- MyFlorida (Spring Hill, FL)
- …number, Medicaid numbers, etc. Verifies Medicaid , Medicare, Health Management Organization (HMO), Private insurance and financial eligibility in the ... number, Medicaid numbers, etc. Verifies Medicaid , Medicare, Health Management Organization (HMO), Private insurance and financial eligibility in the… more
- Robert Half Management Resources (Burbank, CA)
- …Overview: Our client, a leading healthcare organization, is seeking an experienced Medicaid Enrollment & Eligibility Consultant for a fully remote, ... This role will play a key part in evaluating and optimizing Medicaid enrollment and eligibility operations, ensuring compliance, efficiency, and accuracy… 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 ... and every day. **Position Summary** Designs and implements a quality management strategy that meets internal and external constituent expectations for demonstrating… more
- Monroe Plan for Medical Care (Rochester, NY)
- Utilization Management Intake Representative II Summary Title:Utilization Management Intake Representative II ID:UM 42 (ROC) Location:Rochester, Buffalo, ... Syracuse, or Utica Job Type:Full-time Date Posted:07/24/2025 Openings:1 Department:Utilization Management Description Looking for meaningful work with an Organization… more
- City of New York (New York, NY)
- …Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the ... Medicaid eligibility review and processing of initial applications, change actions,...strategies, which result in optimum performance and achievement of management goals. - Represent the Agency at various public… more
- MyFlorida (Tallahassee, FL)
- …Subpart F. The position is responsible for handling all aspects of assigned Medicaid fair hearing proceedings including case management , conducting the fair ... responsibility of the Hearing Officer position is to conduct fair hearings for Medicaid programs administered by the Agency for Health Care Administration under the… more
- CVS Health (Phoenix, AZ)
- …it all with heart, each and every day. **Position Summary** + The Care Management Coordinator is a full time telework position with some travel required. This ... thinking and judgment to collaborate and inform the care management process, in order to facilitate appropriate healthcare outcomes...serving Arizonans of all ages who are eligible for Medicaid since 1985. We also serve people who are… more
- CVS Health (Columbus, OH)
- …the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid , OhioRISE will help struggling children and their families by focusing on the ... or at risk for involvement in, multiple child-serving systems. The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the… more
- MyFlorida (Miami, FL)
- …Position Summary:This position is in the Office of the Attorney General within the Medicaid Fraud Control Unit in Miami or West Palm Beach, Florida, and involves ... and judgment when applying the rules, regulations and laws of the Medicaid unit, both Federal and State. Pay:$60,935.16 Annually. Qualifications: + Six (6)… more
- State of Georgia (Fulton County, GA)
- …The Office of the Attorney General Georgia Department of Law Nurse Investigator- Medicaid Fraud Division *To move forward in the recruiting process ALL applicants ... filled through this announcement will serve within the Audits section of the Medicaid Fraud Division. Job Summary Under the direction of the Fraud Unit Director,… more
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