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We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
Part-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Provide guidance related to cost allocation for public assistance programs including but not limited to Medicaid,the Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for Needy Families (TANF.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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UAT Testing, UAT, Sql, Agile, Test script, Test case, User acceptance testing, Quality assurance, Jira, Requirements gathering, User acceptance, Medicaid, Eligibility verification, Cloud Apps, Cloud DE, Security, Information security, Cyber security.
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Responsible for leading all NCQA Health Equity Accreditation work for Humana's Medicaid markets. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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Knowledge of and experience managing diverse teams across technical areas including Industry DDI (design, develop, and implementation) acumen of Healthcare/Medicaid modules preferred. Proficient with Microsoft Office suite and hardware and software applications to manage contact center and back-office operations (Cxone, Verint, Avaya, etc.
Work from homeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Through market intelligence, research, and engagement, the Growth & Strategy team understands the needs of state Medicaid markets and applies this to a growth strategy with the goal of expanding the Medicaid business.
$67,900 - $166,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Note not in order, failure to complete, notes not in the electronic health record system in a timely manner (by required timeline noted by the Medicaid/MPW), no date of service or time of service and/or signature not present on each note.
ExpandApply NowActive JobUpdated 2 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 Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Lead Actuary - Medicaid Trend Quantification. Experience with Medicaid a plus. Become a part of our caring community and help us put health first. Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
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Foster state relationships for DSNP, in partnership with the Medicaid President, LTSS leader, and Government Relations. is responsible for developing and ensuring the implementation of a local market duals strategy, specifically focusing on dual eligible members (Medicare and Medicaid) and serving as a bridge between Medicare and Medicaid Product Development and Duals organizations and the local market on current and desired business performance levels, anticipating short-term business needs and long-term perspectives for success.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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State Medicaid Data Warehouse Analytics SME Are you a Medicaid Management Information System (MMIS) subject matter expert with technical/functional State Medicaid Data Warehouse Analytics experience.
$97,875 - $163,125 a yearFull-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Compiling knowledge of Medicaid, Kentucky Transitional Assistance Program (KTAP), Supplemental Nutrition Assistance Program (SNAP), and Childcare Assistance Program. CCAP) policies and applying this knowledge to complete thorough system testing.
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The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations. The ideal candidate will also be knowledgeable in Medicare, Medicaid, and private insurance, as well as the ability to complete relevant insurance documentations.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Requires previous experience working as a analyst within a State government Medicaid department. Capitol Strategies is looking to add several experience State Medicaid analysts to our consulting team.
ExpandApply NowActive JobUpdated 6 days ago
medicaid job in Frankfort, KY
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