• Care Management Specialist

    CVS Health (Jackson, MS)
    …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 (11/26/25)
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  • Peer Specialist (Oasas) - Hourly (Creedmoor…

    New York State Civil Service (Queens Village, NY)
    …HELP No Agency Addiction Services and Supports, Office of Title Peer Specialist (OASAS) - HOURLY (Creedmoor ATC) Occupational Category Health Care, Human/Social ... and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid /Medicare eligibility… more
    New York State Civil Service (11/25/25)
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  • Clinical Service Specialist (Part Time)

    Penn Medicine (Columbia, PA)
    …day. Are you living your life's work? Job Title: Clinical Service Specialist Entity: Lancaster General Hospital Location: Columbia Outpatient Center, 306 North 7th ... A health care provider in good standing with Medicare, Medicaid , and other federal and state health insurance programs,...insurance programs, ie not excluded from participation in Medicare, Medicaid or any other federal or state health insurance… more
    Penn Medicine (11/19/25)
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  • Social Care Housing Specialist

    Educational Alliance, Inc. (New York, NY)
    …resiliency, and foster lasting recovery. The Social Care Network Housing Specialist will be responsible for conducting housing assessments to determine participants' ... and manage a database of housing resources. RESPONSIBILITIES + Conduct outreach to Medicaid recipients who have been referred for HRSN and housing services. + Assess… more
    Educational Alliance, Inc. (11/18/25)
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  • Application Support Specialist Lead

    AmeriHealth Caritas (West Chester, PA)
    **Role Overview** The **Application Support Specialist ** will support a state government healthcare system (LTSS). In this role, you will lead a team that helps keep ... support preferred. + Knowledge/experience with government market lines of business ( Medicaid , Medicare) is preferred. ;Some knowledge/ experience with Medicaid more
    AmeriHealth Caritas (11/13/25)
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  • Bilingual Patient Benefits Specialist I…

    Primary Health Care (Des Moines, IA)
    As a Patient Services Specialist I, you will be responsible for ensuring a positive and seamless experience for patients and visitors within PHC medical or dental ... You will conduct financial screenings, assist with insurance enrollment (including Medicaid and Marketplace plans) and financial assistance programs, address billing… more
    Primary Health Care (11/11/25)
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  • Licensure and Provider Enrollment…

    BrightSpring Health Services (Louisville, KY)
    Our Company BrightSpring Health Services Overview The Licensure and Provider Enrollment Specialist will be a member of the Corporate Legal Department and will work ... with all Medicare and Medicaid enrollment applications and related renewals across the BrightSpring...and submits enrollment and re-enrollment applications related to state Medicaid and Medicare. . Communicates clearly with stakeholders regarding… more
    BrightSpring Health Services (11/06/25)
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  • Eligibility Specialist

    Constructive Partnerships Unlimited (Manhattan, NY)
    Eligibility Specialist Type of Position Full time Search Location(s) Manhattan, NY Apply Now ... (https://phe.tbe.taleo.net/phe03/ats/careers/v2/applyRequisition?org=CPOFNYS&cws=37&rid=6455) Job Brief Responsible for preparing Medicaid and Social Security Administration (SSA) recertifications; completing representative… more
    Constructive Partnerships Unlimited (11/06/25)
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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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  • Regulatory Specialist (S)

    SSM Health (Waupun, WI)
    …**Worker Type:** Regular **Job Highlights:** Exciting Opportunity for a Regulatory Specialist at SSM WI Memorial Hospital. Preferred background with regulatory ... knowledge of all The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS) Conditions of Participation and State Hospital Licensing Act standards… more
    SSM Health (10/29/25)
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