- 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 (New York, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1 /Trainee 1 /Trainee 2 (NY HELPS) ... more of permanent or contingent-permanent competitive service, or 55 b/c service as a Medicaid Integrity Specialist 1 ; OR current New York State Employee… more
- New York State Civil Service (Hauppauge, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1 /Trainee 1 /Trainee 2 Financial Analysis (NY ... 11788 Duties Description Duties include:Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 (Financial Analysis) prepares and… more
- New York State Civil Service (Albany, NY)
- …year or more of permanent or contingent-permanent competitive service, or 55 b/c service as a Medicaid Integrity Specialist 1 ; OR current New York State ... NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Administrative Specialist 1 /Trainee 1 /Trainee 2 (NY HELPS) Occupational Category… 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
- CVS Health (Helena, MT)
- …also load third party contracted reimbursement into applicable systems. **Required Qualifications** - 1 -3 years' of Medicaid claims experience. - 1 -3 years' ... (ie, directory listings). - Develops and maintains standards for database integrity , corrective actions, database alignment, and manages communication processes with… more
- State of Colorado (CO)
- CO Medicaid Enterprise Solution (CMES) Integration Business Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5148793) Apply CO ... Medicaid Enterprise Solution (CMES) Integration Business Analyst Salary $58,872.00...80203, USA Department Contact Information Sarah LaRue Talent Acquisition Specialist ###@state.co.us How To Apply Please submit an online… more
- University of Rochester (Pittsford, 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 (Oak Park, IL)
- …veteran status, and other legally protected characteristics. **Position** Admission Registration Specialist 1 **Location** US:IL:Oak Park **Req ID** 22373 ... **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
