• Telephonic Care Coach

    Humana (Springfield, IL)
    …degree in a health or social service-related field. + Prior experience with Medicare & Medicaid recipients. + Previous experience with electronic case note ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ​… more
    Humana (09/02/25)
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  • LVN UM Delegation Oversight Nurse Remote in

    Molina Healthcare (Los Angeles, CA)
    …to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity ... delegated groups. * Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid , National Committee for Quality… more
    Molina Healthcare (11/23/25)
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  • LVN UM Delegation Oversight Nurse Remote based in

    Molina Healthcare (Long Beach, CA)
    …to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity ... delegated groups. * Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid , National Committee for Quality… more
    Molina Healthcare (11/21/25)
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  • LVN Delegation Oversight Nurse Remote

    Molina Healthcare (TX)
    …ensure compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity ... delegated groups. + Assists in preparation of documents for Centers for Medicare and Medicaid Services (CMS), state Medicaid , National Committee for Quality… more
    Molina Healthcare (11/13/25)
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  • Regional Business Office Consultant

    Diversicare Healthcare Services & Diversicare Ther (Birmingham, AL)
    …a multi-facility long term care environment. 3. In depth working knowledge of Medicare and Medicaid programs required. 4. Excellent communication skills a must; ... + Referral and Eligibility processing + Application and follow-up with the Medicaid application process and discussion with residents' families to ensure timely… more
    Diversicare Healthcare Services & Diversicare Ther (11/11/25)
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  • Specialty Billing Clerk

    KPH Healthcare Services, Inc. (Gouverneur, NY)
    …employees. **Job Summary:** Assist in billing and cash application of Medicaid / Medicare /DME/Home Infusion claims. Manage open accounts receivable which requires ... for customers with denied charges. + Assist in the rebilling of Medicaid / Medicare , Aristacare, and Kinney Homecare claims. + Interact with KPH Employees (Store… more
    KPH Healthcare Services, Inc. (11/03/25)
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  • Financial Counselor

    PruittHealth (La Fayette, GA)
    …home and methods of payment for those services including but not limited to Medicare , Medicaid , insurance and private pay 3. Verifies accuracy of patient ... records in a timely manner; reconciles facility petty cash 7. Assists with Medicaid pending procedures including assistance with the Medicaid application 8.… more
    PruittHealth (11/13/25)
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  • Chief Psychiatrist - Behavioral Health Medical…

    Humana (Indianapolis, IN)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... also lead the development of new products and services in Humana's Medicaid BH delivery model. **Position Responsibilities:** + Leads clinical and quality management… more
    Humana (10/23/25)
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  • LISW

    MPAC Healthcare (Grimes, IA)
    …spirit accompanied by strong medical knowledge, understanding of documentation (CMS, Medicare , Medicaid ) and nursing home/ hospital facility experience. * ... support * Responsible for all documentation requirements and keeping up-to-date on Medicare Benefit and commercial insurance plans. Key Requirements - LCSW -… more
    MPAC Healthcare (11/27/25)
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  • Senior Associate, Segment Marketing

    Humana (Frankfort, KY)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... is advancing its agent-focused marketing strategy to support growth across its Medicare Advantage and specialty product portfolio. We're seeking a strategic and… more
    Humana (11/26/25)
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