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REMOTE Medicaid - Medicare Risk Adjustment Program Manager
DOCS Management ServicesCoos Bay, OR
Serve as a primary contact and subject matter expert for the Medicaid and Medicare Risk Adjustment Programs, staying up to date on industry trends and evolving payment policies. Adept knowledge of federal and state regulations as related to Medicaid and Medicare Risk Adjustment.
FINANCE MANAGER - Renaissance Care Center
Renaissance Care CenterGainesville, TX
Prior skilled nursing facility billing experience (including Texas Medicaid) required. Communicate with Medicaid Eligibility worker as needed. Bills Medicaid agency and tracks related forms, documents, payments, etc. Service Coordinator Job Description
Assist case manager - Health Coordinators in carrying out the service plans to ensure that the members are getting what they need timely.
For individuals who are enrolled in the health home, the care coordinator will take a holistic approach to care by utilizing the core standards of service.
Assistant Business Office Manager
Cherry Creek Nursing CenterAurora, CO
Job Summary:The Assistant Business Office Manager (ABOM) provides administrative support to the Business Office Manager and the processes of billing facility charges to the appropriate payor, collecting outstanding Accounts Receivables, and overseeing Medicaid Pending cases, ULTCs, consolidated billing, Medicaid re-determinations and appeals in accordance with Nexion Corporate policy and applicable federal, state, and local regulations.
Medicaid Research Scholar
Rutgers UniversityNew Brunswick, NJ
CSHP's sources of data to support this research include continuously updated, comprehensive NJ Medicaid claims and encounter data that are linked to homeless services, cancer registry, and other state administrative data sets; a growing Survey/Data Core that includes longitudinal national Medicare, Medicaid, private insurance claims and other data; and a newly launched NJ-based cohort study that will include biomarker, actigraphy and interview data for a diverse panel of state residents.
Credentialing Director
PDI HealthBrooklyn, NY
Monitor denial trends and report immediately to upper managementMust have extensive knowledge of 3rd Party Insurance, Medicare, Medicaid, and Medicaid Managed Care billing requirements EXPERIENCE:Healthcare Insurance verification, billing practices, pre-authorization requirements for Medicaid, Medicaid MCO, Medicare, Medicare Advantage Plans, and 3rd Party Insurance.
Reimbursement Manager
Medicine JournalChattanooga, TN
Job Summary:Job responsibilities include the preparation of annual Medicare and Medicaid cost reports for Erlanger Health System entities. Other monthly responsibilities include preparing monthly calculations for Medicare and Medicaid contractual allowances for Erlanger Health System entities that will be used in the reporting of monthly financial statements.
4 Talent Acquisition Trends Going Into 2023

For better or worse, a side effect of the COVID-19 pandemic was a marked shift in talent acquisition practices worldwide. With the struggle to retain talent that began in 2020, companies have had to rethink recruitment strategies. The result has been new talent acquisition trends that are well on their way to becoming commonplace. These are the practices that are going to become even more widespread going into 2023.

MLTC Sales Representative I
MetroPlus Health PlanNew York, NY
Remain knowledgeable of services available and utilized by Medicaid consumers eligible for MLTC, i.e., In Home Services for the Elderly Program, Housing Options, Government Benefits, shopping assistance, exercise classes, meals on wheels, etc.
Starting at $59,012 a year depends on education, experience Full-time
Medicaid Team Lead
Mostly MedicaidNew York, NY
About NYC Health + Hospitals 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.
$150 - $200
Enrollment Coordinator
ElderWoodBuffalo, NY
Conduct individual client screening to assess for Medicaid funded Long Term Care eligibility, follow-up with State Brokers to ensure proper handling of the Medicaid MLTC application process, and facilitate Conflict Free Enrollment Center appointments for evaluations for MLTC enrollment.
$16.8 an hour Full-time
IT System Developer - Medicaid Management Information System
ProSidian ConsultingCharlotte, NC
The State DHHS is using a step-by-step, modular process to transition from the MMIS to the Replacement Medicaid Management Information System (RMMIS). PROJECT BACKGROUNDThe client is a Stake Level Department of Health and Human Services (Sponsor: Bureau of Information Systems) which is transitioning to a new Medicaid Management Information System (MMIS.
Why is Professionalism Important & How to Be Professional

You might have heard the word professionalism thrown around in the workplace, but do you know what it means? And do you know how to maintain professionalism no matter the circumstances? 

Medicaid Eligibility Advocate
Sovah Health DanvilleDanville, VA
We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. The Medicaid Eligibility Advocate serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management.
$13.5 - $17.55 an hour Full-time
Enrollment Coordinator
Elderwood / Pediatric / PostAcute / WoodmarkBuffalo, NY
Elderwood Health Plan, a managed Medicaid provider plan, is currently seeking an Enrollment Coordinator to join our team. The Enrollment Coordinator will screen new candidates and identify eligible potentials related to both long-term care needs and Medicaid coverage for enrollment.
Registered Nurse
American CybersystemsUtica, NY
Adheres to all Corporate and Departmental policies and ensures all regulatory requirements such as DOH, CMS, Medicaid, and accreditation requirements such as NCQA, URAC and HEDIS functionalities are met or exceeded.
Billing & EHR Specialist
New Horizons in Autism, IncFreehold, NJ
Position Description: The Billing & EHR Specialist is responsible for ensuring compliance within the agency according to the State of New Jersey and Medicaid regulations and requirements. The Billing Specialist will process and follow up on Medicaid billing, review remittance advice forms to verify proper reimbursement, and adjust as necessary.
5 Ways to Measure Candidate Experience

Your candidate experience is made up of 4 essential parts

Medicaid Actuary Data Managing Consultant, Colorado
Mostly MedicaidDenver, CO
Responsibilities ManagingConsultant, you will be a member of our Healthcare Public/payer practice and part of a team responsible for solving the most complex and strategic issues faced by commercial and public health, specifically in Medicaid managed care.
$150 - $200

medicaid jobs

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