- Community Based Care of Brevard, Inc. (Orlando, FL)
- …related to Dependency, Adoption and GAP Monitor, approve and supervise client eligibility activities for Medicaid and Federal Funds Approve placement and ... To supervise, monitor and provide support to staff responsible for client eligibility activities & data collection activities that relate to physical/electronic case… more
- Conduent (Columbia, SC)
- …member eligibility , along with assisting callers with completing their Medicaid applications and providing updates on their application status. + Follows ... individuality is noticed and valued every day. **Call Center Representative - Medicaid Member Support** **ON-SITE Only in Columbia, SC** **$16.00 Hourly** **Join the… more
- LaSante Health Center (Brooklyn, NY)
- …+ Screen patients for Social Determinants of Health (SDOH) needs. + Assess eligibility and facilitate connection to Medicaid and community services. + Guide ... Medicaid Navigator LaSante Health Center is seeking a...candidate will assist with screening for social needs, determining eligibility , and connecting patients to resources such as housing,… 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 working with our strategic provider partners to… 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 ...health care providers, including school and community-based services Maintain eligibility for public or private health insurance Assist with… 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
- Elevance Health (Grand Prairie, TX)
- **Director Pharmacy Account - Medicaid ** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while ... a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care CarelonRx's Medicaid Sales and Account Management organization is looking to hire a… 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
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk score calculation, submissions, enrollment,… more
- Louisiana Department of State Civil Service (Houma, LA)
- …to practice medicine in the State of Louisiana + Board certification or eligibility in Psychiatry + Medicare/ Medicaid billing eligibility + Expertise ... in use of psychotropic drugs for wellness recovery + Ability to communicate information and ideas in speaking and written form so that others can clearly understand + Outstanding organizational skills and attention to details + Requires cultural proficiency… more