- Cognizant (Albany, NY)
- …acting as a liaison among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of ... will lead employees who are working on-site at client locations throughout the USA and remote WFH associates. This position is WFH and requires some travel to be on… more
- University of Rochester (Rochester, NY)
- …Work or Business Administration and 1 - 2 years related experience such as a Medicaid Eligibility Examiner or Medicaid Eligibility Supervisor; or an ... Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States...This role may have the option to work a Hybrid- remote schedule and communicates daily through virtual meetings. **ESSENTIAL… more
- University of Rochester (Rochester, NY)
- …Work or Business Administration and 1 - 2 years related experience such as a Medicaid Eligibility Examiner or Medicaid Eligibility Supervisor; + or ... and provides outreach services to patients requiring public benefits including; Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- Elevance Health (Woodbridge, VA)
- RN Utilization Review Nurse (Washington DC Medicaid ) JR149756 **Location** : This role requires associates to be in-office 4 days per week, Monday - Thursday, ... balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. The office is located… more
- Insight Global (Whitpain, PA)
- Job Description Our Healthcare Client is looking to hire a Technical & Business Product Manager for multi-year remote work from home contract. The focus of this ... relates to member experience, member service, benefits, pharmacy, member eligibility , direct links, etc. We want to make sure...as a Technical & Business Product Owner / Product Manager Experience in the Healthcare Industry Medicare, Medicaid… more
- CVS Health (Jefferson City, MO)
- …compassionate. And we do it all with heart, each and every day. This Case Manager , Registered Nurse position is with Dual Eligible Special Needs Plan (DSNP) team and ... is a fully remote position. Candidates from any state are welcome to...Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex… more
- Molina Healthcare (Everett, WA)
- …collaborator responsible for operation projects and programs involving enrollment and eligibility + Works with cross-functional teams and IT and business subject ... needs, support to other business units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends and provides… more
- Fallon Health (Worcester, MA)
- …for our members with a special focus on those who qualify for Medicare and Medicaid . We also serve as a provider of care through our Program of All-Inclusive Care ... and clinical quality. **Brief Summary of Purpose:** The Behavioral Health Case Manager (BHCM) is responsible for assessing a member's behavioral and social care… more
- Prime Therapeutics (Washington, DC)
- …Posting Title** Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE **Job Description** The Functional Business Consultant serves as a ... flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance… more
- Aveanna Healthcare (San Antonio, TX)
- Entry Level Therapy Recruiter - Remote (San Antonio, TX) ApplyRefer a FriendBack Job Details Requisition #: 205326 Location: San Antonio, TX 78201 Category: OT ... Salary: $42,500.00 - $50,000.00 per year Position Details Remote Entry-Level Therapy Recruiter (Regional Sourcing Partner) Candidate Must Reside in the San Antonio,… more
- AssistRx (Des Moines, IA)
- …and privacy of patient and customer data. + Assists the Compliance Manager with performing internal reviews, research and/or audits to verify compliance with ... provide additional quality checks before document finalization. + Assists the Compliance Manager in the review and management of third-party audits. + Verifies… more
- State of Michigan (Lansing, MI)
- Departmental Manager 14 - Provider Enrollment Unit Manager Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4945313) Apply Departmental ... Manager 14 - Provider Enrollment Unit Manager Salary $2,740.00 - $4,086.40 Biweekly Location Lansing, MI Job Type Permanent Full Time Remote Employment… more
- CVS Health (Salt Lake City, UT)
- …problem-solving abilities **Preferred Qualifications** Clinical Coding Experience - Content Manager Claim Processing Medicaid Working with SQL Application ... do it all with heart, each and every day. Remote : can work anywhere in the US **Position Summary**...: can work anywhere in the US **Position Summary** Medicaid Claim Editing Content Management team. Must oversee ongoing… more
- Community Health Systems (Sarasota, FL)
- …with billing software, electronic claims management systems (eg, SSI, Pulse/DAR), and eligibility tools. + Knowledge of CMS, Medicaid , Medicare, and commercial ... escalating unresolved issues or billing delays to the Billing Services Manager . + Communicates professionally with payers, facility representatives, and internal… more
- Aston Carter (Valencia, CA)
- Job Title: Market Access Manager Job Description We are seeking a proven and strategic Market Access Manager to spearhead efforts in securing coverage, ... expertise in navigating the intricacies of private insurance carriers, Medicare, and Medicaid , along with a robust ability to drive evidence-based strategies that… more
- State of Colorado (Denver, CO)
- …system ( Medicaid Management Information System or MMIS) and client eligibility system (Colorado Benefits Management System or CBMS) by developing requirements ... Supporting projects related to Colorado Benefits Management System (CBMS), Program Eligibility Application Kit (PEAK), Medicaid Management Information System… more
- NTT America, Inc. (Baltimore, MD)
- …+ Minimum 5 years experience in Test Manager role on 1 or more Eligibility , Medicaid , or Human Services IT projects + Minimum 5 years experience in ... implement IT testing practices and procedures for the Maryland Medicaid Modular Transformation (MMT) program. The Test Manager...for specific roles. The starting pay range for this remote role is $89,032- $150,000. This range reflects the… more
- Amgen (Boston, MA)
- …us and transform the lives of patients while transforming your career. **Field Reimbursement Manager - Boston, MA** **What you will do** Let's do this. Let's change ... the world. In this vital role the Field Reimbursement Manager (FRM) will manage defined accounts within a specified...products are covered under the benefit design (Commercial, Medicare, Medicaid ) + Serve as a payer expert for defined… more
- Methodist Health System (Dallas, TX)
- …Description :** Your Job: The SR REIMBURSEMENT(MEDICARE) ANALYST will assist the Manager of Regulatory Compliance, the Manager of Governmental Accounting, ... in the reporting of governmental accounting for Methodist Health Systems. FULLY REMOTE Your Job Requirements: * Four-year college accounting degree with demonstrated… more
- State of Michigan (Lansing, MI)
- State Administrative Manager 15 (ACCSD) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4953520) Apply State Administrative Manager 15 ... - $64.78 Hourly Location Lansing, MI Job Type Permanent Full Time Remote Employment Flexible/Hybrid Job Number 6401-25-BSC-024 ACCSD SAM 15 Department Licensing and… more