• Reimbursement Implementation Specialist II

    Elevance Health (Hanover, MD)
    …and system requirements of customers as it pertains to contracting, network management and credentialing. + Researches and resolves complex exceptions and error ... and Experiences:** + Claims support experience strongly preferred. + Maryland Medicaid or Public Sector Medicaid account knowledge strongly preferred.… more
    Elevance Health (09/25/25)
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  • CHC Service Coordinator- Erie, PA- Hybrid

    UPMC (Pittsburgh, PA)
    …physical disabilities in the Commonwealth who are covered by Medicare and Medicaid . To provide service coordination services across the continuum of care through ... access to needed LTSS and Medical Assistance services, as well as non- Medicaid funded medical, social, housing, educational, and other services and supports.… more
    UPMC (09/25/25)
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  • Financial Counseling Rep I

    R1 RCM (Wilson, NC)
    …programs for patients unable to meet their financial obligations. Work with Case Management , Clinical Staff, Medicaid Vendor, and Family Independence Agency to ... patients and families in completing assistance program applications and determine eligibility and coverage. Notify manager, physician and servicing department of… more
    R1 RCM (09/25/25)
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  • CHC Service Coordinator Nursing Facility-…

    UPMC (Pittsburgh, PA)
    …Medical Assistance! Additionally, CHC is also for individuals that qualify for Medicare, Medicaid , or require a nursing facility level of care. The CHC Service ... access to needed LTSS and Medical Assistance services, as well as non- Medicaid funded medical, social, housing, educational, and other services and supports.… more
    UPMC (09/25/25)
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  • Utilization Review Clinician - Behavioral Health

    Centene Corporation (Tallahassee, FL)
    …28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive ... benefits including a fresh perspective on workplace flexibility. Kentucky Medicaid Kentucky Residency not required Outpatient services **Position Purpose:** Performs… more
    Centene Corporation (09/24/25)
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  • Direct Support Professional

    Service Source (Alexandria, VA)
    …Personal Development Program + Other Benefits: a generous Health/Vision/Dental plan with eligibility of earning up to $680 in health and wellness incentives, ... compliance with all State and Federal regulatory guidelines, including Medicaid , Licensure, and Commission on Accreditation of Rehabilitation Facilities (CARF),… more
    Service Source (09/23/25)
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  • Supervisory Health Insurance Specialist

    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 and ... accomplishment of the Division's functional responsibilities. Present issues to senior management , serves as principal advisor to the Director on requirements and… more
    Centers for Medicare & Medicaid Services (09/22/25)
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  • Senior Analyst, Actuarial

    CVS Health (Hartford, CT)
    …it all with heart, each and every day. **Position Summary** Support the Medicaid Pharmacy team, including forecasting, reporting and pharmacy analytics across all ... Medicaid states. Perform actuarial functions by applying expanded quantitative...all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
    CVS Health (09/18/25)
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  • Specialist, Financial Counselor

    Trinity Health (Ann Arbor, MI)
    …of Medicaid and other financial assistance application and initiates eligibility determination for Health System's charity care fund. Follows up on delinquent ... payments. Assists potentially eligible patients in completing forms for bank loans, Medicaid , CMHS charity care and other sources of financial assistance within… more
    Trinity Health (09/17/25)
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  • Compliance Specialist 2 (07026,08041)

    State of Montana (Helena, MT)
    …for identifying and investigating potential fraud, waste, and abuse within Montana Medicaid and Healthy Montana Kids (HMK) programs. Key duties include analyzing ... retirement plans, paid vacation, sick leave, and holidays, work/life balance, and eligibility to participate in the Public Service Loan Forgiveness (PSLF) program.… more
    State of Montana (09/17/25)
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