- CVS Health (Tallahassee, FL)
- …clinical oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare- Medicaid Plan) * Develop and lead clinical strategy and ... in meetings and communication with the State Department of Medicaid in person as needed. * Outward facing position...provider appeals clinical review. * Actively participate in scheduled team meetings and leadership meetings, at the health plan,… more
- CommonSpirit Health Mountain Region (Englewood, CO)
- …physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies. + Must demonstrate ... between insurance companies, case managers, central business office, third party Medicaid eligibility vendor and registration. + Must maintain patient/employee… more
- CommonSpirit Health Mountain Region (Colorado Springs, CO)
- …physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies. + Must demonstrate ... between insurance companies, case managers, central business office, third party Medicaid eligibility vendor and registration. + Must maintain patient/employee… more
- Baylor Scott & White Health (Dallas, TX)
- …no matter where you are on your journey. For full details on coverage and eligibility , visit the Baylor Scott & White Benefits Hub to explore our offerings, which ... may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar...such as the Joint Commission, Centers for Medicare and Medicaid (CMS), National Committee for Quality Assurance (NCQA), Health… more
- Graham Windham (Bronx, NY)
- …strong partners to create and implement innovative strategies so everyone can lead healthy, joyful, and successful lives. Program Description: The Family Treatment/ ... safely cared for. Principal Objective/Role Overview: Family Advocates assist their unit's team in efforts to develop and promote early engagement with parents… more
- Atlantic Health System (Morristown, NJ)
- …fraud and abuse issues, HIPAA compliance, EMTALA, Medicare and Medicaid compliance, licensure issues, pay-to-play issues, corporate governance and regulatory ... improve performance. Qualifications/Requirements: Ability to work independently and serve as lead attorney on matters Excellent analytical and writing skills Ability… more
- Elevance Health (Woodbridge, NJ)
- …modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our ... and psychosocial needs with support and input from the company's inter-disciplinary team . + Educates patients and families about medication usage, side effects,… more
- Elevance Health (Norfolk, VA)
- …**Preferred Skills, Capabilities and Experiences:** + Possession of DEA registration or eligibility . + Active New Jersey Medicaid number. + **Valid, current, ... modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our… more
- Elevance Health (Washington, DC)
- …customers. + Organizes daily work without significant guidance. + Collaborates with team members to provide superior customer services. + Supports Health Management ... with inquiries or issues. + Actively identifies and pursues opportunities for team involvement. + Trains CRC associates. + Provides leadership in the development… more
- UPMC (Lancaster, PA)
- …in the Lancaster County area to join the Community HealthChoices team ! Community HealthChoices (CHC) is Pennsylvania's managed care long-term services and ... physical disabilities in the Commonwealth who are covered by Medicare and Medicaid . To provide service coordination services across the continuum of care through… more