- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Regulatory Specialist , SLA, is responsible for performing different tasks to ... the NCQA activities calendar + Partner, collaborate, develop, and support Regulatory Specialists within the Clinical Operations-Quality, Audit, and Risk department… more
- Insight Global (Seattle, WA)
- …process Negotiating contract terms and rates with providers, and issuing contracts within the Medicaid plan's guidelines and deadlines Managing and ... Job Description We are looking for a Provider Contracts Specialist to join our team...maintaining contracts , and ensuring they adhere to regulatory requirements, internal policies, and industry standards Providing daily,… more
- Molina Healthcare (KY)
- …**Job Summary** Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid , Medicare, ... contract reporting deliverables for compliance with contractual and regulatory requirements prior to submission. + Assesses information received from government… more
- MyFlorida (Tallahassee, FL)
- 68059466 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST Date: Jun 11, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For ... Care Administration Working Title: 68059466 - SENIOR HUMAN SERVICES PROGRAM SPECIALIST Pay Plan: Career Service Position Number: 68059466 Salary: $1,551.96 Biweekly… more
- State of Colorado (Denver, CO)
- Financial Compliance Specialist Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4534294) Apply Financial Compliance Specialist Salary ... for overtime compensation. Department Contact Information Sarah Roman, Talent Acquisition Specialist ~ ###@state.co.us How To Apply Please submit an online… more
- Abbott (Pleasanton, CA)
- …excellent interpersonal and communication skills. + Maintains ongoing account management post contract execution of contracts with assigned payer accounts. + ... get on with their lives. The **Managed Care Sales Specialist ** is responsible for key account Managed Care Sales....Acelis Connected Health with current status of health plan contracts . + Assists with contract review, interpretation,… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Health, Department of Title Program Research Specialist 2 (HSA) - 15383 Occupational Category Other Professional Careers Salary Grade 23 Bargaining ... of Health employee with permanent or contingent-permanent status as a Program Research Specialist 2 (Health Systems Analyst), G-23 OR current NYS employee with one… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Health, Department of Title Program Research Specialist 2 (HSA) - 15381 Occupational Category Other Professional Careers Salary Grade 23 Bargaining ... of Health employee with permanent or contingent-permanent status as a Program Research Specialist 2 (Health Systems Analyst), G-23 OR current NYS employee with one… more
- New York State Civil Service (Albany, NY)
- …on data product needs and how product management is influenced by policy, and regulatory processes that span the Medicaid enterprise. The successful candidate in ... NY HELP No Agency Health, Department of Title Program Research Specialist 1 - 15390, 15391 Occupational Category Other Professional Careers Salary Grade 18… more
- Sea Mar Community Health Centers (Federal Way, WA)
- …and reimbursement + Knowledge of medical terminology + Insurance verification + Health plan contracts + Exposure to Medicaid and Medicare plans and programs + ... a mandatory COVID-19 and flu vaccine organization Credentialing & Provider Enrollment Specialist - Posting #26191 Hourly Rate: $25.00 - $29.00 Annual Salary: $52,000… more
- Louisiana Department of State Civil Service (New Orleans, LA)
- ADMINISTRATIVE PROGRAM SPECIALIST -A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4529060) Apply ADMINISTRATIVE PROGRAM SPECIALIST -A ... Parishes. In particular, we serve residents who are uninsured or Medicaid eligible/covered, individuals suffering from mental illness, individuals suffering from… more
- State of Michigan (Lansing, MI)
- …Revenue/Tax + School Aid + Public Health + Local Government + Public Finance + Regulatory Matters + Medicaid Financing + Public Policy + Audit/Compliance + ... Budget and Policy Analyst/ Specialist 9-13 - State Budget Office Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4527465) Apply Budget and… more
- Robert Half Accountemps (Fresno, CA)
- …industry. This role is based in Fresno, California, and offers a short-term contract employment opportunity. The Medical Billing Specialist will be responsible ... Description We are looking for a Medical Billing Specialist to join our team in the Healthcare/NHS...Coverage Determination) LCD Edits * Expertly handle private pay, Medicare/ Medicaid , and Medi-Cal insurance billing requirements * Interpret EOBs… more
- Rush University Medical Center (Oak Park, IL)
- …Schedule:** 8 Hr (11:00:00 PM - 7:30:00 AM) **Summary:** The Admissions Registration Specialist I is responsible for reviewing patient registration for all types of ... is complete and current with each patient visit. The Admissions Registration Specialist I will assist patients with understanding their insurance options and… more
- Rush University Medical Center (Chicago, IL)
- …**Work Schedule:** 8 Hr (9:30:00 AM - 6:00:00 PM) **Summary:** The Registration Specialist I is responsible for reviewing patient registration for all types of ... information is complete and current with each patient visit. The Registration Specialist I will assist patients with understanding their insurance options and… more
- Centene Corporation (Tallahassee, FL)
- …operations related to managed care preferred. + Knowledge and/or experience with Medicaid , Medicare (state and federal) contracts preferred. Pay Range: ... for department meetings, etc. **Essential Responsibilities:** + Ensure compliance with contract provisions with various agencies and applicable State and Federal… more
- Northern Light Health (South Portland, ME)
- …Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Billing Specialist is responsible for coordination of and participation in the billing and reimbursement ... submission to all payers and submission of claims in accordance with regulatory and contractual obligations including all activities related to benefit verification… more
- Devereux Advanced Behavioral Health (Villanova, PA)
- …consider applying to Devereux Advanced Behavioral Health! **Being an Accounts Receivable Specialist has its Advantages** As an Accounts Receivable Specialist at ... staff include Clinical, Finance, Information Technology, Human Resources, Legal, Contracts , External Affairs & Development and Marketing/Communications. The position… more
- Trinity Health (Howell, MI)
- …and assignment of benefits required. Provides information to patients concerning regulatory requirements. At point of service, provides estimated costs and patient ... and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the safety of patient information… more
- Trinity Health (Howell, MI)
- …and assignment of benefits required. Provides information to patients concerning regulatory requirements. At point of service, provides estimated costs and patient ... and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the safety of patient information… more