• Medicaid Eligibility Specialist

    City of New York (New York, NY)
    …Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the Medicaid ... long term care programs. This unit is responsible for the processing of Medicaid eligibility for consumers who receive services through one of the HCSP… more
    City of New York (04/20/24)
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  • Case Manager - OPI- Medicaid

    Douglas County (Roseburg, OR)
    Case Manager - OPI- Medicaid Print (https://www.governmentjobs.com/careers/douglasor/jobs/newprint/4425772) Apply  Case Manager - OPI- Medicaid Salary ... program and clients; performs social services case management by determining eligibility of senior citizens for service; evaluating and assessing needs; providing… more
    Douglas County (04/16/24)
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  • Medicaid Program Integrity Reporting…

    Iowa Department of Administrative Services (Des Moines, IA)
    Medicaid Program Integrity Reporting & Coding Oversight Officer Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4483704) Apply  Medicaid ... Iowa Department of Health and Human Services (HHS), Iowa Medicaid Division, is seeking a Program Integrity Reporting &...guide, and evaluate the activities of the Program Integrity Unit Managed Care Plans Oversight (MCPO) Vendor in collaboration… more
    Iowa Department of Administrative Services (04/26/24)
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  • Medicaid Helpline Agent

    City of New York (New York, NY)
    …program and services. The Office of Constituent Services is recruiting for eleven (11) Eligibility Specialist II's to function as a Medicaid Helpline Agents in ... general public and clients by providing information, including but not limited to eligibility criteria, phone numbers, program description and Medicaid status. -… more
    City of New York (01/30/24)
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  • Senior Manager , Network Manager

    CVS Health (Houston, TX)
    …this Texas Medicaid individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate analysis, ... risk agreements to include coordinating responses to processes including capitation, eligibility , delegation and claims and member services.* Accountable for cost… more
    CVS Health (04/24/24)
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  • Medicaid Helpline Agent

    City of New York (New York, NY)
    … program and services. The Office of Constituent Services is recruiting for an Eligibility Specialist II to function as a Medicaid Helpline Agent in the ... DSS Infoline/Helpline call center. OCS is recruiting for fifteen (15) Eligibility Specialist II to function as Infoline/ Medicaid Helpline Agents who will: -… more
    City of New York (01/30/24)
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  • Nurse Medical Management Sr ( Medicaid )

    Elevance Health (Miami, FL)
    …ask you for payment as part of consideration for employment. **Nurse Medical Management Sr ( Medicaid )** + Job Family: MED > Licensed Nurse + Type: Full time + Date ... + Florida, Tampa + Florida, Miami **Description** Nurse Medical Management Sr - Medicaid (JR107109) **Location:** Must reside within 50 miles / 1 hour commute… more
    Elevance Health (04/03/24)
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  • Social Services Counselor - (Sunland - Unit

    MyFlorida (Marianna, FL)
    SOCIAL SERVICES COUNSELOR - 67011776 (SUNLAND - UNIT 2) Date: Apr 16, 2024 Location: MARIANNA, FL, US, 32446 MARIANNA, FL, US, 32448 MARIANNA, FL, US, 32447 The ... with Disabilities Working Title: SOCIAL SERVICES COUNSELOR - 67011776 (SUNLAND - UNIT 2) Pay Plan: Career Service Position Number: 67011776 Salary: $42,906.24 -… more
    MyFlorida (04/16/24)
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  • Registered Nurse -Acute, Med/Surg, Intermediate…

    Marshfield Clinic (Minocqua, WI)
    …the world!** **Job Title:** Registered Nurse -Acute, Med/Surg, Intermediate Care Unit , ICU (Experienced ICU RNs Only) **Cost Center:** 301451173 MqaHos-Med-Surg ... Portfolio (CNAP) clinical ladder, refer to program documents for eligibility to advance/maintain CNAP level. **CERTIFICATIONS/LICENSES** _The following licensure(s),… more
    Marshfield Clinic (04/23/24)
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  • Compliance Program Manager III,…

    Point32Health (Canton, MA)
    …with Medicaid laws and regulations governing federal and state contracts for Medicaid products. The Program Manager will be expected to proactively identify ... at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Program Manager is responsible for key departmental functions related to the… more
    Point32Health (03/29/24)
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  • Senior Eligibility Supervisor

    City of New York (New York, NY)
    …necessary and with appropriate documentation. - Prepare administrative reports on the Eligibility Unit 's activities (Face to Face Call Ins, Special Grants, ... Follow up Interviews for 108Ks scheduling, etc.) for submission to the Eligibility and support Manager . - Interprets State, Federal and departmental mandatory… more
    City of New York (04/14/24)
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  • Fair Hearing Eligibility Specialist

    City of New York (New York, NY)
    …- Process extension of Medical coverage for clients entitled to AC and whose Medicaid eligibility is scheduled to expire or has already expired. Processes "clock ... six (6) Eligibility Specialists, Level II to function as a Fair Hearing Eligibility Specialist for their MICSA Fair Hearing Unit . The Eligibility more
    City of New York (01/30/24)
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  • Eligibility And Support Services…

    City of New York (New York, NY)
    Eligibility and Support Services Coordinators, who will: - Supervise the Senior Eligibility Supervisors (PAAIIs), the Office Manager and Clerical staff to ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services… more
    City of New York (03/28/24)
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  • Behavioral Health Office Manager

    Outreach Development Corporation (Queens, NY)
    …client fees, issuing receipts, and recording information on the computer. Verifying Medicaid and other medical insurance eligibility . Report any benefit denials ... Office Manager - FT Outreach is a non-profit organization that...to the client's/family's financial information, participation and/or qualification for Medicaid benefits and/or other insurance, and, overall, for ensuring… more
    Outreach Development Corporation (04/17/24)
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  • Manager , PACE Operations Support

    Fallon Health (Worcester, MA)
    …dates **SE Premium Payment Discrepancy Report** + Collaborates with the Government Programs Eligibility Manager to review the SE discrepancy report to ensure the ... the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Brief summary of...EMR and QNXT + Supports the PACE Home Care Manager and Service Coordination Unit as needed… more
    Fallon Health (04/24/24)
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  • Bilingual Entitlement Advocate

    Healthfirst (New York, NY)
    …code removals or demographic information changes Growth (Educate and Assess for Medicaid Eligibility ): + Educate potential members on Senior Health Partners, ... their communities. Working under the direction of the Entitlement Manager and Team Leads, maneuvers multiple tasks independently with...phone or letter to arrange an interview to assess Medicaid eligibility . + Complete Medicaid more
    Healthfirst (04/03/24)
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  • Manager , Provider Relations

    Molina Healthcare (Springfield, IL)
    …working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Services functions ... have issues or complaints (eg, problems with claims and encounter data, eligibility , reimbursement, and provider website). * Serves as a resource to support… more
    Molina Healthcare (04/17/24)
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  • RN Case Manager

    HCA Healthcare (West Palm Beach, FL)
    …and integrity. We care like family! Jump-start your career as a(an) RN Case Manager today with HCA Florida JFK North Hospital. **Benefits** HCA Florida JFK North ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) **_Note: Eligibility for benefits may vary by location._** Come join… more
    HCA Healthcare (04/24/24)
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  • Case Reviewer

    City of New York (New York, NY)
    …available, to be eligible for continued employment. Under supervision of the Ombudsman Unit Supervisor within the Medicaid Eligibility Information Services, ... with some latitude for independent initiative and judgment, the Medicaid Eligibility Specialist is responsible for interviewing Medicaid applicants and… more
    City of New York (01/30/24)
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  • Case Reviewer

    City of New York (New York, NY)
    …available, to be eligible for continued employment. Under supervision of the Ombudsman Unit Supervisor within the Medicaid Eligibility Information Services, ... with some latitude for independent initiative and judgment, the Medicaid Eligibility Specialist is responsible for interviewing Medicaid applicants and… more
    City of New York (01/30/24)
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