- UpvoteDownvoteShare Job
- Suggest Revision
Knowledge of Medicare and Medicaid programs, health care, and managed care. This individual will create significant impact by providing the analytical support to the Integrated Products Strategy team to develop, assist in execution, and continuously improve upon a strategy that supports a profitable growth across the Integrated Products market portfolio including Medicaid Advantage Plus and Managed Long-Term Care.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Knowledge of state Managed Care Programs (Medicaid, CHIP/CHIP Perinatal) including healthcare advocacy required. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Review the Medicare, Managed Care, Medicare Advantage and Medicaid UB, CHAMPS, WebDenis. Minimum 3 years experience in A/R capacity in the long term care setting is preferred.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
A thorough knowledge of health care regulations from the Texas Department of Health and Human Services (HHSC) and the Centers for Medicare and Medicaid Services (CMS) and familiarity with various accreditation standards, particularly NCQA and HEDIS, is required.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Required QualificationsEducation:o Masters degree in NursingExperience:o 5 years experience in business education or healthcare experience requiredo 1-3 years of management experience preferredo Proficient leadership and business skills preferredo Advanced knowledge of HEDIS/STARs preferredo Strong background and familiarity with Medicare, Medicaid, I-SNP, nursing facility and managed care desiredLicense/Certification(s):o RN or APRN or PA licenseby Jobble.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Minimum 2 years of experience in HRA Public Assistance, Food Stamp, Medicaid, managed care plans, Supplemental Social Income (SSI), Social Security Disability Insurance (SSDI) application process and regulations.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Complies with standards of accepted medical practice, the rules and regulations of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent those rules conflict with Physician’s professional medical judgment), and the standards of the Joint Commission on Accreditation of Healthcare Organizations.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
This position will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services (CMS), California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National Committee for Quality Assurance (NCQA) regulatory requirements.
$60,778 - $71,398 a yearTemporaryExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Establishes individual resident plan of care, based on current evidence, to optimally address resident-specific goals and to comply with service delivery parameters in accordance with the Resident Assessment Instrument (RAI) Manual, Managed Care Contract or other guidelines specific to skilled nursing and rehabilitation.
Part-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Demonstrate an understanding of the Medicare, Medicaid, Managed Care environment and work with the Business Office to identify and verify patient’s insurance. 1-2 years’ experience in Home Health Care preferred.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Conduct outreach and enrollment services through face-to-face and virtual (telephonic) interactions, educating clients on managed care options and public health programs at LDSS/HRA offices.
$19Full-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors.
$14.5 - $21.8 an hourFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
3-5 years clinical nursing experience, with 1-3 years Managed Care Experience in the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as specialties in: surgical, Ob/Gyn, home health, pharmacy, etc.
RemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
MetroPlus Health Plan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
ExpandApply NowActive JobUpdated 4 days ago
managed care medicaid jobs
FEATURED BLOG POSTS
How to Describe Your Personality with Examples
Imagine you’re in an elevator with the CEO of your dream company and you get to talking. The conversation is going well and you start to imagine yourself working for their company when the CEO turns around and asks you “tell me a bit about yourself.” Would this catch you off guard or would you be able to give a clear and succinct description of who you are?
4 Ways to Make Your Job Posting More Inclusive
According to a Glassdoor survey,
How to Calculate Net Income
Understanding your finances can be daunting even if you’re good with numbers. Your net income, in particular, is a key metric for determining how well you’re doing financially and whether your current way of operating is sustainable or not.
To ATS or not to ATS
As hiring is becoming more analytical and data-driven, companies have found ways to incorporate technology to help hire and recruit more efficiently. ATS, also known as an applicant tracking system, has become one of the most widely adopted technological recruiting tools to date. In fact, according to data from Capterra:
6 Best Ways to End a Cover Letter with Examples
Including a cover letter with your resume is a great way to introduce yourself to the hiring manager, tell them why you’re the ideal fit for the role, and provide context about your personal situation. A strong cover letter will give you an advantage over other applicants. But it’s important that you structure it properly and write it powerfully so that it carries an impact. This article will discuss how to end a cover letter effectively so you catch the eye of a hiring manager and increase your odds of landing an interview. Read on to learn more.
How to Write a Follow-Up Email for a Job Application?
Most times, we have to do more than submit a "sugar-coated" resume to land our dream jobs. Going the extra mile to follow up on your job application can increase your chances of employment. Additionally, it may even help you get confirmation sooner on whether you are seriously being considered for the job or not.
How to Address a Cover Letter With Examples
It’s easy to get caught up in focusing on your resume – how it looks, what it says, and whether it’s going to land you a job interview. Because there is a big focus on building the perfect resume, job searchers often overlook the importance of a high-quality cover letter. Your cover letter plays a huge role in your first impression. It humanizes you and provides context for your resume.