- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …and accuracy of the Buy-In System as it interfaces with the Louisiana Medicaid Eligibility Data System (LaMEDS), Medicaid Management Information System (MMIS) ... Managers to identify potential system issues and impacts. + Coordinates with Medicaid 's Technology teams and others to identify system issues and work towards… more
- Louisiana Department of State Civil Service (Lake Charles, LA)
- …Coordinator-1\_R-001672?q=R-001672) to apply. + Conduct general Medicaid policy training with a hands-on classroom ... experience for the Medicaid and Application Center staff through seminars and classes...Application Center staff through seminars and classes pertaining to Medicaid 's policies and procedures for the different State … more
- University of Rochester (Rochester, NY)
- …that include but are not limited to pre-certifications, Utilization Management, Medicaid Pending, third party payer issues, and denials/appeal processes. Involves ... with assigned area, Financial Assistance, Social Work, Utilization Management, Medicaid Enrollment & Outreach, patients, families, third-party payers, and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Department of Health (https://ldh.la.gov/) Join the leadership team of Louisiana's single state Medicaid agency and make a direct impact on the health of more than ... 1.8 million residents. As a key advisor to the State Medicaid Executive Director, the incumbent will help guide a program with over 1,000 employees and a budget… more
- Molina Healthcare (Fremont, NE)
- …Responsibilities:** + Drive membership growth and retention for Molina Healthcare Medicaid . + Build and maintain relationships with community-based organizations and ... promotion and advocacy. + Strong presentation skills and broad knowledge of Medicaid is helpful. **If you are passionate about community engagement and have… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …required deadlines. + Document eligibility research electronically in the required Medicaid system applications. + Prepare eligibility decision notices by inputting ... required data into the corresponding Medicaid application systems, as necessary. +... application systems, as necessary. + Maintain knowledge of Medicaid policies and procedures and ensure that any new… more
- State of Indiana (Indianapolis, IN)
- …across Indiana. About the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a division within the Family and Social ... staff that is fully engaged with this mission. Role Overview: Indiana Medicaid currently provides health coverage for over 2-million Hoosiers including children and… more
- MyFlorida (Tampa, FL)
- …Review Analyst position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Tampa, Florida or Orlando Florida, and involves auditing ... when applying the rules, regulations and laws of the Medicaid unit, both Federal and State. 40% Requires the...Requires the use of professional judgement and experience regarding Medicaid Laws and Regulations and the ability to provide… more
- New York State Civil Service (New York, NY)
- …York State NY Zip Code 10005 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - AlbanyMedical AnalystReference No. MFCU_ALB_ MA_6393Salary is ... Office of the New York State Attorney General's (OAG) Medicaid Fraud Control Unit (MFCU) is seeking an experienced...healthcare fraud and patient abuse and neglect investigations. The Medicaid program provides health coverage to millions of New… more
- Educational Alliance, Inc. (New York, NY)
- …serves as an entry point for the delivery of HRSN services, engaging Medicaid participants to identify health-related social needs and connect them with appropriate ... care. This position is responsible for screening individuals, assessing NYS Medicaid eligibility for HRSN and enhanced-care services. The Screener/Navigator guides… more