- State of Minnesota (St. Paul, MN)
- …procedural changes which have the potential to improve internal operations of Provider Eligibility and Compliance as well as the Medicaid Payments and Provider ... Payments and Provider Services Division. Supervise a mix of data management , eligibility , enrollment operations and accountability functions associated with… more
- CP Unlimited (Fishkill, NY)
- …Job Brief The Senior Social Care Navigator will be responsible for engaging Medicaid beneficiaries to assess their HRSNs, confirming eligibility for SCN ... platform. The Senior Social Care Navigator will be responsible for engaging Medicaid beneficiaries to assess their HRSNs, confirming eligibility for SCN… more
- NHS Management, LLC (Birmingham, AL)
- …assigned business and financial functions within the parameters established by NHS Management , LLC guidelines, state and federal regulations, and as needed to ... office related tasks, including but not limited to: + Medicaid , Medicare and/or secondary billing + Assist with evaluation...timely submission to prevent delays in the attainment of eligibility and payment. Process to include: + Meeting with… more
- CVS Health (Springfield, IL)
- …The Behavioral Health Director reports to the Senior Director Behavioral Health - Medicaid Care Management . This is a fully remote role. Eligible candidates ... and procedures as necessary + Support all products including ICM (Integrated Care Management ), MLTSS ( Medicaid Long Term Support Services), and FIDE (Fully… more
- CVS Health (Phoenix, AZ)
- …and every day. **Position Summary** The Mercy Care PMO Director (Project Management Office Director) is a senior-level position responsible for overseeing the ... project management standards within the health plan. This role involves...and practices **Required Qualifications** + 10 plus years of Medicaid , project portfolio and healthcare experience + 3 plus… more
- Idaho Division of Human Resources (ID)
- …in a government, policy, compliance or regulatory affairs role. + Expertise in Medicaid eligibility or other major health and human service program development ... position will report to the Bureau Chief of the Bureau of Clinical and Quality Management and will have direct oversight of Medicaid appeals and provider support… more
- CVS Health (Columbus, OH)
- …services. They will be responsible for taking referrals for OhioRISE, confirming their Medicaid eligibility and processing the referral. This role will also ... health benefit for eligible children and young adults receiving Medicaid services in Ohio. The CMA will regularly interface...include but are not limited to, the inbound care management queue line, responding to questions and inquiries from… more
- CareFirst (Baltimore, MD)
- …and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** MD Medicaid / DSNP Clinical ... FUNCTIONS:** + Trains staff on standards of practice of Utilization Management and reimbursement methodologies and treatment coding. + Manages policies and… more
- CVS Health (Albany, NY)
- …professionalism, and self-direction. . Demonstrate a willingness to learn about care management within Medicare and Medicaid managed care. . Familiarity with ... and every day. **Program Summary:** Join our Aetna care management team as we lead the way in providing...(DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you… more
- CVS Health (Tallahassee, FL)
- …professionalism, and self-direction. + Demonstrate a willingness to learn about care management within Medicare and Medicaid managed care. + Familiarity with ... and every day. **Program Summary** Join our Aetna care management team as we lead the way in providing...(DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you… more
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