• Medicaid Specialist

    National Health Care Associates (East Hartford, CT)
    …appreciated. We invite you to join our team! **-** **Business Office /AR2/ Medicaid Specialist** **40 hour position** The position is responsible to support the ... Business Office in processing Medicaid Pending Applications, Applied Income discrepancies and Back Up...Minimum Position Qualifications + 1 year experience in LTC Medicaid + 1-3 years of billing and collections in… more
    National Health Care Associates (08/08/25)
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  • Medicaid Quality Control Case Review…

    City of New York (New York, NY)
    …an area called the Office of Quality Assurance & Fiscal Integrity, the Medicaid Quality Control Unit (MAQC). They conduct complex internal audits and quality control ... need for corrective action plans and/or training. MAQC also ensures the Medicaid programs' continuous adherence to state and federal regulations. State and Federal… more
    City of New York (07/05/25)
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  • Medicaid State Technology Lead

    Humana (Montpelier, VT)
    …all delivery for their assigned state, supporting the business goals of the Medicaid IT program. + Identifies and implements best practice changes within their ... organization and across Medicaid IT to drive faster and more streamlined delivery...solution recommendations in support of state-level initiatives. + Supports Medicaid IT leadership in preparing readiness review materials. +… more
    Humana (09/03/25)
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  • Deputy Director Of Eligibility ( Medicaid…

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    DEPUTY DIRECTOR OF ELIGIBILITY ( MEDICAID DEPUTY DIRECTOR) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5062744) Apply  DEPUTY DIRECTOR OF ... ELIGIBILITY ( MEDICAID DEPUTY DIRECTOR) Salary $7,540.00 - $14,792.00 Monthly Location...Louisiana Department of Health (LDH) is seeking a dynamic Medicaid Deputy Director to play a pivotal leadership role… more
    Louisiana Department of State Civil Service (08/30/25)
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  • Compliance Investigator I ( Medicaid Fraud)

    State of Colorado (Denver, CO)
    Compliance Investigator I ( Medicaid Fraud) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5058947) Apply  Compliance Investigator I ( ... Medicaid Fraud) Salary $58,872.00 - $81,228.00 Annually Location Denver...Description + Benefits + Questions Department Information The Colorado Medicaid Fraud, Abuse & Neglect Unit (MFANU) in the… more
    State of Colorado (08/28/25)
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  • Medicaid Fraud Investigator (Special Agent…

    State of Colorado (Denver, CO)
    Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply  Medicaid Fraud Investigator ... is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse & Neglect Unit ("MFANU"). The MFANU...is crucial to preventing and holding providers accountable for Medicaid fraud and patient abuse across the state of… more
    State of Colorado (08/27/25)
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  • Medicaid Program Specialist 1-2

    Louisiana Department of State Civil Service (Monroe, LA)
    MEDICAID PROGRAM SPECIALIST 1-2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5065781) Apply  MEDICAID PROGRAM SPECIALIST 1-2 Salary ... Department of Health (https://ldh.la.gov/) Join our team as a Medicaid Program Specialist 1-2 and make a direct impact...families. In this role, you'll use your knowledge of Medicaid programs and policies to help members access vital… more
    Louisiana Department of State Civil Service (09/08/25)
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  • Medicare/ Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    …that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and ... as necessary on all new and revised coding logic, related Medicare/ Medicaid policies for review/approval through the Payment Integrity governance process.… more
    Commonwealth Care Alliance (08/26/25)
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  • Medicaid Eligibility Specialist

    Trinity Health (Fayetteville, NC)
    **Employment Type:** Full time **Shift:** **Description:** **Position Purpose:** The Medicaid Eligibility Specialist plays a vital role in supporting participants ... and families through the Medicaid application and re-determination process. This position ensures timely...+ Assist participants and caregivers in initiating and completing Medicaid applications. + Conduct home visits to gather necessary… more
    Trinity Health (08/15/25)
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  • Medicaid Program Advisor - Long Term Care

    Staffing Solutions Organization (Albany, NY)
    …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) in Albany, NY** **Division of Eligibility & ... will be 100% In-Office and will move to a 50% Remote Schedule.** **Duties:** The Medicaid Program Advisor (level 2 or 3) will be located in the Bureau of Long… more
    Staffing Solutions Organization (08/13/25)
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