• Habilitation Specialist 1

    New York State Civil Service (Little Valley, NY)
    …the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility .* If you are employed by state government you may be able to ... Yes Agency People With Developmental Disabilities, Office for Title Habilitation Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade… more
    New York State Civil Service (11/20/25)
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  • Clinical Specialist - Full-time Days 7a…

    Atlantic Health System (Morristown, NJ)
    …nurse educator or relevant. Preferred: + 2-3 years of previous Clinical Specialist or Nurse educator experience strongly preferred. + Certification in Advanced ... twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start...Benefits + Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team… more
    Atlantic Health System (11/27/25)
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  • Quality Improvement Specialist Non Clinical

    Centene Corporation (Tucson, AZ)
    …flexibility. **REMOTE ROLE: Must reside in Arizona** Non clinical quality improvement specialist role will evaluate data provided in Excel format and write technical ... reports. State Contract, Medicaid knowledge preferred. **Position Purpose:** Support the development and...Health Care Quality (CPHQ) preferred.Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including:… more
    Centene Corporation (10/29/25)
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  • Specialist , Appeals & Grievances

    Molina Healthcare (Fort Worth, TX)
    …+ Health claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… more
    Molina Healthcare (11/07/25)
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  • Outreach/Intake Program Specialist

    Salt Lake County (Salt Lake City, UT)
    …them to services. Consults with clients and families regarding service eligibility requirements. Educates and provides unbiased counsel to clients and families ... regarding programs and services, including Medicare and Medicaid . + Attends community and program activities and special events. Assists in researching, developing… more
    Salt Lake County (11/18/25)
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  • Billing Specialist (Temporary)

    YAI (Manhattan, NY)
    …matters, which may include identifying and assisting with resolutions to eligibility issues and coordinating with external parties if/as needed, checking ... eligibility in applicable electronic systems, preparing and distributing reports...to our Manhattan office at least three (3) days per week in accordance with the Agency's Return to… more
    YAI (11/27/25)
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  • Patient Access Specialist Sr

    UCHealth (Colorado Springs, CO)
    …and case-specific information such as referring physician. + Verifies insurance eligibility for governmental insurance payors (ie Medicaid , Medicare, Tricare, ... Gyn CO Spgs FTE: Full Time, 0.9, 72.00 hours per pay period (2 weeks) Shift: Days Pay: $19.67...employees a competitive and comprehensive total rewards package (benefit eligibility is based off of FTE status): + Medical,… more
    UCHealth (11/21/25)
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  • Collections Specialist (Revenue Cycle)

    Philips (Chicago, IL)
    …and developing systems /procedures to address issues. + Determining patient eligibility along with basic benefit verification (qualifying diagnoses, prior testing ... and authorization requirements) and reading eligibility of benefits, to determine claim processing by insurance...issue trends. + Knowledge of insurnace payers, including Medicare, Medicaid , Blue Cross Blue Shield and commercial plans. You… more
    Philips (10/15/25)
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  • CV Invasive Specialist , Full Time Days,…

    Atlantic Health System (Morristown, NJ)
    …emergencies. 7. Operates equipment properly in a reliable manner, per departmental standards, complying with all safety guidelines/policies. 8. Performs ... twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start...Benefits + Medical, Dental, Vision, Prescription Coverage (22.5 hours per week or above for full-time and part-time team… more
    Atlantic Health System (09/15/25)
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  • Grievance & Appeals Specialist I

    Centene Corporation (Pittsburgh, PA)
    …Health & Wellness * Department: MED-Connections // Complaints and Grievances - Triage // Medicaid LTSS * Schedule: Monday through Friday 8 AM to 5 PM ET with ... required. No Licenses required. Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive benefits package including:...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
    Centene Corporation (11/27/25)
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