• Medicaid Integrity Specialist 1/…

    New York State Civil Service (Albany, NY)
    …HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1/ Trainee 1/ Trainee 2 Occupational Category Other ... Class Non-competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8 AM To 4...Duties Description Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 will join the… more
    New York State Civil Service (08/27/25)
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  • Medicaid Eligibility

    Conduent (Topeka, KS)
    …training as assigned to develop and enhance current understanding of Kansas Medicaid eligibility programs. Through training and experience, begin to develop ... Medical programs) and supporting documentation provided by applicants to determine eligibility for federal and state medical assistance. Investigate the applicant… more
    Conduent (08/29/25)
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  • Medicaid Specialist

    Bear Mountain Health Care (MA)
    …Home Medicaid EXPERT? Bear Mountain Healthcare is currently seeking a full time Medicaid Pending Specialist to assist in the completion of Medicaid ... facilities in Massachusetts. Duties include: . Responsible for working Pending Medicaid applications and re-determinations in order to ensure financial … more
    Bear Mountain Health Care (07/14/25)
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  • Member Grievances Specialist

    Molina Healthcare (WI)
    …+ Health claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… more
    Molina Healthcare (09/06/25)
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  • Medicaid Data Specialist

    DATAMAXIS (IL)
    …with five (5) years of the experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing ... and testing/validation of various systems. + Understanding of claims, recipient/ eligibility , and provider/enrollment data processes. + Able to create and… more
    DATAMAXIS (08/07/25)
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  • Senior Compliance Corrections Specialist

    Centene Corporation (Jefferson City, MO)
    …& Ethics Professional (CCEP) preferred. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, ... also include additional forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is committed to diversity,… more
    Centene Corporation (07/31/25)
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  • Medicaid Waiver Liaison

    MyFlorida (Miami, FL)
    …AGENCY FOR PERSONS WITH DISABILITIES POSITION: HUMAN SERVICES PROGRAM SPECIALIST - Career Service WORKING TITLE: MEDICAID WAIVER ... MEDICAID WAIVER LIAISON - 67073596 Date: Sep 5,...requests as received from Waiver Support Coordinators and/or supervisor per case load assignment in a timely and accurate… more
    MyFlorida (09/05/25)
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  • Medicaid Enroll & Outrch Spc II

    University of Rochester (Canandaigua, NY)
    …Required. + 2-3 years related experience as a MEOS I or experience with Medicaid Eligibility Preferred. + or equivalent combination of education and experience ... **Responsibilities:** GENERAL PURPOSE In addition to the duties of Medicaid Enrollment and Outreach Specialist (MEOS I),...+ They may accompany or represent the patient at eligibility interviews, case conferences or fair hearings + They… more
    University of Rochester (08/07/25)
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  • Eligibility Specialist

    UNC Health Care (Raleigh, NC)
    …Details** Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Medicaid Eligibility Work Type: Full Time Standard Hours Per Week: 40.00 Salary ... Prefer bilingual candidates** **Summary:** Performs technical work in obtaining Medicaid /Social Security (SSI) insurance coverage for indigent patients to expedite… more
    UNC Health Care (08/22/25)
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  • Long Term Care Policy Specialist

    State of Colorado (Denver, CO)
    …. https://dhr.colorado.gov/dhr-resources/student-loan-forgiveness-programs The Eligibility Division Policy Section, ... This is accomplished through research, analysis, written and verbal communication with Medicaid members, eligibility workers, and high-level program groups, and… more
    State of Colorado (08/26/25)
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