- 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
- Staffing Solutions Organization (Albany, NY)
- …to meet deadlines; and experience using electronic data systems, such as Medicaid Management Information Systems and health insurance eligibility systems. ... reflection of our clients and the people they serve. ** Medicaid Program Advisor (Level 2 or 3) - Albany,...(Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace Integration (DEMI)** **Bureau of Program Compliance… more
- CVS Health (Downers Grove, IL)
- …compliance within our network responsibilities as provided within the state Medicaid contractual requirements. This position holds a variety of functions for ... by Compliance. Also, work to resolve provider concerns related to referrals, eligibility , revalidation, and policy matters. + Compliance: Ensure providers adhere to… more
- CVS Health (Hartford, CT)
- …for NCQA Health Plan Accreditation, CMS Medicare Advantage, Medicare Stars, Exchange, Medicaid , and many states. HEDIS measure results are used within the enterprise ... in support of internal HEDIS reporting for high profile stakeholders such as Medicaid , Duals and Long-Term Support Services (LTSS). You will apply CVS Heart-at-Work… more
- CVS Health (Phoenix, AZ)
- …and financial analysis to ensure the financial sustainability and viability of Medicaid initiatives. + Oversees the financial aspects of Medicaid programs, ... opportunities for revenue optimization. + Performs forecasting evaluations specific to Medicaid programs by analyzing various scenarios and assessing the financial… more
- CVS Health (Springfield, IL)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California, Florida, Illinois, ... Director will be a "Work from Home" position primarily supporting the Aetna Illinois Medicaid plan and the UM team; but part of a centralized team that supports… more
- CVS Health (Trenton, NJ)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, Florida, Illinois, Kentucky, ... Virginia and West Virginia. This is a regional role that primarily supports Medicaid plans in Aetna's Northeast region but may support other plans when needed.… more
- Lincoln County (Newport, OR)
- …of billing and payment principles. + Basic knowledge of commercial, Medicare, and Medicaid insurance eligibility . Skill or ability to: + Provide high quality ... providers, and clients with account and billing questions. + Perform insurance eligibility queries through the EHR, other health coverage portals and/or by phone.… 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
- Monroe Plan for Medical Care (Binghamton, NY)
- Case Manager II - Non- Medicaid & Health Home Summary Title:Case Manager II - Non- Medicaid & Health Home ID:HH220 (Binghamton) Location:Binghamton Job ... Plan offers a comprehensive benefits package (all benefits are subject to eligibility requirements) and non-monetary perks. The company is fully committed to… more