- AmeriHealth Caritas (Manchester, NH)
- …providers, associations, and community leaders. Relationship development with the state's Medicaid agency is essential. The Market President will lead the effective ... The Market President will demonstrate a deep understanding of the defined state's Medicaid market and possess the qualities that support our core values and mission… more
- City of New York (New York, NY)
- …the Investigation, Revenue and Enforcement Administration (IREA), the Medical Assistance ( Medicaid ) Program (MAP), and the Home Care Services Program (HCSP) in ... and asserts liens and claims against Public Assistance and Medicaid recipients' personal injury awards and estate assets. SLRLU...Recovery Litigation Unit (SLRLU) with their Estates Unit and Medicaid Review Team . Under the direction of a… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …amounts of complex, multi-source data to inform day-to-day management of the Louisiana Medicaid program. + Produce analytical reports on measures and metrics set by ... departmental priorities. + Prepare code and queries using the Medicaid Administrative Reporting System (MARS) data warehouse or other...warehouse or other systems developed or used to track Medicaid data. + Meet with program staff to develop… more
- Adams County Government (Westminster, CO)
- …position also determines initial eligibility for Health First Colorado (formally Medicaid ), including Long Term Care. Delivers customer service in a professional ... in a non-judgmental, effective manner; deescalates crisis situations. + Processes Medicaid applications. + Assists supervisor and caseworkers as determined by unit… more
- Humana (Frankfort, KY)
- …and Improvement organization (HQRI). This support includes submission of encounter data to Medicaid , Medicare, and DSNP states and will require the ability to manage ... develop tools to enhance the encounter acceptance rate by Medicaid , Medicare, and DSNP. This role will work on...or federal encounter data submission portals (eg, CMS, state Medicaid portals) and troubleshooting submission errors. + Proven track… more
- Ellis Medicine (Schenectady, NY)
- …agencies, Medicare and Blue Cross eligibility and benefits through the OMNIPRO system, Medicaid through the EMEVS system on a daily basis and contact employers, ... patients with no third party payment source with a Medicaid application and a list of documents required for...of documents required for the application process, completes the Medicaid application process and submits the application to the… more
- Comunilife (Bronx, NY)
- …Home Care Coordination Program. This role ensures that high-need Medicaid members receive integrated, person-centered, and outcome-driven care coordination services ... + Develop and update internal policies and workflows to align with evolving Medicaid and Health Home regulations. + Develop and update internal policies and… more
- City of New York (New York, NY)
- …from the Social Security Administration for SN/SSI clients and SSP refunds and Medicaid Spend Down program payments. DARB is responsible for the collections, refunds ... of these payments being extremely time sensitive and trigger Medicaid coverage for customers. The Finance Office is requesting...and Trusts. - Process credit card transactions for the Medicaid Pay-in program using a POS terminal. - Review… more
- WestCare Foundation (Milwaukee, WI)
- …+ Maintain proper balance regarding source of payment (fee for service, Medicaid , public, private, and third-party payers) + Responsible for educating clients on ... on a timely basis. + Assist all clients with application process for Medicaid by assisting with completion of the application, addressing any questions or concerns… more
- University of Rochester (Rochester, NY)
- …+ Identify and confirm uninsured and underinsured patients for appropriate referral to Medicaid Enrollment & Outreach for possible Medicaid application and /or ... resources and investigational skills to solve unique and complex problems. + Re-check Medicaid eligibility every 30 days for active coverage. + May train or perform… more