- Staffing Solutions Organization (Albany, NY)
- …reflection of our clients and the people they serve. ** Medicaid Program Manager 2 in Albany, NY** **Division of Eligibility & Marketplace Integration ... of Division Support (BDS)** **Hybrid - 50% Onsite 50% Remote ** **Summary:** This position is located in the Bureau...for the development and introduction of a new, modern Medicaid eligibility and enrollment system to support… more
- Wipfli LLP (Milwaukee, WI)
- …a career-defining opportunity. Job Summary Under the direction of the Partner/Senior Manager leading the respective service area, region or industry, the Manager ... reviewing skilled nursing Medicare cost reports, understanding the skilled nursing Medicaid reimbursement systems for assigned states, assisting clients with cost… more
- Commonwealth Care Alliance (Boston, MA)
- …interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS Program, this position supports the ... with members of group with the oversight of the Manager , LTSS Program o Schedule regular check in meetings/calls...- Roster Reporting and Reconciliation o Partner with CCA's Eligibility Team to obtain and perform data entry on… more
- CVS Health (Boise, ID)
- …and every day. **May reside anywhere in the US** **Position Summary** The Health Service Manager -Policy Writer for Medicaid is a key member of the Medical ... Policy & Program Solutions Team. The Medicaid Medical Coding Policy Writer is an individual contributor...business needs and accomplish goals. This is a fully remote position. Eligible candidates may live anywhere in the… more
- CVS Health (Hartford, CT)
- …we do it all with heart, each and every day. **Job Summary:** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress,… more
- CVS Health (Lansing, MI)
- …all with heart, each and every day. **Position Summary** + **Location:** Fully Remote - Work from Home - Michigan + **Schedule:** Standard business hours ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...and health needs based on key questions and conversation. ** Remote Work Expectations** + This is a fully … more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE** : This Behavioral Health Care Manager will support the Maryland Dual Eligible Special Needs Plan (MD DSNP). Under minimal ... supervision, the Care Manager researches and analyzes a member's medical and behavioral...or other direct patient care experience. Previous experience with Medicaid , Medicare Advantage and/or DSNP patient populations with multiple… more
- CVS Health (Carson City, NV)
- …Database audits + Support audits out of QNXT and PRMS systems to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as needed to ... support other projects as needed based on business need This position can be remote or hybrid depending on candidate location and commutable distance to a nearby… more
- CVS Health (Columbus, OH)
- …Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid . As a member of the care team, you will collaborate with members, the ... coordinating care for our members through close collaboration with the Care Manager , Social Worker, and other interdisciplinary team members. This role involves… more
- NTT America, Inc. (San Juan, PR)
- …of this RFP. + Minimum of two (2) years of experience in Medicaid eligibility processes, including policy, determinations, and enrollment. + Bachelor's degree ... organization, apply now. We are currently seeking a Account Manager to join our team in San Juan, Puerto...to the Puerto Rican population. + Strong knowledge of Medicaid eligibility processes, including policy, determinations, and… more
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