• Appeals & Grievance Analyst (Hybrid - Troy, MI)…

    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
    Henry Ford Health System (09/11/25)
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  • Claims and Litigation Specialist

    Ascension Health (Austin, TX)
    …8 hour day shift, Monday - Friday, Remote + **Facility:** Ascension Care Management Insurance + **Salary:** $75,295.00 - $104,957.00 (per year) Must reside in ... to give back to your community _Benefit options and eligibility vary by position. Compensation varies based on factors...claims to ensure payment accuracy and adherence to state Medicaid guidelines. + Responsible for the comprehensive research and… more
    Ascension Health (08/29/25)
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  • Section Manager

    City of New York (New York, NY)
    …of the Prenatal Care Assistance Program (PCAP) section involved in the Medicaid eligibility processing and determination of applications for pregnant women. ... activities for review by the Director and senior level management . - Train staff to ensure that PCAP presumptive.... - Train staff to ensure that PCAP presumptive eligibility and Medicaid eligibility actions… more
    City of New York (08/13/25)
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  • Care Manager

    Astor Services (Poughkeepsie, NY)
    …in a timely and accurate manner by effectively utilizing designated Care Management Portal ( Medicaid Analytics Performance Portal; MAPP) and Electronic Health ... and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance eligibility , Social Security, SNAP, housing, legal… more
    Astor Services (09/15/25)
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  • Care Coach (Transition/Custodial Prevention)

    Humana (Burlington, IA)
    …payer sources, providers, and interdisciplinary care teams. + Educates members in maintaining Medicaid eligibility . + Assist with entry of annual Level of Care ... + Two (2) years of prior experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), and/or managed… more
    Humana (09/08/25)
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  • 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, ... and clinical interventions to monitor outcomes.** **.** **Provides project management oversight for SUD-related inter-departmental BH care processes, including goal… more
    WellSense (08/14/25)
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  • BH Care 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, ... **Job Summary:** The Behavioral Health (BH) Care Manager, provides care management services to WellSense members with behavioral health and substance use… more
    WellSense (08/30/25)
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  • Clinical Care Manager

    WellSense (Manchester, NH)
    …across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, ... circumstances. **Job Summary** The Clinical Care Manager provides holistic medical care management services for members throughout the continuum of care by assessing… more
    WellSense (08/22/25)
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  • Family Support Worker

    MyFlorida (Bonifay, FL)
    …Inputs prenatal and infant screens into the Department of Health, Health Management System (HMS). Maintains an individualized plan of care and Family Support ... Ages and Stages Questionnaire (ASQ3); and Mother and Babies Stress Management Education. Identifies and evaluates client's problems and makes recommendations to… more
    MyFlorida (09/13/25)
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  • Fair Hearning Process Specialist

    City of New York (New York, NY)
    …and to promote individual and family self-sufficiency. Also prepares Public Assistance/SNAP/ Medicaid eligibility forms by incorporating all received data and ... family self-sufficiency. The Fair Hearing Process Specialist prepares Public Assistance/SNAP/ Medicaid eligibility forms by incorporating all received data and… more
    City of New York (08/13/25)
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