- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must have experience, ... unique complex needs of the foster care population + Medicaid Managed Care policies and procedure + The ...Health savings account + Life insurance + Paid time off + Retirement plan + Tuition reimbursement + Vision… more
- Prime Healthcare (Ontario, CA)
- …new members to join our corporate team! Responsibilities The Senior Medicare- Medicaid Biller/Collector is responsible for both billing and collections, gathering and ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare- Medicaid . This includes maintaining the deficiency lists used to obtain… more
- Hackensack Meridian Health (Edison, NJ)
- …Bachelor's Degree. + Knowledge of regulatory requirements of the 340B program, CMS/ Medicaid , and reimbursement is a plus. **Licenses and Certifications ... benefits package, including health, dental, vision, paid leave, tuition reimbursement , and retirement benefits.** HACKENSACK MERIDIAN HEALTH (HMH) IS AN… more
- University of Rochester (Rochester, NY)
- …Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR ... and provides outreach services to patients requiring public benefits including; Medicaid , Child Health Plus, NYS Marketplace Exchange or other public entitlements.… more
- Deloitte (Tempe, AZ)
- …health plan/insurance company experience + 5+ years of experience with Medicaid managed care capitation rate development and/or fee-for-service rate development + ... now or at any time in the future Preferred: + Experience providing Medicaid consulting services to Government agencies + Experience with Medicaid waivers… more
- Centene Corporation (Cheyenne, WY)
- …position will serve as a key actuarial leader for the **Coordinated Care Medicaid health plan in Washington State** . The Manager, Actuarial Services is responsible ... quarterly and annual forecast development + Support Inpatient reserving for Medicaid , Marketplace, and Medicare lines of business + Proactively identify… more
- WelbeHealth (Los Angeles, CA)
- …stability and regulatory compliance + Monitor and interpret CMS, state, and Medicaid regulatory changes impacting reimbursement rates, risk scores, and ... planning + Assess and refine risk-adjusted revenue projections for Medicare- Medicaid dual-eligible populations, incorporating CMS and state methodologies + Own… more
- Molina Healthcare (Fort Worth, TX)
- …providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method or Value Based ... Committees. * Manages and reports network adequacy for Medicare, Marketplace, and Medicaid services. * In conjunction with direct management and senior leadership,… more
- Cardinal Health (Doral, FL)
- …and increase cash flow for the organization. This position is a Medicaid insurance associate on the revenue cycle management team. **Responsibilities:** + Review ... aging reports and work insurance accounts to ensure timely resolution and reimbursement . + Contact insurance companies via phone, portals, or email to check claim… more
- Comunilife (New York, NY)
- …executive directives.- Working knowledge of regulations for Part 595 and Medicaid funding and reimbursement procedures.- Responsible, organized, effective, and ... of the program.- Complete weekly progress notes in accordance with Medicaid billing procedures.- Coordinate crisis intervention with mental health and/or substance… more
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