- J&J Family of Companies (Portland, ME)
- …Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), ... personal experiences and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the… more
- J&J Family of Companies (Milwaukee, WI)
- …Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), ... personal experiences and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the… more
- NTT DATA North America (Albany, NY)
- …The Senior Quality Assurance (QA) Analyst will work with the Continuing Medicaid Eligibility Modernization initiative team to establish and execute QA tasks for ... and compliance with fiscal responsibilities. Responsibilities of this role include: + Lead the establishment of QA processes and procedures to support the Continuing… more
- Bassett Healthcare (Oneonta, NY)
- …What you'll do The Community Health Navigator I role provides quality care to Medicaid recipients eligible for Health Home services . In this role a Navigator ... required to follow policy and procedure set by the lead Health Home to ensure quality and service...quality according to the Bassett Health Home Policies. + Provide Core Care Management Services to assigned… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and post- service clinical reviews to determine the appropriateness of services requested for the diagnosis and treatment of members' behavioral health ... + Acts as a resource and liaison to the provider community in conjunction with Provider Relations,...assignments; cross-trained to review various levels of care and/or services . + Participate in committees and lead … more
- University of Colorado (Aurora, CO)
- …number by date of hire. + Must be willing and able to obtain a valid Colorado Medicaid Provider number by date of hire. + Must be willing and able to complete ... in and receive mentorship in the academic pillars: scholarship, service , research, clinical practice, and teaching. + Focus on...weekend shifts. + Must be willing and able to provide full scope contraceptive services and counseling… more
- Elevance Health (Hickory, NC)
- …_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... will have access to the same basic benefits and services , including Physical health, Behavioral health, Pharmacy,_ _Intellectual/Developmental_ _Disabilities (I/DD)… more
- New York State Civil Service (NY)
- …Office (SPSRFO). Divisions within the Regional Field Office include the following: Service Access (Front Door and Waiver Services ), Eligibility, Self-Direction, ... team members under the supervision of the front door lead .* Provide individuals/families with information/education on OPWDD...referral service that connects employees with local service providers and support services to address… more
- Evolent (Augusta, ME)
- …excellence, product innovation, clinical partnerships, and financial impact assessment + Lead provider and member engagement strategies to improve the ... on medical oncology, radiation oncology, and surgical oncology + Provide leadership to overall oncology service line...quality of care for oncology care services + Lead the development of new… more
- Genesis Healthcare (PA)
- …improving the lives we touch through the delivery of high-quality care and exceptional service . As a leading provider in the long-term care industry, we believe ... HealthCare is seeking a **Market Revenue Cycle Advisor** to lead and improve revenue cycle operations across multiple centers....center teams on all payer types, with priority on Medicaid Pending and Private accounts. + Oversee and train… more