- Elevance Health (Seattle, WA)
- …This individual works across all three lines of business (Medicare, Medicaid , and Commercial), marrying quantitative analysis with observational insights to best ... quality, finance, and clinical teams. Additionally, serve as an advocate internally to bring in key leaders and internal...to front-line staff strongly preferred. + Deep knowledge of Medicaid , Medicare, and commercial plans as well as value-based… more
- Atlantic Health System (Morristown, NJ)
- …care and facilitate safe discharges. + Serves as a patient and family advocate in discussions related to care goals, ethical concerns, and advanced care planning. ... patients in accessing public benefits and resources such as Medicaid , SNAP, SSI/SSD, and transitional housing programs. + Develops...as this summary of benefits. Final compensation and benefit eligibility may vary by role and employment status and… more
- Centene Corporation (Jefferson City, MO)
- …Business Operations Services (EBOS) provides shared operational services across our Medicaid , Marketplace, and Medicare lines of business and markets. Provider Data ... + Complies with all policies and standards. + Serves as lead and advocate on cross functional initiatives related to business and technology improvements. + Performs… more
- CVS Health (Durham, NC)
- …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 ... to discuss member status and progress toward goals. + Advocate for members to ensure they receive all necessary...care covered by their benefit plans and available through Medicaid and community resources. + Build relationships with hospital… more
- R1 RCM (Wichita, KS)
- …when appropriate. + Contact insurance carriers or other sources and act as an advocate for the patient. + Initiate process for collecting prepays due and perform ... to meet their financial obligations. + Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in… more
- State of Michigan (MI)
- …survey and certification activities on behalf of the Centers for Medicare and Medicaid Services (CMS). The health care surveyor position performs surveys for covered ... Minimum Qualifications Test (SMQT) in accordance with the Centers for Medicare and Medicaid Services' standards and procedures. All positions must abide by state law… more
- LIFEPlan CCO NY (Ithaca, NY)
- …and most meaningful life. A key function of this role is being a strong advocate in supporting the member to access needed services to reach their identified goals ... process. + Identify gaps in service provision and make referrals when appropriate. Advocate on the member's behalf, to reach their identified goals and live a… more
- Molina Healthcare (Layton, UT)
- …extensive member outreach (telephonic and/or face-to-face). + Guides members to maintain Medicaid eligibility and with other financial resources as appropriate. ... community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and...**Essential Job Duties** + Engages with members as an advocate and resource to support management of health care… more
- CVS Health (Royal Oak, MI)
- …Our Field Case Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning,… more
- Molina Healthcare (Yonkers, NY)
- …extensive member outreach (telephonic and/or face-to-face). * Guides members to maintain Medicaid eligibility and with other financial resources as appropriate. ... community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and...Essential Job Duties * Engages with members as an advocate and resource to support management of health care… more