- Prime Healthcare (Inglewood, CA)
- …members to join our corporate team! #LI-JV1 Responsibilities The Senior Medicare- Medicaid Biller/Collector is responsible for both billing and collections, gathering ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare- Medicaid . This includes maintaining the deficiency lists used to obtain… more
- CDPHP (Latham, NY)
- …values and invites you to be a part of that experience. The Medicaid Special Programs Registered Nurse Case Manager is responsible and accountable for coordinating ... of quality, clinical and cost outcomes. In addition, the Medicaid Special Programs Registered Nurse Case Manager is responsible...via the telephone line, fax machine and mail. The Medicaid Special Programs Case Manager typically works in the… more
- CVS Health (Trenton, NJ)
- …it all with heart, each and every day. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our Network ... responsibilities as provided within the State Medicaid contractual requirements as outlined below: + Accountable for...to meet total cost and quality goals for our Medicaid businesses. + Responsible for deploying alternative payment models,… more
- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have experience, ... unique complex needs of the foster care population + Medicaid Managed Care policies and procedure + The ...Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties… more
- Accura Healthcare (Omaha, NE)
- …and Nebraska will be considered. Accura HealthCare has an opportunity to invite a Medicaid Billing Specialist - Lead to join our growing accounting and finance team! ... the healthcare industry, specifically Skilled Nursing Facility (SNF) billing experience. Medicaid billing experience is necessary to be considered. JOB SUMMARY: The… more
- Deloitte (Colorado Springs, CO)
- …services to public sector clients + Support engagements focused on Medicaid reimbursement, including actuarial rate development across managed care and ... fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk...plan/insurance company experience + 1+ year(s) of experience with Medicaid managed care capitation rate development and/or fee-for-service rate… more
- OhioHealth (Columbus, OH)
- …Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position will be ... responsible for ensuring the appropriate governmental (Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is primarily responsible for… more
- MVP Health Care (Tarrytown, NY)
- …and continuous improvement. To achieve this, we're looking for a **Case Manager, Medicaid Long Term Support Program** to join #TeamMVP. If you have a passion ... clinical and Case Management experience. Experience working in a Medicaid Long Term Support Program (LTSS) or Health Home...and advocacy to meet the needs of medically complex Medicaid members. + Through collaborative efforts the Case Manager… more
- Elevance Health (Dearborn, MI)
- ** Medicaid Formulary Pharmacist Clinical - CarelonRx** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... and formulary management. **How you will make an impact:** + Leads Medicaid formulary management processes. + Responsible for all member, stakeholder, and provider… more
- COOLSOFT (Columbia, SC)
- Eliciting Medicaid Experience Analyst (Jobs in Columbia, SC) Requirement id 156314 Job title Analyst Job location in Columbia, SC Skills required Government IT ... Project Management Experience, Eliciting, Documenting Business Rules, Medicaid Experience Open Date 12-Dec-2025 Close Date Job type Contract Duration 12 Months… more