- 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
- 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
- CVS Health (Austin, TX)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, Florida, Illinois, Kentucky, ... Review experience -Electronic medical systems/record experience -Managed Care experience - Medicaid experience **Education:** -M.D. or DO, Board Certification in ABMS… more
- CVS Health (Charleston, WV)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, California, Florida, Illinois, ... Review experience. -Electronic medical systems/record experience. -Managed Care experience. - Medicaid experience. **Education:** -M.D. or DO, Board Certification in… more
- CVS Health (Austin, TX)
- …it all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager, Network Management:** * Negotiates, executes, conducts high level review ... Office suite applications (eg, Outlook, Word, Excel, etc.). - Knowledge of Medicaid programs. * Solid decision-making skills while executing national, regional, and… more