- New York State Civil Service (NY)
- …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any...for your services to be billed through Medicare and Medicaid . If you are appointed and you lose the… more
- New York State Civil Service (Rochester, NY)
- …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any...for your services to be billed through Medicare and Medicaid . If you are appointed and you lose the… more
- Serco (VA)
- …onthe potential impact of federal and state health policy onthe CMS Eligibility Support (ES) Program, which processes eligibility verification for program ... program policy and regulations (particularly the Health Insurance Marketplace, Medicare, Medicaid and CHIP), policy research and data analytics, and extensive… more
- CVS Health (Hialeah, FL)
- …relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service, claims or ... contract coordination. + Performs credentialing support activities as needed. + Educates Medicaid providers as needed to ensure compliance with contract policies and… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Type Full-time Job Number 26-00669 Agency 400 Health & Human Services - Medicaid Opening Date 09/11/2025 Closing Date 9/21/2025 11:59 PM Central LinkedIn Tag ... Department of Health and Human Services (HHS), Division of Medicaid , Bureau of Quality Innovation and Medical Policy is...TDD). Our agency uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more… more
- CareFirst (Baltimore, MD)
- …preparing and maintaining fee schedules for plans that utilize the DC Medicaid reimbursement schedules and methodologies. This position may request to extend that ... knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also include assistance with financial analyses used in the development of… more
- Henry Ford Health System (Troy, MI)
- …and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage, Medicare- Medicaid Program (MMP), and Medicaid lines of business. Analyst ... appeals and grievances following established guidelines from: The Center for Medicaid and Medicare Services (CMS), MAXIMUS Federal Services, Department of Labor… more
- Centene Corporation (Richmond, VA)
- …workplace flexibility. **Centene is hiring a Remote Psychologist - Join Our Kentucky Medicaid Team!** **Are you a licensed Psychologist with a Kentucky license with ... looking for a Remote Psychologist to support our Kentucky Medicaid plan. In this role, you'll play a key...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
- Ascension Health (Austin, TX)
- …Tuition reimbursement Ways to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors including, but not ... targeted audit of claims to ensure payment accuracy and adherence to state Medicaid guidelines. + Responsible for the comprehensive research and resolution of claim… more
- Corewell Health (Grand Rapids, MI)
- …client, family, and environment. + Documents services as required by Medicaid policy and also including person-centered goals regarding birthplan and breastfeeding, ... relevant experience Work experience as a doula; experience working with Medicaid families; experience working with pregnant and postpartum families; experience… more