• Senior Compliance and Vendor Management Oversight…

    Centene Corporation (Jefferson City, MO)
    …and accurate communication of state and federal regulatory updates impacting Medicaid and Marketplace regulatory filings in collaboration with market and product ... laws, rules and regulations preferred. + 2+ years State Medicaid or government sponsored healthcare compliance. preferred. **Licenses/Certifications:** HealthCare… more
    Centene Corporation (08/20/25)
    - Related Jobs
  • 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 (07/22/25)
    - Related Jobs
  • Lead Consumer Access Specialist Redmond

    AdventHealth (Rome, GA)
    …documentation where required + Connects patients with financial counseling or Medicaid eligibility vendor as appropriate + Assists department supervisor ... patients are appropriately registered for all service lines. Performs eligibility verification, obtains pre-cert and/or authorizations, makes financial arrangements,… more
    AdventHealth (09/12/25)
    - Related Jobs
  • Credentialing, Senior Specialist

    CVS Health (Hartford, CT)
    …expert to staff and customers for the pre-credentialing processes within the Medicaid credentialing team.. Sets and manages action plans for network initiatives, ... retiree medical access and many other benefits depending on eligibility . For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the… more
    CVS Health (09/14/25)
    - Related Jobs
  • Provider Engagement Network Specialist

    Centene Corporation (Frankfort, KY)
    …and medical claims. Knowledge of health care, managed care, Medicare or Medicaid .Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive benefits ... also include additional forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is committed to diversity,… more
    Centene Corporation (09/13/25)
    - Related Jobs
  • Provider Contracting Specialist (Remote)

    CareFirst (Baltimore, MD)
    …+ Knowledge of healthcare or health insurance payor industry (Medicare, Medicaid , Commercial, DSNP and other payor programs), including legal and regulatory ... and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Fee For Services Contracting **Equal Employment… more
    CareFirst (09/12/25)
    - Related Jobs
  • Medical Equipment and Supply Specialist

    SSM Health (Madison, WI)
    …provide medical equipment and supplies. + Verifies patient insurance eligibility /benefits and communicates financial responsibilities to patients, caregivers, and ... and prior authorization for appropriate equipment/supplies. + Ensures compliance with Medicare, Medicaid and Accreditation Standards. + Works in a constant state of… more
    SSM Health (09/10/25)
    - Related Jobs
  • Performance Monitor Specialist , Clinic

    Centene Corporation (New York, NY)
    …in Managed Care (UM, BH, CM) preferred. Familiarity with Medicare and Medicaid programs preferred. **Licenses and Certifications:** A license in one of the ... also include additional forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is committed to diversity,… more
    Centene Corporation (09/09/25)
    - Related Jobs
  • Insurance Verification Specialist

    Prime Healthcare (Kansas City, MO)
    …made prior to services rendered for all elective care. Verifies insurance eligibility , and benefits for emergent and urgent admissions, procedures or other services ... Financial Counselor works closely with Case Management in securing Medicaid /Medical treatment authorizations as needed. Maintains effective communication skills,… more
    Prime Healthcare (09/05/25)
    - Related Jobs
  • Durable Medical Equipment Specialist

    Sanford Health (Worthington, MN)
    …documentation, and reimbursement guidelines/issues, including but not limited to Medicare, Medicaid , other third party, and contracted payers. Balance the cash ... benefits package for qualifying full-time and part-time employees. Depending on eligibility , a variety of benefits include health insurance, dental insurance, vision… more
    Sanford Health (08/28/25)
    - Related Jobs