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The Eligibility Specialist is responsible for assisting hospital patients with the completion of the application process for Medicaid. Emerus’ leading national health system partners include Allegheny Health Network, Ascension, Baptist Health System, Baylor, Scott & White Health, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS and MultiCare.
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Jump-start your career as a Medicaid Eligibility Advocate today with Grand Strand Medical Center. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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EFLRP advocates for access to health and long-term care services for low-income New Yorkers who, because of aging and/or disability, depend on Medicaid home care services to enable them to remain in their homes and avoid institutionalization.
$51,289 - $55,449 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Medicaid program provides health coverage to millions of New Yorkers, including low-income persons, children, elderly adults, and people with developmental disabilities. Additional recent significant cases include the indictment of a Long Island physician for defrauding Medicaid and subjecting patients to invasive and unnecessary testing, conviction of former fugitive dentist for Medicaid Fraud and prosecution and convictions of persons involved in a homicide and cover up at a nursing home in Suffolk County.
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Experience working in the areas of Probate, Estate & Trust Administration, and Medicaid planning is a plus. We also advise clients on elder law issues and Medicaid planning. We offer full benefits, including, for those who need: Health Insurance, Vision, Dental, Transit, HSA, Life Insurance, Paid Time Off, and 401k.
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This position is responsible for directing, managing, and coordinating all activities of: Medicaid Eligibility Quality Control, Payment Error Rate Measurement, Medicaid Eligibility Quality Assurance Monitoring, Investigations into suspected Medicaid Member Fraud, Waste, and Abuse, and confirming the Wyoming Medicaid and KidCare Childrens Health Insurance Program (CHIP) are administered in compliance with all federal and state eligibility rules, regulations, policies, and procedures.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Identifies and delivers a deep understanding of landscape, changes, and trends in the Commercial, Medicare, Medicaid, Health Insurance Exchange (HIX) channels across all NNI therapeutic areas, with a focus on the Medicaid channel.
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Be an expert in and remain up-to-date on ever-changing oversight agencies policy, procedure and regulations including New York State, the Office of Refugee Resettlement (ORR), Council on Accreditation (COA), Medicaid and other relevant municipal, state and federal agencies.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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PSU staff perform moderately complex tasks related to Medicaid managed care Long Term Services and Supports (LTSS). PSU staff will also coordinate with various internal HHSC departments such as Managed Care Compliance and Operations (MCCO) and Medicaid for the Elderly and People with Disabilities (MEPD.
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Childrens Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR.
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Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Serco is seeking a motivated Data Processing subject Matter Expert to join our talented and fast-paced Public Sector Solutions team in supporting CMS’ implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children’s Health Insurance Program (CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA.
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NC Department of Health and Human Services (DHHS) Information Technology Division (ITD) seeks a Quality Assurance (QA) Test Lead for the Medicaid Enterprise System (MES) Program. The QA Test Lead will be responsible for overseeing and managing the end-to-end testing of one or more modules in a mult million-dollar Medicaid Enterprise System (MES)/Medicaid Modular Information System (MIMS) project for the State of North Carolina.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Demonstrated understanding of State policy related to business implications through experience working in the State Legislature, State Medicaid Agency, Medicaid Managed Care, State-level health care advocacy, health policy consulting, or policy think tank.
$150,000 - $220,000 a yearFull-timeExpandApply NowActive JobUpdated 18 days ago - UpvoteDownvoteShare Job
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Five of Mission Hospital McDowell's primary care practices have been recognized by the Centers for Medicare & Medicaid Services as Rural Health Clinics. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
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medicaid job Title: health services Company: Association For Community Affiliated Plans
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