- Humana (Springfield, IL)
- …Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Illinois Medicare - Medicaid health plan. The individual leverages a broad understanding of managed care ... formulary management and clinical programming + Represents Humana at all Pharmacy Medicaid meetings including those with the Illinois Department of Healthcare and… more
- TEKsystems (Menasha, WI)
- …benefits + Claims and billing + Authorizations and prior approvals + Medicare, Medicaid , and Marketplace plans You'll handle calls and emails with empathy and ... service or call center experience + Experience with Medicare, Medicaid , or insurance verification + Ability to multitask in...Menasha + We are ramping up to support new Medicaid and Dental lines of business launching in 2026… more
- Elevance Health (Costa Mesa, CA)
- **Medical Director- Medicare and Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... Director** will be responsible for utilization review case management for Medicare and Medicaid in the California market while also assisting in the Washington … more
- Staffing Solutions Organization (Albany, NY)
- …**50% Onsite 50% Remote** **Duties:** + Review reports related to Medicaid eligibility. + Utilize electronic databases to verify information. + Communicate ... professionally with Medicaid providers and recipients, provide policy correct response and...recipients, provide policy correct response and guidance. + Research Medicaid cases and take appropriate action. **Basic Qualifications:** +… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) - Albany, NY** **Division of Eligibility & ... experience; professional experience in public health insurance programs, including Medicaid , Medicare and/or Child Health Plus. Preferred candidates will also… more
- City of New York (New York, NY)
- …York City's three major social services benefit programs: Cash Assistance, Medicaid and the Supplemental Nutrition Assistance Program. oversee reporting for three ... a 50% discount on subways and/or buses or Access-A-Ride paratransit; and Medicaid , which provides eligible New Yorkers with public health insurance. The Director… more
- Highmark Health (Pittsburgh, PA)
- …**Job Description :** **JOB SUMMARY** This job leads the overall performance of a Medicaid plan, for quality of care and service as well as financial performance. ... other influential local entities in support of the state's Medicaid programs and members as well as market and...Degree in Government **EXPERIENCE** **Required** + 10 years of Medicaid Experience + 10 years in Management **Preferred** +… more
- Ochsner Health (Lafayette, LA)
- …for assisting self pay patients across the Health System with Medicaid enrollment applications. Responsibilities include, but are not limited to, interviewing ... explaining the significance of the program to patients, completing and submitting the Medicaid application, updating the various systems with the status of the case,… more
- Staffing Solutions Organization (Albany, NY)
- …diverse workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor in Albany, NY** Item 1148 50% Onsite / 50% Remote The ... works to integrate health and human services within the Medicaid program. The bureau is composed of two units,...oversee housing providers that are contracted to assist vulnerable Medicaid members in obtaining supportive housing. Duties of the… more
- System One (Raleigh, NC)
- Job Title: Customer Service Rep - Medicaid Location: Raleigh, North Carolina Type: Contract To Hire Compensation: $15 - $15 hourly Contractor Work Model: Hybrid ... as a Customer Service Specialist supporting the North Carolina Medicaid . As a Customer Service Specialist II you will...and problem resolution to a wide variety of NC Medicaid providers supported by a multi-customer contact or help… more