- State of Minnesota (St. Paul, MN)
- **Working Title: School-Based Medicaid Specialist ** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 88770 + ... (HCA), Department of Human Services (DHS), and community stakeholders to align Medicaid policies and implement services effectively. The specialist reviews… more
- National Health Care Associates (East Hartford, CT)
- …and appreciated. We invite you to join our team! **-** **Business Office /AR2/ Medicaid Specialist ** **40 hour position** The position is responsible to support ... lives of our residents **-** **What You'll Bring:** **Qualifications of a Medicaid Specialist include:** + 1 year processing Medicaid applications and… more
- National Health Care Associates (Stafford Springs, CT)
- …the Evergreen Center for Health & Rehabilitation! **-** **What You'll Do:** As a Medicaid Specialist , you will support the center's business office in processing ... are valued and appreciated, we invite you to join our team as a Medicaid Specialist **-** **What We Offer** As an affiliate of National Health Care, our… more
- Cassia (Edina, MN)
- …care and services, has a rare and exciting opportunity for an experienced Collections and Medicaid Specialist to join our team at the corporate office in Edina, ... to $55,000 Location: 7171 Ohms Lane, Edina, MN 55439 Collections and Medicaid Specialist responsibilities: + Proactively identify aging receivables and initiate… more
- 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)
- …HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1/Trainee 1/Trainee 2 (NY HELPS) Occupational Category No ... recovering over payments and implementing administrative sanctions against providers. The Medicaid Integrity Specialist 1 position will support the Division's… more
- Louisiana Department of State Civil Service (Monroe, LA)
- MEDICAID PROGRAM SPECIALIST 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5065781) Apply MEDICAID PROGRAM SPECIALIST 1-2 ... about Louisiana Department of Health (https://ldh.la.gov/) Join our team as a Medicaid Program Specialist 1-2 and make a direct impact on the lives of Louisiana… more
- Genesis Healthcare (NM)
- …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
- City of New York (New York, NY)
- …ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and ... Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the Medicaid … more
- Conduent (Topeka, KS)
- …as assigned to develop and enhance current understanding of Kansas Medicaid eligibility programs. Through training and experience, begin to develop expertise ... of regulations, policies, and guidelines. **Preferred Skills or Knowledge:** Knowledge of Medicaid and managed care programs Minimum of two (2) years' experience in… more
- DATAMAXIS (IL)
- …with five (5) years of the experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing ... utilizing large datasets. + Knowledge of the Centers for Medicare and Medicaid Services reporting requirements and the programs covered. + Excellent verbal/written… 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
- Molina Healthcare (WI)
- …and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution ... coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of… 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
- Centene Corporation (Jefferson City, MO)
- …include intaking and triaging suspected issues of non-compliance, entry of compliance issues into GRC tool and assignment/coordination of issues to corrections team ... members; collaborating with compliance and business stakeholders to gather information, develop corrective action plans, identify and escalate barriers to progress and gather evidence of remediation; update GRC tool to support corrections reporting. +… more
- New York State Civil Service (Albany, NY)
- …more of permanent or contingent-permanent competitive service, or 55 b/c service as a Medicaid Integrity Specialist 1; OR current New York State employee with ... NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title... Inspector General, NYS Office of the Title Administrative Specialist 1/Trainee 1/Trainee 2 (NY HELPS) Occupational Category Administrative… 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
- Genesis Healthcare (NM)
- …savvy to our team in this remote position as a Revenue Cycle Specialist where you will manage and maintain your assigned nursing centers' Clinical Eligibility ... Medicaid Authorization tracking log to obtain valid authorizations for...and CBO supervisor to address denial issues related to Medicaid authorization. *Provide support to the nursing enters when… more
- Staffing Solutions Organization (Albany, NY)
- …projects, and policy knowledge and implementation. The BASP is seeking a passionate Medicaid Senior Healthcare Program Specialist to support the team in its ... reflection of our clients and the people they serve. **Senior Healthcare Program Specialist 1 in Albany, NY** **Division of Program Development & Management (DPDM)**… 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