• Care Manager Specialist (Remote, Ohio)

    CVS Health (Columbus, OH)
    …member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, particularly ... to thoroughly learn the role of care management within Medicare and Medicaid managed care. + **Community Resources:** Familiarity with community resources and… more
    CVS Health (11/28/25)
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  • Supervisory IT Specialist (Sysanalyst)

    Centers for Medicare & Medicaid Services (Woodlawn, MD)
    …the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation, Business Services ... (BSG), Division of Technology Solutions (DTS). As a Supervisory IT Specialist (SYSANALYST), GS-2210-15, you will direct the design, development, and implementation… more
    Centers for Medicare & Medicaid Services (11/24/25)
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  • Health Insurance Specialist

    Centers for Medicare & Medicaid Services (Washington, DC)
    …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Legislation, Office of Legislation (OL), Office of the ... Director. As a Health Insurance Specialist , GS-0107-15, you will provide balanced comprehensive, information and analysis of complex policies regarding Medicare, … more
    Centers for Medicare & Medicaid Services (11/22/25)
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  • Member Support Specialist

    Actalent (Austin, TX)
    About the Role We are seeking Member Support Specialist to join our Member Support Center team. In this role, you will provide inbound support for Medicaid ... 5+ years working with ABD populations in call centers, Medicaid programs, or MCOs + Strong experience in customer...pay range for this position is $20.00 - $24.00/hr. Eligibility requirements apply to some benefits and may depend… more
    Actalent (11/21/25)
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  • Social Care Housing Specialist

    Educational Alliance, Inc. (New York, NY)
    …housing assistance programs (Section 8. HUD, HRA, etc.) + Familiarity with Medicaid eligibility , benefits, and referral systems + Excellent communication, ... resiliency, and foster lasting recovery. The Social Care Network Housing Specialist will be responsible for conducting housing assessments to determine participants'… more
    Educational Alliance, Inc. (11/18/25)
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  • Program Research Specialist 1/Trainee…

    New York State Civil Service (Albany, NY)
    NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Program Research Specialist 1/Trainee 1/Trainee 2 Occupational Category Other Professional ... time of interview. Additional Comments The Office of the Medicaid Inspector General is proud to be an equal...the minimum qualification requirements for this title, and a copy of your official transcript(s) in order to verify eligibility more
    New York State Civil Service (11/18/25)
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  • Network Payor Relations & Compliance…

    Henry Ford Health System (Jackson, MI)
    …maintaining up-to-date payor information, and providing patient support for Medicaid redetermination and enrollment. PRINCIPLE DUTIES AND RESPONSIBILITIES: * Ensures ... purposes of their quality rewards program. o Maintains accurate record of specialist referral information, provider panel status by product line, and Network's… more
    Henry Ford Health System (11/04/25)
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  • Customer Service Specialist

    TEKsystems (Jefferson City, MO)
    Teksystems is currently hiring for a Customer Service Support Specialist The Operations Specialist is responsible for supporting the Operations Team through ... as well as system interaction * General knowledge of Medicare, Medicaid , and Commercial health plan methodologies and documentation requirements preferred. *… more
    TEKsystems (11/25/25)
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  • Healthcare Customer Service Specialist

    TEKsystems (Jefferson City, MO)
    Operations Specialist Location: Jefferson City, MO Schedule: Monday-Friday, 8:00 AM-5:00 PM (No weekends) About the Role We are seeking a detail-oriented Operations ... Specialist to join our team and serve as the...accuracy and compliance. + Complete insurance verification to determine eligibility , coverage, and deductibles. + Maintain a strong working… more
    TEKsystems (11/22/25)
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  • CSC Customer Service Specialist - Evenings

    Baylor Scott & White Health (Dallas, TX)
    …weekend shifts required_ We are currently hiring for **multiple** Customer Service Specialist roles and will be conducting **onsite** interviews from October 13 to ... on your journey. For full details on coverage and eligibility , visit the Baylor Scott & White Benefits Hub...position type and/or level._ **Job Summary** The Customer Service Specialist acts as a business analyst in a complex… more
    Baylor Scott & White Health (11/21/25)
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