• Medical Specialist 2

    New York State Civil Service (NY)
    …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...can bid on positions but must be able to report to work within fourteen (14) days and be… more
    New York State Civil Service (06/24/25)
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  • Medical Specialist 1

    New York State Civil Service (Queens Village, NY)
    …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...can bid on positions but must be able to report to work within fourteen (14) days and be… more
    New York State Civil Service (06/24/25)
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  • Medical Specialist 2 (Geneticist) - IBR EOA

    New York State Civil Service (Staten Island, NY)
    …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...can bid on positions but must be able to report to work within fourteen (14) days and be… more
    New York State Civil Service (06/21/25)
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  • Audit & Reimbursement Sr

    Elevance Health (Indianapolis, IN)
    …the technical accuracy and accuracy of work papers and financial data related to the cost report . + Review of wage index, MSP audits, complex exception requests ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...degree preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge of… more
    Elevance Health (05/20/25)
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  • RN Administrator Home Health

    Elara Caring (Opelousas, LA)
    …full-time staff and continuing education opportunities for all employees at no cost + Opportunities for advancement + Comprehensive insurance plans for medical, ... locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid, and third-party reimbursement regulations and changes. Identifies and reports… more
    Elara Caring (05/23/25)
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  • Utilization Review Nurse (40 Hour)

    State of Connecticut, Department of Administrative Services (New Haven, CT)
    …THE OPPORTUNITY TO: + Communicate with patients regarding their entitlements ( Medicare /Medicaid, private insurance) and ensure all relevant paperwork is signed; + ... involving the assessment and review of health care delivery systems or medical cost containment activities and programs related to agency efforts to promote cost more
    State of Connecticut, Department of Administrative Services (07/23/25)
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  • Content Strategist

    Zelis (NJ)
    …you are. Position Overview The Manager, Member Marketing Content & Strategy will report to the Sr. Manager, Member Marketing Strategy. You will lead creative content ... You'll also support content creation for expansion of Zelis offerings across commercial, Medicare , and Medicaid audiences. A core focus of this role is writing… more
    Zelis (07/15/25)
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  • Broker Manager-S

    CVS Health (Columbus, OH)
    …a local Broker Manager to support the growth of our industry leading Medicare business for the Youngstown/Canton market. This is a highly collaborative role that ... will report to the Sales Director and drive local broker...Broker self-service tools **Required Qualifications** + Minimum 5 years Medicare sales and Broker Development experience + Ability to… more
    CVS Health (07/16/25)
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  • Network Representative-2

    ChenMed (Newport News, VA)
    …specialty care services to our patients within specific geographic regions. This individual will report to and work with the Network Director to develop the CPL and ... while educating them about these providers while highlighting medical cost opportunities in their panel of patients. **ESSENTIAL JOB...related field is required + Healthcare experience within the Medicare HMO population is a plus + A valid,… more
    ChenMed (07/19/25)
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  • Revenue Cycle Coordinator IV - Remote/Hybrid…

    University of Rochester (Rochester, NY)
    Medicare credit balances- - - Review all accounts on the Medicaid and Medicare credit balance report + Request insurance adjustments or retractions + Prepare ... reimbursement in the revenue cycle system. + Initiate payer-related accounts receivable report to determine which visits needs special attention and follow up to… more
    University of Rochester (06/16/25)
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