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Minimum of one year paralegal/legal assistant experience, preferably in healthcare environment or experience in Medicare or Medicaid provider enrollment or private payer enrollment/credentialing.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Experience on an Integrated Eligibility projects with the knowledge on State and Federal programs like SNAP, TANF, Medicaid etc. Some areas that we focus on include Children Services, Eligibility & Enrollment, Child Support Enforcement, and Labor & Workforce Development.
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TheDivision of Medicaid has an opening for customer-service oriented individuals. Typically gained by at least one year experience in a pharmaceutical setting as a pharmacy assistant or equivalent OR completion of a formal pharmacy technician school or similar formal training that would have provided this knowledge.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Access Files To learn more about the TCFR and the MRF provision, refer to this Centers for Medicare & Medicaid Services page [cms.gov]. Must live within 30 minutes of home store location with flexibility to work at multiple locations within a district as needed.
$40,000 - $50,000Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Acts as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies. Acts as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Overseeing the coordination of HEDIS data ingestion activities and driving strategy to optimize HEDIS data ingestion, EHR/HIE interoperability, supplemental data, and record review for the Medicaid line of business.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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This job will deliver value to the Health Plan and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and/or Affordable Care Act (ACA) using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Prepare and file a variety of state and federal licensing and certification forms, including Medicare and Medicaid provider enrollment/change of ownership forms. Among other functions, the position will assist in the drafting, proofing and finalizing of health care licensing applications, Medicare and Medicaid provider applications, and various other legal documents, and will be responsible for designing and improving processes and procedures to ensure consistent performance of complex and routine tasks.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Candidate MUST HAVE knowledge of medical billing, payer follow-up, payer contracts, appeals, self-pay billing, Medicare and Medicaid billing, AR posting, along with excellent customer service skills.
$20 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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This position is responsible for implementing the Alzheimer's Association's coordinated state policy priorities including issues related to Medicaid, long-term care, training standards, aging, and workforce and serves as a registered lobbyist with the state.
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Managing projects independently and assisting PCG Human Services team members and staff in completing various tasks and projects primarily related to PCG’s rate setting and payment reform initiatives, including for federal entitlement programs like Medicaid and Title IV-E.
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Assure Medicaid Case Management Member Support Services processes, production and quality meet department and company standards. Investigate and settle issues not resolvable by Member Support Specialist and Case Management staff.
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This position reports to the Senior Director, Market Access and is responsible for establishing and leveraging credible relationships within all assigned accounts in Mid Atlantic (MD, VA, DE, DC) which will include the following account types; regional payers, regional specialty pharmacies, regional PBMs, select IDNs and state Medicaid agencies to achieve and maintain open and appropriate access for all Sanofi Specialty’s specialty products.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Preference for experience with Medicare Star ratings, Medicaid quality initiatives, and NCQA standards. Medicare, Medicaid, Commercial). Manage interface between vendor/consultant/client to ensure efficient coordination and implementation of coding, including appropriate oversight and monitoring of all PBM operations, data interfaces, and external communications.
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Healthcare industry experience as it relates to risk adjustment, medical claims submissions, adjudication and payment, eligibility, encounters file management in particular for Medicaid/Medicare populations.
Full-timeExpandApply NowActive JobUpdated 22 days ago
medicaid job in Boise, ID
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