- 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...ASAPs and LTSC Agencies related to member rosters and enrollment records o Perform data quality checks, and additional… more
- Commonwealth Care Alliance (Springfield, MA)
- … with electronic medical record strongly preferred (EPIC and eCW a plus) + Experience with Medicaid or Medicare programming and insurance products (ie ACO, MCO, ... LCSW, LICSW, or LMHC in good standing. + MassHealth enrollment required if holds a LICSW **Desired Licensing (nice...required if the incumbent is licensed in Massachusetts. **Required Experience (must have):** + 5+ years meaningful clinical care… more
- Somatus (San Bernardino, CA)
- …GED required; Associates degree or higher from an accredited college preferred. + Experience working with Medicare , Medicaid or Special Needs populations. + ... geographic area to introduce the Somatus program and encourage enrollment to build their patient caseload. + Conduct door-to-door...Medical Assistant, Licensed Practical Nurse, Engagement Specialist or Community Health Worker Experience +… more
- Commonwealth Care Alliance (Boston, MA)
- …experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare /Medicaid) + Experience in health plan provider ... Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and strengthening relationships with… more
- Fallon Health (Worcester, MA)
- …Enrollment Process** + After initial account executive contact with referral, the enrollment specialist (ENSP) supports next steps toward enrollment , ... + Supports documentation gathering and submission for final Government Program Enrollment Specialist (GPES) review and MassHealth application submission. +… more
- Molina Healthcare (Oshkosh, WI)
- … Medicare products accurately and thoroughly complete and submit required enrollment documentation, consistent with Medicare requirements and enrollment ... beneficiaries accurately understand the product choices available to them, the enrollment process (eligibility requirements, Medicare review/approval of their … more
- HCA Healthcare (San Antonio, TX)
- …used in the department **What qualifications you will need:** + 1 year of related experience preferred, such as Medicare /Medicaid Enrollment or Managed Care ... 156,000 hours volunteering in our communities. As a Provider Enrollment Specialist with Parallon you can be...Enrollment + Relevant education may substitute experience requirement + Knowledge of National Plan and Provider… more
- Beth Israel Lahey Health (Westwood, MA)
- …**High School diploma or GED required. Bachelor's degree preferred.** **Year of experience 3-7** **Provider Enrollment experience is strongly preferred.** ... data . Maintains knowledge of NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and Medicaid). (essential)**… more
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview The Licensure and Provider Enrollment Specialist will be a member of the Corporate Legal Department and will ... work with all Medicare and Medicaid enrollment applications and related...+ Bachelor's Degree preferred or an equivalent level of experience and education. + Paralegal experience helpful,… more
- University of Miami (Medley, FL)
- …Miami/UHealth Central Business Office has an exciting opportunity for a full-time Provider Enrollment Specialist to work in Miami, FL. The Provider Enrollment ... Specialist develops and implements a comprehensive provider enrollment process, which identifies well-defined policies and procedures and criteria used to… more
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