- Centene Corporation (Brooklyn, NY)
- …including "metal" products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare , MLTC, FIDA and HARP. ... Community position for Brooklyn, NY** **Enroll members into various Fidelis Medicaid , CHP, EP plans** **Position Purpose:** The Health Benefit Representative (HBR)… more
- AmeriHealth Caritas (Washington, DC)
- …or subcontracted fully delegated vendor providers for all dental-connected products, including Medicaid and Medicare , for the benefit of the membership.; The ... managed care/health insurance industry. + Minimum of 1 year Medicaid experience preferred. + Minimum of 1 year in...you and your dependents on Day 1, 401(k) Tuition reimbursement and more. As a company, we support internal… more
- CVS Health (Lexington, KY)
- …on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and social ... all necessary care covered by their benefit plans and available through Medicaid and community resources. + Build relationships with hospital social workers and… more
- UnityPoint Health (Des Moines, IA)
- …hospital and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and abuse. Brings any ... four-legged family members. + Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow… more
- BlueCross BlueShield of North Carolina (NC)
- …and solution/impact analyst recommendations + Familiarity with all State DSNP Medicaid Agency Contract (SMAC) provisions. + Familiarity with all DSNP Model ... in related field **Bonus Points** + Strong understanding of Medicare Advantage regulatory environment. + Demonstrated experience supporting Dual Eligibility… more
- Baylor Scott & White Health (Dover, DE)
- …lessons are completed in a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance resource to BSWH ... to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends… more
- Baylor Scott & White Health (Salt Lake City, UT)
- …in a timely way. . Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource ... to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends… more
- Cognizant (Long Beach, CA)
- …for right configuration by working with Business team . f) Familiarity with Medicaid and Medicare programs are minimum requirements. **Salary and Other ... Fee schedules, Service groups, etc. . Understand and build solutions for Medicaid - QNXT Benefit configuration matrix. . Conduct requirements discovery sessions with… more
- Centene Corporation (Harrisburg, PA)
- …HEDIS, CAHPS, Quality Improvement projects, programs highly preferred. + Knowledge of Medicaid , Medicare government programs preferred. Pay Range: $68,700.00 - ... a subsidiary of Centene Corporation and will oversee program initiatives for the Medicaid product line of business encompassing HEDIS, and CAHPS by utilizing cross… more
- UnityPoint Health (Iowa City, IA)
- …Is aware of department compliance requirements for federally funded healthcare programs (eg. Medicare and Medicaid ) regarding fraud, waste and abuse. Brings any ... four-legged family members. + Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow… more