- Commonwealth Care Alliance (Boston, MA)
- …Network Strategic Initiatives & Data Management, the Provider Data Outreach Specialist is responsible for executing outbound call campaigns to healthcare providers ... interactions. - Collaborate with internal teams to ensure provider data integrity . Working Conditions: - Standard office conditions. Required Education (must have):… more
- Commonwealth Care Alliance (Boston, MA)
- …appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities including project management ... and (e)assistance to these external partners as necessary. The Specialist is expected to work with managers and staff...checks, and additional data review steps, to ensure data integrity of member record to include accurate ASAP, LTSC… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title (2) Medicaid Integrity Specialist 1 /Trainee 1 /Trainee 2 Occupational ... Intelligence, Managed Care and Data Platform Unit is recruiting to fill TWO Medicaid Integrity Specialist 1 Trainee positions, which will be tasked… more
- Commonwealth Care Alliance (Boston, MA)
- …research, as necessary on all new and revised coding logic, related Medicare/ Medicaid policies for review/approval through the Payment Integrity governance ... the required certification OR willing to get certified within 1 year of employment - + Certified Professional Coder...Medicaid and Medicare) + Medical Coding, Compliance, Payment Integrity and Analytics + Direct and relevant experience with… more
- University of Rochester (Canandaigua, NY)
- …equity considerations._ **Responsibilities:** GENERAL PURPOSE In addition to the duties of Medicaid Enrollment and Outreach Specialist (MEOS I), MEOS II supports ... that ideal are the values we share: equity, leadership, integrity , openness, respect, and accountability. Together, we will set...Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States… more
- University of Southern California (Alhambra, CA)
- As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various ... the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization...a subject matter expert for projects that impact revenue integrity and CDM. Subject matter expert to meet and/or… more
- Rush University Medical Center (Chicago, IL)
- …veteran status, and other legally protected characteristics. **Position** Admission Registration Specialist 1 **Location** US:IL:Chicago **Req ID** 23182 ... **Work Type:** Full Time (Total FTE between 0.9 and 1 .0) **Shift:** Shift 1 **Work Schedule:** 8...the circumstances of each case. **Summary:** The Admissions Registration Specialist I is responsible for reviewing patient registration for… more
- MyFlorida (Miami, FL)
- …budgeted dollars are lost to fraud, abuse, and waste. The Bureau of Medicaid Program Integrity (MPI) does this specifically through audits and investigations ... 68064701 - INSPECTOR SPECIALIST Date: Nov 19, 2025 The State Personnel... Pay Plan: Career Service Position Number: 68064701 Salary: $ 1 ,881.39 Biweekly Posting Closing Date: 12/03/2025 Total Compensation Estimator… more
- Rush University Medical Center (Chicago, IL)
- …disability, veteran status, and other legally protected characteristics. **Position** Pre-Authorization Specialist 1 **Location** US:IL:Chicago **Req ID** 16927 ... **Work Type:** Full Time (Total FTE between 0.9 and 1 .0) **Shift:** Shift 1 **Work Schedule:** 8...the circumstances of each case. **Summary:** The Prior Authorization Specialist I is responsible for obtaining and resolving referral,… more
- University of Washington (Seattle, WA)
- …insurance coverage and/or Financial Assistance + Refer uninsured patients for Medicaid /Financial eligibility screening + Prepare estimates of fees upon request from ... appropriate insurance opportunities + Complete applications which include Health Care Exchange, Medicaid , Medicaid Expansion, and Medicare Part D + Manage and… more
