- Oregon State University (Portland, OR)
- …with the Oregon Health Authority ( OHA ). DURM supports the Oregon Fee-for- service Medicaid program by administering the OHA's Pharmacy & Therapeutics (P&T) ... Position Information Department Pharmacy Professnl Instr (PHR) Position Title Assistant/ Associate Professor (Clinical) Job Title Assistant/ Associate Professor… more
- Caris Life Sciences (Irving, TX)
- …insurance companies to secure preauthorization required for patients to receive our services and contacting facilities for Medical Records when necessary. We need ... follow up on requests, and apply acquired knowledge of Medicare, Medicaid , and other Third-Party Payer requirements **Job Responsibilities** + Proficient in… more
- Caris Life Sciences (Irving, TX)
- …Caris is where your impact begins.** **Position Summary** The Accounts Receivable Associate is responsible for reviewing outstanding denied claims with Medicare, ... Medicaid and Commercial insurance companies. This role involves following...insurance companies, patient, and client's representative with good customer service . + Ensure billing practices comply with HIPAA, CMS… more
- Cordis (Trenton, NJ)
- …of our experiences and backgrounds enhances the careers of our teammates, the service to our customers, and ultimately, the lives of our patients.If you love ... a selected geography and works in partnership with the Territory Manager and Associate Territory Manager to achieve daily sales objectives through case support and… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children. The CHLA of the future ... this position is responsible for providing comprehensive case management and transition services to youth with chronic conditions in the Center for Healthy… more
- Stony Brook University (Bohemia, NY)
- …by an attached resume):** Bachelor's degree (foreign equivalent or higher) in Human Services or a related discipline and two (2) years of full-time relevant work ... and/or internship/practicum experience in social work, human services , healthcare or care management. Or a Master's degree (foreign equivalent or higher) in Social… more
- Community Health and Counseling Services (Bangor, ME)
- HIM Technician Job Type(s):Full-Time Location(s):Bangor, Maine Education: Associate Degree - HIM preferred Experience:three years **Job Description** Will provide ... quality services to all customers (eg clients and employees), which...mental health regulatory and funding agencies such as licensing, Medicaid , Medicare, etc. Above average proficiency in the use… more
- Stanford Health Care (Palo Alto, CA)
- …federal and state regulations and guidelines, CMS (Centers for Medicare and Medicaid Services ) and OIG (Office of Inspector General) compliance standards. ... requested, comparing itemized bills to corresponding medical records and identifying documented services unbilled and charges for services not documented that… more
- Wipfli LLP (Spokane, WA)
- …(in audit or financial accounting) such as: + Respond to client and firm associate requests in a timely, accurate, positive and professional manner + Respond to ... especially related to assigned product line + Assist team with Medicare and Medicaid /Medi-cal Cost Report Reimbursement team! What You will Gain + Experience the… more
- Stony Brook University (Stony Brook, NY)
- …Demonstrates an understanding of managed care trends, payer regulations and Medicare/ Medicaid criteria for services . + Active participation in performance ... Outpatient Care Manager **Position Summary** At Stony Brook Medicine, a **TH Staff Associate /Outpatient Care Manager** is a valuable member of our team, who provides… more
- Stanford Health Care (Palo Alto, CA)
- …communication skills + Remain abreast of current Centers for Medicare and Medicaid Services (CMS) requirements, NCCI edits, National Coverage Determinations ... other teams and departments across the organization such as Patient Financial Services , the Patient Billing Office, the Revenue Integrity (Charge Description Master)… more
- Seattle Children's (Seattle, WA)
- …the College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for Histology Technician performing moderate or high complex ... operations of high quality accredited laboratory. **Required Education and Experience** Associate degree in histotechnology from an accredited college or approved… more
- City of New York (New York, NY)
- …youth who are final discharged through "return to parent", adoption or KinGAP. The Medicaid Service Associate responsibilities will include, but are not ... THE CIVIL SERVICE TITLE OF PRINCIPAL ADMINISTRATIVE ASSOCIATE . The Administration for Children's Services (ACS)...to the Medicaid Redesigned Unit - Transitional Medicaid Unit (TMU). Medicaid Services … more
- Conduent (Topeka, KS)
- Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating ... **_This position is remote - individual should reside in Kansas_** **_Customer Experience Associate - Medicaid_** **_Hours of Operation: 8 am - 7 pm CST (8-… more
- Elevance Health (Seven Fields, PA)
- **Medical Director Associate - Psychiatrist- Pennsylvania Medicaid ** **Location:** This role enables associates to work virtually full-time, with the exception of ... by law. Alternate locations may be considered. The **Medical Director Associate ** is responsible for providing day-to-day guidance, support, and leadership for… more
- Humana (Columbia, SC)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. … more
- CareFirst (Baltimore, MD)
- …for directing all aspects related to the monitoring of performance under the Medicaid contract and regulatory requirements and the overall state of compliance for ... Medicaid and Medicaid products. Reporting to the...executing daily activities in order to measure and improve associate skills that have a direct effect on customer… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE. The DSS Accountability Office (DSS-AO) is responsible ... for protecting the integrity of social services programs administered by the New York City Department...findings. MAQC is recruiting for (1) one Principal Administrative Associate , who will function as a Medicaid … more
- Humana (Phoenix, AZ)
- …Long-Term Services and Supports, Home and Community Based Services , and Medicaid and Medicare Integration. **Key responsibilities include:** ... health management, or business development. + Experience and understanding of the Medicaid ecosystem, managed care health services operations, + Pre-RFP proposal… more
- Humana (Madison, WI)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... of our caring community and help us put health first** The Wisconsin Medicaid Market CFO provides strategic financial leadership for Humana's Medicaid operations… more
