- Helio Health Inc. (Rochester, NY)
- …management and coordination of services to Health Home enrollees and eligible Medicaid / Medicaid Managed Care community members. The Health Home Care Coordinator ... assessment for Health Home services for individuals who are Medicaid Eligible and/or have active Medicaid . +...who are Medicaid Eligible and/or have active Medicaid . + Conduct eligibility screenings and Health Home enrollment.… more
- Centene Corporation (Austin, TX)
- …workplace flexibility. **Centene is Hiring a Remote Psychologist - Join Our Oklahoma Medicaid Team!** Are you a licensed Psychologist with a passion for improving ... is seeking a **Remote Psychologist** to support our **Oklahoma Medicaid plan** . In this role, you'll play a...an active Oklahoma Psychologist license + Are familiar with Medicaid guidelines, prior authorization, and telehealth practices + Thrive… more
- Molina Healthcare (Cambridge, MA)
- …and administration of contracts with State and/or Federal governments for Medicaid , Medicare, Marketplace, and other government-sponsored programs to provide health ... related to government programs including, but not limited to, Medicaid , duals (MMP) and Marketplace + Acts as the...compliance with regulatory agencies for all lines of business ( Medicaid , MMP and Marketplace) + Secures timely submission of… more
- ChenMed (Miami, FL)
- …Their primary focus is to ensure productivity, efficiency, and adherence to Medicaid policies. They oversee the PCNA's operations, providing coaching and training, ... risks, and proposed solutions to facilitate prompt resolution. + Medicaid Policy Updates: Stays up to date with changes...Policy Updates: Stays up to date with changes in Medicaid policies, regulations, and guidelines that impact the PCNA's… more
- Healthfirst (NY)
- …models to track, measure and trend performance for NYS PHSP products including Medicaid , Essential Plan, HARP, CHPlus and MLTC** + **Respond to requests for analysis ... of the changes occurring in our provider community.** + **Keep abreast of New York Medicaid and CMS reforms and their impact on the health plan and sponsor hospital… more
- City of New York (New York, NY)
- …Attorney interns for Fair Hearings acts as liaison with the DHS Medicaid Assistance Program (MAP) and the Medical Insurance and Community Services Administration ... liaison with the New York City Law Department on lawsuits involving Medicaid enrollment and eligibility determinations. - Assist with drafting legal documents:… more
- New York State Civil Service (Queens Village, NY)
- …eligible and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and ... Medicaid /Medicare eligibility will result in the termination of employment....maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification… more
- State of Indiana (Indianapolis, IN)
- …appropriate care and risk management for the purpose of quality assurance in Indiana Medicaid . In this role, you will ensure Indiana Medicaid members achieve ... health care delivery, develops utilization management reporting requirements for all Medicaid programs, including managed care and analyzes and evaluates the… more
- Penn Medicine (Lancaster, PA)
- …supervisory experience + A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs, ie not excluded from ... participation in Medicare, Medicaid or any other federal or state health insurance...A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs,… more
- Louisiana Department of State Civil Service (LA)
- …Team, and the Insurance Fraud Unit. The Criminal Division also serves: + Medicaid Fraud Control Unit: The Louisiana Medicaid Fraud Control Unit (MFCU) ... fraud perpetrated by providers of medical services in the Medicaid program. The MFCU also investigates and prosecutes allegations...+ Criminal + Federalism + Gaming + Litigation + Medicaid Fraud Control + Public Protection + No Preference… more