• Behavioral Health Clinical Program Manager

    WellSense (Boston, MA)
    …across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, ... serve individuals with Substance Use Disorders** **.** **Experience with Medicaid populations** **Experience Preferred/Desirable:** **.** **Experience with Medicaid more
    WellSense (08/14/25)
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  • Senior Healthcare Program Specialist - Quality…

    Staffing Solutions Organization (Albany, NY)
    …and notice generation. This person will be reviewing accounts to ensure that eligibility was determined correctly for Medicaid , Child Health Plus and Qualified ... to meet deadlines; and experience using electronic data systems, such as Medicaid Management Information Systems and health insurance eligibility systems.… more
    Staffing Solutions Organization (09/12/25)
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  • Control Clerk

    City of New York (New York, NY)
    …and other health care services at little or no cost. The Out-stationed Eligibility Division is comprised of Community Medicaid offices, which are located ... The Medical Assistance Program (MAP), administers public health insurance programs, including Medicaid , for the City of New York. Applying individuals and families… more
    City of New York (08/13/25)
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  • Family Support Worker

    MyFlorida (Bonifay, FL)
    …vehicles or homes. Will participate in community outreach events. Provides Presumptive Eligibility for Pregnant Women and Simplified Eligibility for Pregnant ... (PEPW), completion of appropriate forms to assure that clients are covered by Medicaid . Gives information on Family Planning Medicaid Waiver and Economic Self… more
    MyFlorida (09/13/25)
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  • Rehabilitation Counselor 2 - Hudson Valley

    New York State Civil Service (Wassaic, 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 ... time studies) are met and completed in a timely manner.* Oversee Medicaid Compliance to ensure billing requirements are met.* Attend meetings for assigned… more
    New York State Civil Service (09/10/25)
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  • Admission RN Hospice

    Tufts Medicine (Lowell, MA)
    …fully inform them about the program. + Works with hospice intake and eligibility department to verify insurance reimbursement for each referred patient and document ... indicatean appropriate hospice referral. Presents the advantage of the hospice Medicare/ Medicaid benefits to referral sources. + Thoroughly understands the Medicare/… more
    Tufts Medicine (09/13/25)
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  • Accounting Assistant

    Sunrise Senior Living (Silver Spring, MD)
    …Profit and Loss (P&L) Summary reporting, balance sheet account reconciliations, Medicare/ Medicaid billing and adherence to Sunrise Senior Living business process ... collections of accounts receivables; develop effective working relationships with Medicare/ Medicaid billing office to resolve claims and obtain timely reimbursement.… more
    Sunrise Senior Living (09/04/25)
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  • Senior Investigator

    City of New York (New York, NY)
    …the New York State of Health (NYSOH) Market Place, the official enrollment and eligibility determination site for NYS Medicaid . SOS 366-a(2)(a). MID review cases ... fraudulent acts against the social service programs administered by HRA/DSS. The Medicaid Investigations Division (MID) is mandated to provide expanded levels of… more
    City of New York (08/13/25)
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  • Pricing & Contracts Sr. Analyst

    embecta (Parsippany, NJ)
    …and national), Mail Order pharmacies, Durable Medical Equipment (DME) providers, State FFS Medicaid programs, Medicaid PBM's, Managed Medicaid payers and ... one component of the Total Rewards package at embecta, which also includes eligibility for_ _an annual bonus_ _. Benefits include medical, dental, vision, retirement… more
    embecta (07/26/25)
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  • Compliance Auditor

    State of Colorado (Denver, CO)
    …risk analysis, and recommendations for reduction or elimination of timeliness, eligibility and payment errors. Description of Job HYBRID WORKING ARRAGEMENTS 3 ... county administrators of areas of risk and formulate improvement plans for eligibility and payment accuracy critically necessary to prevent errors and achieve… more
    State of Colorado (09/09/25)
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