- Staffing Solutions Organization (Albany, NY)
- …reflection of our clients and the people they serve. ** Medicaid Program Manager 2 in Albany, NY** **Division of Eligibility & Marketplace Integration ... of Division Support (BDS)** **Hybrid - 50% Onsite 50% Remote ** **Summary:** This position is located in the Bureau...for the development and introduction of a new, modern Medicaid eligibility and enrollment system to support… more
- HealthCare Support (Houston, TX)
- …Utilization Review RN to fill an opening with a Prestigious HealthCare Company in Remote Houston TX . Daily Responsibilities for Utilization Review RN: WIll need to ... open discussion. Communicates concerns that arise in these discussions to the Manager and/or Medical Director. 4. Maintains knowledge of the designated referral and… more
- Wipfli LLP (Milwaukee, WI)
- …a career-defining opportunity. Job Summary Under the direction of the Partner/Senior Manager leading the respective service area, region or industry, the Manager ... reviewing skilled nursing Medicare cost reports, understanding the skilled nursing Medicaid reimbursement systems for assigned states, assisting clients with cost… more
- Wipfli LLP (Milwaukee, WI)
- …as requested. + Demonstrate a thorough understanding of Medicare and Medicaid reimbursement systems. + Ensure client accounting engagements are completed accurately ... promoting a culture of continuous learning and development. + Develop strong remote team relationships based on trust, accountability, integrity, and sharing best… more
- Wipfli LLP (Milwaukee, WI)
- …budgets and forecasts + Demonstrate a thorough understanding of Medicare and Medicaid reimbursement systems + Familiarity with coding accuracy for cost reporting + ... train and cultivate staff skill sets + Experience in developing strong remote team relationships based on trust, accountability, integrity and sharing best practices… more
- Wipfli LLP (Milwaukee, WI)
- …budgets and forecasts + Demonstrate a thorough understanding of Medicare and Medicaid reimbursement systems + Collaborate with internal and client external cost ... to train and cultivate staff skill sets + Experience in developing strong remote team relationships based on trust, accountability and sharing best practices +… more
- Commonwealth Care Alliance (Boston, MA)
- …interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS Program, this position supports the ... with members of group with the oversight of the Manager , LTSS Program o Schedule regular check in meetings/calls...- Roster Reporting and Reconciliation o Partner with CCA's Eligibility Team to obtain and perform data entry on… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : This Behavioral Health Care Manager will support the Maryland Dual Eligible Special Needs Plan (MD DSNP). Under minimal ... supervision, the Care Manager researches and analyzes a member's medical and behavioral...or other direct patient care experience. Previous experience with Medicaid , Medicare Advantage and/or DSNP patient populations with multiple… more
- MyFlorida (Tallahassee, FL)
- 68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER Date: Oct 20, 2025 The State Personnel System is an E-Verify employer. For more information click on our ... Administration Working Title: 68046114 - ECONOMIST SUPERVISOR - SES / ACTUARIAL MANAGER Pay Plan: SES Position Number: 68046114 Salary: $2,033.07 - $5,670.80… more
- Elderwood (Williamsville, NY)
- …for residents. + Receives and refers to appropriate staff, information concerning Medicaid eligibility of residents including monthly Medicaid rosters. ... Salary Pay: $60,406 - $73,515 / year Overview Human Resources Business Office Manager (ALF) Overview The Human Resources/Business Office Manager supports all… more
- Aveanna Healthcare (Oklahoma City, OK)
- Patient Access Supervisor ( REMOTE ) ApplyRefer a FriendBack Job Details Requisition #: 208761 Location: Oklahoma City, OK 73108 Category: OT Salary: $55,000.00 - ... Savings Plan with Employer Match, Employee Stock Purchase Plan, and 100% Remote Opportunity! Essential Job Functions * Manage the patient insurance authorization and… more
- Sanford Health (SD)
- …to the work of health and healing across our broad footprint.** **Facility:** Remote SD (Central Time) **Location:** Remote , SD **Address:** **Shift:** Day **Job ... Representative processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement. Must… more
- Huron Consulting Group (Van Buren, AR)
- …interpret and apply clinical guidelines including Centers for Medicare and Medicaid , Federal Drug Administration, National Comprehensive Cancer Network. + Highly ... to no errors. + Intermediate Excel competency + This is a full time US- REMOTE role. This salaried position may require working additional hours at times, depending… more
- NTT America, Inc. (San Juan, PR)
- …of this RFP. + Minimum of two (2) years of experience in Medicaid eligibility processes, including policy, determinations, and enrollment. + Bachelor's degree ... organization, apply now. We are currently seeking a Account Manager to join our team in San Juan, Puerto...to the Puerto Rican population. + Strong knowledge of Medicaid eligibility processes, including policy, determinations, and… more
- Insight Global (Mayfield Heights, OH)
- …* Managed Care Organization/MCO experience with payers like Medicare/ Medicaid /Dual Eligibility /D-SNP/Marketplace/Tricare and understanding of CMS guidelines ... preparation and execution of User Acceptance Testing * Assist the project manager in developing the requirements phase plan and develop the requirements management… more
- Molina Healthcare (Las Cruces, NM)
- …+ Manages the daily process of member exceptions from state eligibility file and takes appropriate action to ensure members are properly ... submission of deliverables to Molina Healthcare Government Contract and to State Medicaid Agencies. + Tracking all contractual related tasks to completion. + Monitor… more
- Amgen (Indianapolis, IN)
- …and transform the lives of patients while transforming your career. **Field Reimbursement Manager - Indianapolis, IN** **What you will do** Let's do this. Let's ... 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
- Humana (Detroit, MI)
- …of our caring community and help us put health first** The Field Care Manager , Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and...How we value you! + **Competitive Pay** , **including eligibility for annual performance-based bonus** + **$5,000 sign-on bonus**… more
- Centene Corporation (Austin, TX)
- …benefits including a fresh perspective on workplace flexibility. **_**Fully Remote Opportunity**_** **_The ideal candidate will have:_** + **_Knowledge of ... Dual contract requirements (eg, Medicare- Medicaid plans)_** + **_Experience managing external audits and communicating...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- NTT DATA North America (Albany, NY)
- …and Project Director to manage activities in support of the Continuing Medicaid Eligibility Modernization effort. **Job Responsibilities Include:** + Managing, ... apply now. We are currently seeking a Senior Project Manager to join our team in Albany, New York...program information and status across multiple audiences, including the Medicaid executive leadership, project teams, vendors, and stakeholders +… more
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