• Legal Assistant 1, Trainee 1 & 2

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Legal Assistant 1, Trainee 1 & 2 Occupational Category Legal Salary Grade NS Bargaining Unit ... Counsel and have the responsibility of assisting the Office in legal case management and preparation of materials, evidence, and research related to Administrative… more
    New York State Civil Service (12/15/25)
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  • Patient Access Associate - Outpatient - Full Time

    Penn Medicine (Plainsboro, NJ)
    …ABN is reviewed with patients, and signed document is scanned into Media Manager . + Processes correspondence from insurance carriers, case management and other ... authorization /referral requirements to have been completed. Refers patient to Medicaid Screener or Financial Counselor as needed. + Demonstrates flexibility and… more
    Penn Medicine (12/04/25)
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  • Financial Counseling Rep I

    R1 RCM (Murray, UT)
    …programs for patients unable to meet their financial obligations. + Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to ... assistance program applications and determine eligibility and coverage. + Notify manager , physician and servicing department of possible delay of service for… more
    R1 RCM (11/30/25)
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  • Social Worker - Field (Central New Jersey)

    CVS Health (Trenton, NJ)
    …in the care planning process in collaboration with the Care Manager , to include the following actions: assessment, goal setting, establishing interventions ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...of 2 years' experience in medical social work or case management. + Complies with all state requirements in… more
    CVS Health (11/23/25)
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  • Business Analyst/Product Owner

    Cayuse Holdings (Austin, TX)
    …test scenarios and participates in systems and user acceptance testing. + Creates use case scenarios, test plans, and exit criteria that accurately map back to the ... and subject matter expertise. + 8 years' experience with Medicaid systems and processes. + 8 years' experience in...one year + Paid Time Off **Reports to:** Program Manager **Working Conditions** + Professional on site office environment.… more
    Cayuse Holdings (11/22/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    …and performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling potential beneficiaries ... manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The...external processes are followed + Update customer file in Case Tracker with summary of interaction + Interact with… more
    Centers Plan for Healthy Living (10/14/25)
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  • Prior Auth Service Coordinator - Hybrid

    Fallon Health (Worcester, MA)
    …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... summary of purpose** : Under the direction of the Manager of Prior Authorization, communicates with contracted and non-contracted facilities/agencies/providers… more
    Fallon Health (11/21/25)
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  • Eligibility Worker

    City of New York (New York, NY)
    …and the issuance of accurate benefits per agency guidelines. Clearly explain all case actions to participants - Determine initial and continuing eligibility for HASA ... all required forms to effect processing for Cash Assistance, Medicaid , and SNAP. - Review pertinent consumer data from...clearances as they develop. - Prepare detailed write-ups on case decisions and histories utilizing POS system as mandated… more
    City of New York (12/26/25)
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  • Medical Management Specialist I

    Elevance Health (Tampa, FL)
    …areas. **How you will make an impact:** + Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization ... would provide an equivalent background. Understanding of managed care or Medicaid /Medicare strongly preferred. + For URAC accredited areas, the following… more
    Elevance Health (12/24/25)
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  • Medical Mgmt Specialist I

    Elevance Health (Washington, DC)
    …Operations areas. **How you'll make a difference:** + Gathers clinical information regarding case and determines appropriate area to refer or assign case ... skills, qualifications and experiences:** + Understanding of managed care or Medicaid /Medicare strongly preferred. For candidates working in person or virtually in… more
    Elevance Health (12/18/25)
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