- US Tech Solutions (May, OK)
- …criteria and plan design. Includes verifying insurance coverage and eligibility , interpreting clinical guideline criteria, consulting physicians and other healthcare ... states for the Specialty and Non-Specialty Pharmacy programs administered within the Medicaid , Commercial Prior Authorization and Case Review Unit (CRU) line of… more
- Centene Corporation (Oklahoma City, OK)
- …**We're currently hiring a Care Managers to join our Oklahoma Complete Health Medicaid team.** **Are you passionate about making a difference in the lives of ... and behavioral health, particularly those who have worked with Medicaid youth and adults with complex needs.** **If you're...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
- The Children's Village (Dobbs Ferry, NY)
- …a timely manner. Ongoing coordination also includes quarterly review of the child's eligibility and completing a care plan review and an acuity reassessment every ... + At no time during employment can the employee be placed on the Medicaid Exclusion List or otherwise prohibited from providing Medicaid services in New… more
- R1 RCM (Wilson, NC)
- …to meet their financial obligations. Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in ... completing assistance program applications and determine eligibility and coverage. Notify manager, physician and servicing department of possible delay of service… more
- CVS Health (Blue Bell, PA)
- …each and every day. **Position Summary** + Provide actuarial support for the Medicaid Revenue Integrity projects by + Continue to improve the process for reporting ... in Excel, some programming experience **Preferred Qualifications** + Experience in Medicaid + Experience with SQL **Education** + Bachelor's degree in Actuarial… more
- MyFlorida (Bronson, FL)
- …Healthy Start clients: eg arranging transportation, helping to acquire housing, Medicaid and food stamp applications. Coordinates, facilitates and provides Healthy ... standard requirements and assures risk appropriate care under the new Medicaid Waiver Program. Responsible for completing PEPW application for eligible clients.… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation (CMMI), State & ... of the position. Additional information about ICTAP and CTAP eligibility is on OPM's Career Transition Resources website at… more
- Elevance Health (Manchester, NH)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- CVS Health (Winchester, KY)
- …Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and social challenges. Through compassionate ... all necessary care covered by their benefit plans and available through Medicaid and community resources. + Build relationships with hospital social workers and… more
- Corewell Health (Dearborn, MI)
- …to 7:30 am, Every other weekend. A Wing is a 58 bed Medicare/ Medicaid unit that has residents with multiple clinical issues including CHF, dehydration, cellulites, ... and personal satisfaction. B Wing is a 40 bed Medicare/ Medicaid /Dementia unit. We provide care to residents with a...retirement options with service contribution and match savings + Eligibility for benefits is determined by employment type and… more