- Lundbeck (Edmond, OK)
- …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
- Lundbeck (Raleigh, NC)
- …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
- State of Iowa (Des Moines, IA)
- …leader responsible for the financial stewardship and fiscal integrity of the Medicaid program. This individual ensures effective financial management , compliance ... Number: 25-03162 Agency: 400 Health & Human Services - Medicaid Opening Date: 05/21/2025 Closing Date: 8/6/2025 11:59 PM...TDD). Our agency uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more… more
- Gentle Dental (Wilsonville, OR)
- …field-based clinical leaders Strong understanding of DSO operations, payer environments (PPO/ Medicaid ), and practice management systems Ability to analyze ... and clinical ramp-up planning for de novos and acquisitions. Operational Management Collaborate with regional operations leaders to monitor trends, patient access… more
- PruittHealth (Charlotte Hall, MD)
- …regulations and guidelines. 2. Review and verify the accuracy of all Medicaid documentation, including resident eligibility and financial status. 3. Monitor ... JOB PURPOSE: The Business Office Medicaid Specialist plays a crucial role in supporting...any issues that may arise. 4. Assist in the management of resident private pay accounts, including billing, collections,… more
- Northpoint Recovery Holdings, LLC (Loveland, CO)
- …empathy and respect. POSITION SUMMARY: As a key member of the Revenue Cycle Management upstream team, the Patient Financial & Eligibility Specialist is a ... Job Title: Patient Financial and Eligibility Specialist/Verification of Benefits Reports To: Billing &...health setting required 1+ year of experience working with Medicaid and commercial medical insurance billing required Demonstrated knowledge… more
- DFR (Rensselaer, IN)
- …and/or receiving public assistance. Programs include TANF (cash assistance), SNAP, and Medicaid . The Eligibility Specialist staff are responsible for assisting ... service industry with the FSSA/Division of Family Resources (DFR) as an Eligibility Specialist. This position is responsible for assisting in the processing of… more
- ADELANTE HEALTHCARE INC (Phoenix, AZ)
- …outreach efforts. Will greet incoming patients/clients, screen for medical coverage eligibility available through different programs and assist with the application ... Healthcare services. Work is performed under the direct supervision of the Eligibility Manager at each site. EXPECTATIONS Every Adelante employee will strive to… more
- Pair Team (San Francisco, CA)
- …connecting them to high-quality care. Pair Team cares for the highest-need Medicaid recipients through a community-led model. We build local partnerships with ... proprietary data-driven technology platform, Arc, for care coordination. Through Medicaid MCOs, we provide healthcare for hard-to-reach, high-need individuals, while… more
- Indiana University Health (Indianapolis, IN)
- …also include reviewing 6-8 cost reports prepared by team members, and handling Medicaid DSH Eligibility and HSL surveys. You will coordinate projects, analyze ... Job Description IU Health | Financial Management Advisor - Government Programs Location: Indianapolis, IN...Office, ensuring accuracy and compliance. Coordinate the completion of Medicaid DSH Eligibility and HSL surveys. Review… more
- MMC Group (Austin, TX)
- …30 years plus, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in ... persons hired will be required to verify identity and eligibility to work in the United States and to...Job Title: Contact Call Center Customer Support Representative - Medicaid Support Work Location: Onsite - Austin, TX Assignment… more
- Spherion (Madison, WI)
- …Benefits Policy Section Manager, you will oversee the development and ongoing management of Medicaid fee-for-service (FFS) policies for assigned benefit areas ... eye for detail? Are you ready to influence how Medicaid services are designed and delivered across Wisconsin? Spherion...and a 401K plan (all benefits are based on eligibility ). key responsibilities Policy Development & Analysis- Evaluate proposed… more
- City of New York (Brooklyn, NY)
- …eligibility for immediate needs grant (food and non-food); for employability and eligibility for public assistance, SNAP benefits and Medicaid ; works with ... supervising a team of BOS staff, who provide various functions of eligibility determination, financial planning, and employment planning and monitoring and other… more
- Actalent (Fort Lauderdale, FL)
- …activities as assigned. Essential Skills Clinical review Utilization review Utilization management InterQual Milliman Commercial Guidelines Medicaid Medical ... Actalent is hiring a Utilization Management Nurse! Job Description The Utilization Management...concepts, including InterQual and Milliman Criteria. Knowledge of Florida Medicaid Program and CMS Guidelines. Proficient in word processing… more
- Pair Team (Stockton, 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
- 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
- Blackbird Recruiting (Brooklyn, NY)
- …align with clients' wealth management goals. Provide legal guidance on Medicaid eligibility and asset protection strategies, ensuring compliance with federal ... ideal candidate has a strong background in estate planning, Medicaid eligibility , and trust administration, with excellent...law in New York. Legal experience in Estate and Medicaid planning, wealth management , trust administration, and… more
- St. Joseph's Health (Wayne, NJ)
- Job Description Provides clerical and administrative support to the Care Management department staff to facilitate hospital discharge plans and other activities, as ... authorization for post-acute services and demonstrates knowledge of the Medicare, Medicaid and Commercial payer discharge process. Qualifications High school diploma… more
- UnitedHealth Group (Houston, TX)
- …difference at UnitedHealth Group and our family of businesses in serving our Medicare, Medicaid and commercial members and plan sponsors. Be part of changing the way ... each member Work with medical director teams focusing on inpatient care management , clinical coverage review, member appeals clinical review, medical claim review… more
- Alliance For Better Health Care LLC (Schenectady, NY)
- …navigation, and the delivery of HRSN and other services to thousands of Medicaid Members. Transformative in nature, this novel Program will further sustain our ... Care Manager is the direct point of contact for Medicaid Members with ongoing HRSNs and is responsible for...with ongoing HRSNs and is responsible for conducting their eligibility assessments for enhanced HRSN services, as well as… more
