- WelbeHealth (CA)
- …coverage. This role works directly with CMS, DHCS, and county Medicaid offices to troubleshoot eligibility issues, correct misalignments, and advocate for ... + Act as an organizational expert in Medicare or Medicaid eligibility policies and keep teams informed of regulatory...+ Minimum of three (3) years of experience in Medicaid , Medicare, or social services + Minimum of one… more
- Daybreak Independent Services (Bronx, NY)
- …the delivery of high-quality, person-centered services that comply with OPWDD, Medicaid , and agency standards. This role supports our mission through leadership, ... and Staff Action Plans. * Oversee service delivery to ensure OPWDD and Medicaid compliance. * Conduct routine site visits and program reviews. Supervision &… more
- HCA Healthcare (Caldwell, ID)
- …and bankruptcy accounts from patients and/or vendors. + Assist with the Medicaid Eligibility vendor reconciliation, as requested. + Manages the onboarding and ... termination process for vendors + Provides support during vendor transitions: Medicaid Eligibility, Early Out, Primary and Secondary agencies. + Maintains all agency… more
- Insight Global (Indianapolis, IN)
- …include reviewing 6-8 cost reports prepared by team members, and handling Medicaid DSH Eligibility and HSL surveys. You will coordinate projects, analyze financial ... and Home Office, ensuring accuracy and compliance. Coordinate the completion of Medicaid DSH Eligibility and HSL surveys. Review and analyze financial data from… more
- Insight Global (Indianapolis, IN)
- …the completion of Models 3-4 times annually. Additionally, you will handle Medicaid DSH Eligibility and HSL surveys, contributing to compliance and reimbursement ... Models 3-4 times annually to support settlement calculations and entries. Complete Medicaid DSH Eligibility and HSL surveys accurately and timely. Collaborate with… more
- New York State Civil Service (Bronx, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare program. Failure to maintain licensure, certification and ... Medicaid /Medicare eligibility will result in the termination of employment.This...maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification… more
- TEKsystems (Baltimore, MD)
- …for NPI and PECOS systems for all providers. Track Medicare & Medicaid revalidation status. Ensure compliance with all Federal provider enrollment programs. Skills ... payer credentialing, medicaid , enrollment Top Skills Details payer credentialing, medicaid ,enrollment Additional Skills & Qualifications 2+ years working for a… more
- State of Colorado (Denver, CO)
- …UHA01644_12.2025 Department Department of Health Care Policy and Financing Division Medicaid Operations Office Opening Date 12/05/2025 Closing Date 12/19/2025 11:59 ... Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health… more
- State of Colorado (Denver, CO)
- …Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health ... offer stage. The Office of Community Living (OCL) administers the Colorado Medicaid programs that provide long-term support for people with disabilities and older… more
- CVS Health (Columbus, OH)
- …guidance to the health plan and external partners for the state Managed Medicaid pharmacy benefit. The Pharmacy Director reports to the Senior Lead Pharmacy Director ... and regulations pertaining to both pharmacy practice laws and Managed Medicaid /PBM regulations. The Pharmacy Director stays updated on changing regulations,… more