- Iowa Department of Administrative Services (Des Moines, IA)
- …also possess 1 year experience in delivery of human services as a Targeted ( Medicaid ) Case Manager in the combination of: + chronic mental illness + Developmental ... TDD). Our agency uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more...experience in delivery of human services as a Targeted ( Medicaid ) Case Manager in the combination of: * Chronic… more
- Centene Corporation (Oklahoma City, OK)
- …workplace flexibility. **Oklahoma Residency Required** **Must have compact license** ** Medicaid - Outpatient** **Position Purpose:** Analyzes all prior authorization ... and standards **Oklahoma Residency Required** **Must have compact license** ** Medicaid - Outpatient** **Education/Experience:** Requires Graduate from an Accredited… more
- Cognizant (Blaine, MN)
- …10 years of expertise in OnBase technologies and domain skills in Medicare and Medicaid Claims. The ideal candidate will work in a hybrid model focusing on ... + Ensure compliance with industry standards and regulations in Medicare and Medicaid claims processing. + Conduct regular code reviews and provide constructive… more
- New York State Civil Service (Marcy, NY)
- …families to gather background information* Preparing case histories and determining eligibility for services* Advocating and assisting individuals in identifying and ... 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 lose the ability… more
- Actalent (St. Louis, MO)
- Job Title: Pharmacist Job Description Join our mission to provide care to Medicaid patients through telehealth and phone consultations. As a pharmacist case manager, ... plans. Responsibilities + Provide telehealth and phone consultations to Medicaid patients. + Act as a case manager to...pay range for this position is $50.00 - $55.00/hr. Eligibility requirements apply to some benefits and may depend… more
- WestCare Foundation (Dayton, OH)
- …vital role in advancing health by providing care coordination and connecting Medicaid -eligible individuals with health and social services. In its initial phase, ... enroll eligible clients into the Pathways HUB program, focusing on Medicaid -ekigible pregnant individuals and families. Conduct outreach in clinics, emergency… more
- CVS Health (Tallahassee, FL)
- …including National Committee for Quality Assurance (NCQA) and state regulators for Medicaid and CHIP. Links the quality management activities to business goals by ... in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care - Must be analytical and able to interpret data - Must be… more
- State of Montana (Helena, MT)
- …Health and Human Services (DPHHS) has a career opportunity within the Medicaid Health and Resource Branch.* This position is responsible for researching, developing, ... lead case manager. The position will report directly to the executive Director, Medicaid , and Health Services Branch. The position will be responsible for the… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Priority Health's Medicaid Care Management Team is seeking a compassionate and dedicated Medical Care Coordinator with a strong passion for supporting ... maternal health populations and a commitment to improving outcomes for Medicaid members. Essential Functions + Telephonically navigate members through our complex… more
- CVS Health (Springfield, IL)
- …implementation of strategic priorities for Behavioral Health in the IL HealthChoice Medicaid program. The ABHIL Chief Psychiatrist will be responsible for cost ... policies are adherent and in alignment with IL MCO landscape and Illinois Medicaid guidelines. Serve as clinical liaison to network providers and facilities to… more