- CVS Health (Columbus, OH)
- …quality analyst continuously strives to increase their knowledge of Aetna Medicaid , products offered, and industry best practices to produce thoughtful, strategic, ... quality standards and deliverables are met. + Maintain expert understanding of Aetna Medicaid products and services. + Support the proposal lifecycle by working with… more
- State of Georgia (Fulton County, GA)
- Intake Coordinator- Medicaid Fraud Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/72587/other-jobs-matching/location-only) Hot ... through this announcement will serve in the Investigations Section of our Medicaid Fraud & Patient Protection Division. Duties & Responsibilities: Receives incoming… more
- City of New York (New York, NY)
- …It is also responsible for evaluating and assessing the resources of Medicaid Nursing Home residents through computer bank matches. Claims and Collections also ... spouse has excess income or resources. Claims and Collections verifies income of Medicaid recipients and collects payments from recipients when Medicaid was… more
- Elevance Health (Indianapolis, IN)
- **Process Expert II ( Medicaid Rx)** **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, ... lens, to deliver member-centered, lasting pharmacy care. The **Process Expert II ( Medicaid Rx)** supports a single operations department by participating in project… more
- NTT DATA North America (Montgomery, AL)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Medicaid Senior BA to join our team in montgomery, Alabama (US-AL), United ... cycle of assigned projects. The focus will be the Medicaid Claims Processing System. The Senior BA will support...of experience in MMIS or domain knowledge of Medicare, Medicaid or with a major health care payer +… more
- COOLSOFT (Raleigh, NC)
- MMIS Medicaid Project Management Experience Specialist (Jobs in Raleigh, NC) Requirement id 156257 Job title Specialist Job location in Raleigh, NC Skills required ... MMIS, State Government Experience., Medicaid , Project Management Experience Open Date 09-Dec-2025 Close Date Job type Contract Duration 9 Months Compensation DOE… more
- Conduent (Topeka, KS)
- …Skills or Knowledge:** + Minimum of six (6) months' experience in Family Medical Medicaid eligibility + Knowledge of Medicaid and managed care programs + ... Bilingual Spanish/English with the ability to speak and read both languages fluently. + Strong computer skills with the ability to maneuver in complex software systems + MS Office, Outlook, and Internet usage experience + Active listening skills + Customer… more
- State of Colorado (Denver, CO)
- …Law Judge II / General Services or Medicaid - Hybrid Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5163552) Apply Administrative ... Law Judge II / General Services or Medicaid - Hybrid Salary $91,272.00 - $121,770.00 Annually Location...Workers' Comp Unit and one position is for the Medicaid Unit. This position exists to preside over and… more
- Humana (Baton Rouge, LA)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Cognizant (Little Rock, AR)
- **About the role** **Schedule:** M-F **Traveling Required:** 40% As a Medicaid Eligibility Delivery Director, you will make an impact by overseeing access, ... experience. + Minimum of ten (10) years of experience in state Medicaid and Medicare eligibility, enrollment operations, health plan administration, or regulatory… more