- Public Consulting Group (Lincoln, NE)
- …sector. To learn more, visit www.publicconsultinggroup.com . Engagement Operations - Training Specialist This role is focused on supporting the training needs of our ... will demonstrate the capacity for developing training content, facilitating school-based Medicaid program concepts and being a key contributor to the development… more
- East Boston Neighborhood Health Center (MA)
- … Medicaid , or Special Needs populations. Certifications (CHW, Engagement Specialist , Medical Assistant) preferred. + Transportation: Valid Driver's license and ... diverse populations. + Assist with access to community resources, Medicaid applications, and benefits. Qualifications: + Education: Bachelor's Degree preferred… more
- Magellan Health Services (Albuquerque, NM)
- …healthcare programs and community resources. May act as a subject expert on Medicaid programs and benefits for internal and external stakeholders. + Develops a ... with 1 year working with government-sponsored population, particularly Medicare and Medicaid . Self-starter with the ability to work with limited supervision.… more
- New York State Civil Service (Bronx, NY)
- …chemical dependency;Or 3. current credentials as a Certified Therapeutic Recreation Specialist (CTRS) issued by the National Council For Therapeutic Recreation ... and maintain eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid /Medicare eligibility… more
- Trinity Health (Des Moines, IA)
- …_referral process and patient_ _care_ _management.._ _Act as an insurance specialist by expediting the prescription filling process (entering patient demographics, ... information, verify patient insurance eligibility and level of coverage; understand Medicare/ Medicaid regulations and billing guidelines as they pertain to pharmacy… more
- MyFlorida (Daytona Beach, FL)
- …AGENCY FOR PERSONS WITH DISABILITIES POSITION: HUMAN SERVICES PROGRAM SPECIALIST - Career Service WORKING TITLE: PROVIDER LIAISON POSITION NUMBER: ... with external stakeholders including the Quality Improvement Organization (QIO), Medicaid Program Integrity (MPI) and the Medicaid ...(QIO), Medicaid Program Integrity (MPI) and the Medicaid Fraud Control Unit ( MFCU) as while upholding… more
- CVS Health (Austin, TX)
- …submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... auditing. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + CRC (Certified Risk Adjustment Coder) + Computer… more
- Penn Medicine (Lititz, PA)
- …degree preferred. + Req 1+ years One (1) year experience as a Customer Service Specialist . + Req 1+ years One (1) year experience in Revenue Cycle in a ... 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
- Centene Corporation (Topeka, KS)
- …Douglas, Leavenworth, Jefferson, Jackson counties** **All age groups,** ** Medicaid Wavier population** **Position Purpose:** Assists in developing, assessing, ... ongoing long-term care plans/service plans and works to identify providers, specialist , and/or community resources needed for long-term care + Coordinates as… more
- Signature Healthcare (Lexington, KY)
- …Assessment Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix and Medicare guidelines for all SHC stakeholders. + Assist ... and collaborate with Clinical Reimbursement Specialist with onboarding of new MDSC. + Exhibit competency...the RAI, Care Planning, PPS, Medicare, and when applicable Medicaid Case Mix What you Need to make a… more