- Educational Alliance, Inc. (New York, NY)
- …and effectiveness of the Social Care Network by ensuring compliance with Medicaid regulations, state and federal guidelines, and internal policies. This role plays ... service delivery and adherence to program standards. + Monitor compliance with Medicaid waiver requirements, managed care contracts, and Social Care Network (SCN)… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Brief summary of purpose:** ... Assists in the conversion of participants from community based Medicaid to long-term care Medicaid when necessary....from community based Medicaid to long-term care Medicaid when necessary. Works collaboratively with the Operations Support… more
- Cayuse Holdings (Austin, TX)
- …procurement transition and vendor management. + 7 Required Experience with Medicaid Enterprise Systems, including Medicaid Management Information Systems (MMIS). ... Demonstrated ability to meet tight deadlines. + 7 Required Experience with Medicaid business operations. + 7 Required Experience overseeing the planning and… more
- City of New York (New York, NY)
- …merchants like a debit card. The CBIC is also used as identification for Medicaid services. EBO, located at 227 Schermerhorn Street in Brooklyn, serves as the ... for Benefit Access Center / Supplemental Nutrition Assistance Program (SNAP) and Medicaid site clients to receive a replacement CBIC and provide information… more
- New York State Civil Service (Thiells, NY)
- …as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally ... for your services to be billed through Medicare and Medicaid . If you are appointed and you lose the...you lose the ability to bill through Medicare and Medicaid , you may be terminated from your employment.Loss of… more
- New York State Civil Service (Rochester, NY)
- …as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally ... for your services to be billed through Medicare and Medicaid . If you are appointed and you lose the...you lose the ability to bill through Medicare and Medicaid , you may be terminated from your employment.Loss of… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and coordination with the BCBS Association ... Maintains accurate and up-to-date knowledge of all Government Programs regulations ( Medicaid , Medicare, Federal Employee Program, New York State Department of… more
- Molina Healthcare (NM)
- …the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Aveanna Healthcare (Hiawatha, IA)
- …* Enforces and demonstrates compliance with all State and Federal Regulations, Medicaid * Regulations, and Aveanna Healthcare policy and procedure. * Organizes & ... or without notice. Vaccination Requirements As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …GPOs, the Department of Veterans Affairs (VA), Federal Supply Schedule (FSS), Medicaid , the Department of Defense (DOD), specialty pharmacies and distributors. + ... as well as federal health care program contracting (eg, Medicaid , VA, etc.). + Understanding laws impacting the commercial...(FCA), the Food, Drug & Cosmetic Act (FDCA), the Medicaid Statute (Title XIX of the Social Security Act),… more