- State of Indiana (Indianapolis, IN)
- Medicare & Medicaid Analyst Date Posted: Aug 25, 2025 Requisition ID: 464467 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career ... About The Family and Social Services Administration : The Office of Medicaid Policy and Planning efficiently and effectively administers Medicaid programs… more
- State of Colorado (Denver, CO)
- …involving violations of State and Federal regulations; + Work experience with Medicaid or Medicare regulations and statutes; + Experience investigating document ... Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply Medicaid Fraud Investigator… more
- Rush University Medical Center (Chicago, IL)
- …Offers may vary depending on the circumstances of each case. **Summary:** The Transplant Coordinator RN 2 is responsible for coordination of the evaluation and ... Organ Sharing (UNOS)/Organ Procurement and Transplantation Network (OPTN), the Centers for Medicare and Medicaid Services (CMS) Condition of Participation (CoP)… more
- Humana (Evansville, IN)
- …and help us put health first** Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2 ) who assesses and evaluates member's ... Committed? If so, apply today! **Position Responsibilities:** The Care Coordinator 2 employs a variety of strategies,...long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience working… more
- Fresenius Medical Center (Oxford, MS)
- …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid , Medicare Supplement, State Renal programs and ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: +… more
- Humana (Columbia, SC)
- …our caring community and help us put health first** The Bilingual Telephonic UM Coordinator / UM Administration Coordinator 2 provides non-clinical support ... treatment, care or services for members. Bilingual Telephonic UM Coordinator + Primarily receive calls from Providers, Hospitals, Skilled...+ Document all calls and requests. + Search for Medicare and Medicaid Guidelines. + Process all… more
- Dartmouth Health (Lebanon, NH)
- …or counsels the patient in the application process for a wide range of Medicare , Medicaid and private insurance carriers. The Transplant Financial Coordinator ... choices of insurance coverage to best meet their individual needs, ie, COBRA, Medicare / Medicaid eligibility, Medicare Supplemental Plans, and Medicare … more
- University of Rochester (Rochester, NY)
- …correctly in the system. - Examples of reports:- - - 2nd insurance level report - - Medicare and Medicaid credit balance report - - Over $10,000 report - - Claim ... at RTP are required. Remote location must be within 2 hours of RTP and within New York State....trends that requirement management intervention; assist management team with Medicare and Medicaid credit balance audits, and… more
- Humana (Miramar, FL)
- …of applicable CPT, HCPC, ICD-10 codes, and all insurance contracts. Understand Medicare / Medicaid criteria and Health Plan policies to ensure the referral ... Office technical experience with Word, Outlook, and Excel + Knowledge of Medicare / Medicaid & commercial insurance + Must be passionate about contributing… more
- Humana (Zion, IL)
- …case management. + One (1) or more years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services ... (LTSS) Care Coordinators (Care Coach 1) in Illinois Region 2 to assess and evaluate members' needs and requirements...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more