appeals Coordinator needs 2+ years of grievance or appeals experience Medicaid Appeals Coordinator ... Strong organizational and communication skills, oral and written. Working knowledge of Eligibility rules and processes and a willingness to gain an understanding of… more
- RevOne Companies (Fort Wayne, IN)
- …the intersection of healthcare and human compassion is the role of the Patient Eligibility Coordinator - a position dedicated not just to process, but to purpose. We ... seeking a committed individual to serve as a Patient Eligibility Coordinator , working directly within one of our...enrollment in federal and state assistance programs such as Medicaid , Medicare, and ACA Marketplace plans. Each interaction you… more
- Renew Health Consulting Services (Monrovia, CA)
- …industry, education, etc. We are looking for full-time Director of Revenue Management Position Summary: Renew Health Consulting Services, is seeking an experienced ... Director of Revenue Management to lead and manage the billing and collections...Health Care Services (DHCS) , Centers for Medicare & Medicaid Services (CMS) , and payer-specific rules. Stay current… more
- City of New York (Brooklyn, NY)
- …and sign off on invoices for eligibility determinations prepared by eligibility and supervisory staff on the Medicaid consumers' requests for insurance ... with staff to ensure that performance deficiencies are corrected; ensure that Medicaid reimbursement eligibility determination is consistent with applicable laws… more
- City of New York (New York, NY)
- …eligibility for immediate needs grant (food and non-food); for employability and eligibility for public assistance, SNAP benefits and Medicaid ; works with ... Case Management Supervisor This is a provisional appointment. When...team of BOS staff, who provide various functions of eligibility determination, financial planning, and employment planning and monitoring… more
- SCO Family of Services (Brooklyn, NY)
- …necessary to gain health care services, including but not limited to: 1. Medicaid 2. Cash Assistance Eligibility 3. Social Security 4. Supplemental Nutrition ... OF THE POSITION: The Care Managers service youth who are enrolled in Medicaid , have two or more chorionic conditions, HIV/AIDS, Sickle Cell, Serious Emotional… more
- Pair Team (Merced, CA)
- …Team At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled ... high-need patients. We're one of the largest Enhanced Care Management providers in California and are on track to...Those Who Need It The Most TechCrunch: Building for Medicaid 's regulatory moment with Neil Batlivala from Pair Team… more
- Arizona Department of Administration (Phoenix, AZ)
- …related field and 5+ years experience in Medicare, healthcare, public health, Medicaid , non-profit strategic planning, or project management . *Project ... Teamwork The Arizona Health Care Cost Containment System (AHCCCS), Arizona's Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective… more
- LCMC Health (New Orleans, LA)
- …transfer, and/or discharge based on requests from clinical providers, case management , etc. Assist patients with understanding their financial obligations, setting ... (Drug Therapy Reimbursement) and when necessary, makes appropriate referrals to Parish Medicaid , Medicaid , or Emergency Medicaid . Complete registration and… more
- Lighthouse Autism Center (Mishawaka, IN)
- …through third-party billing organization Communicate and coordinate grant, hardship waivers, and Medicaid eligibility paperwork in a timely manner Review daily ... Manager and helps our ABA learner families navigate the complexities of eligibility , pre-authorizations, and all technical details of government sponsored (eg, … more
- CareStar, Inc. (Warren, OH)
- …| Remote with Field Visits Industry: Healthcare / Social Services / Case Management About the Opportunity at CareStar Founded in 1988 in Cincinnati, Ohio, CareStar, ... Inc. is a recognized leader in long-term care case management and population health. With a mission to Improve Communities by Improving Lives, we proudly serve… more
- Innova solutions (Syracuse, NY)
- …both Medicaid experience extremely helpful Assist with case file management , ensuring accurate and timely documentation of all relevant information and ... Experience with Microsoft Office suite, in particular Word and Excel. Medicaid experience is preferred. Ability to maintain confidentiality and effectively deal… more
- CareStar, Inc. (Caldwell, OH)
- …Recovery Services (SRS) and Ohio Home Care (OHC) Programs to conduct eligibility evaluations for individuals applying for specific programs and creates a ... POSITION CareStar is looking for motivated individuals who/to: Maintains knowledge of Medicaid , of the behavioral health system and of community resources. Conducts… more
- Care and Help Home Care (Philadelphia, PA)
- …potential clients to determine their home health care needs and eligibility for agency services. Deliver persuasive sales presentations to healthcare professionals, ... and potential growth areas for the agency's services. Collaborate with the care management team to ensure a smooth transition of clients from referrals to receiving… more
- The University of Kansas Health System (Lenexa, KS)
- …and Self Pay Policy and Procedures for the health system. Oversight and management of the Eligibility Vendor for the organization. Responsible for assuring ... packages, grants, studies, COBRA, VA benefits, Crime Victim, auto insurance, Medicaid or Medicare. Complies with Medicare/ Medicaid rules and regulations.… more
