- DATAMAXIS (IL)
- … Medicaid agencies or equivalent supporting business initiatives through data analysis, writing business requirements and testing/validation of various systems. + ... Understanding of claims, recipient/eligibility, and provider/enrollment data processes. + Able to create and perform ...datasets. + Knowledge of the Centers for Medicare and Medicaid Services reporting requirements and the programs covered. +… more
- TEKsystems (Springfield, IL)
- …direction to ensure the successful implementation, maintenance, and enhancement of Medicaid data systems. Key Responsibilities: + Provide strategic direction ... subject matter expertise for the implementation and operation of a large-scale Medicaid data warehouse. + Lead and advise internal and external stakeholders on… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. **Healthcare Data Specialist (Level 1 or 2) - Albany, NY** **Division of Eligibility & ... **50% Onsite 50% Remote** **Duties:** + Review reports related to Medicaid eligibility. + Utilize electronic databases to verify information. + Communicate… more
- City of New York (New York, NY)
- …ELIGIBLE FOR CONTINUED EMPLOYMENT. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and ... Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible...and various external program applications, such as the Eligibility Data Image Transfer System (EDITS) Plus, the HRA One… more
- Genesis Healthcare (NM)
- …complexities of Medicaid eligibility? Then join us as a Regional Floating Medicaid Application Specialist . In an assigned geography, you will improve the ... and clinical eligibility requirements, asset limits, and state-specific long-term care Medicaid rules. *Monitor key performance indicators, analyze data , and… more
- Commonwealth Care Alliance (Boston, MA)
- …that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for timely review and ... necessary on all new and revised coding logic, related Medicare/ Medicaid policies for review/approval through the Payment Integrity governance...and report outcome results on edits implemented. + Utilize data to examine large claims data sets… more
- Community Health Systems (Antioch, TN)
- **Job Summary** The Collections Specialist I - Medicaid is responsible for performing collection follow-up on outstanding insurance balances, identifying claim ... adherence to applicable regulations to support revenue cycle operations. As a Collections Specialist I at Community Health Systems (CHS) - SSC Nashville, you'll play… more
- Commonwealth Care Alliance (Boston, MA)
- …The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare, and commercial payment methodologies and supports audit, compliance, and ... - AAPC + Certified Claims Professional (CCP) + Other AHIMA or Medicaid billing-related certifications **Required Experience (must have):** + 3+ years in healthcare… more
- Centene Corporation (Jefferson City, MO)
- …experience required. + Excellent Microsoft Office skills and experience with data analytics preferred. Certified in HealthCare Compliance (CHC) preferred. Certified ... Compliance & Ethics Professional (CCEP) preferred. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off… more
- City of New York (New York, NY)
- …and services. The Office of Constituent Services is recruiting for eleven (11) Eligibility Specialist II's to function as a Medicaid Helpline Agents in the DSS ... BECOMES AVAILABLE, TO BE ELIGIBLE FOR CONTINUED EMPLOYMENT. The Medicaid Helpline provides information to New Yorkers on enrolling...from the client regarding their case. - Review pertinent data from New York State EMEDNY system in order… more