Register
Recruit Create CV

Medicaid Specialist Jobs

Title Iv-E Medicaid Eligibility Specialist - Salt Lake Valley Region, Dcfs (Telework Eligible)
By State of Utah At , $17.78 - $26.67 an hour
Knowledge, skill and abilities related to this job:
Use MMIS (Medicaid Management Information System)
use MMIS (Medicaid Management Information System)
Consult with Division staff regarding eligibility requirements when necessary.
Excellent computer skills and technologically savvy required
Organization skills, strong oral, written and interpersonal communications skills; and a strong commitment to customer service
Medicaid Operations Coordinator Jobs
By State of Montana At , Helena $35.05 an hour
Ability to manage varying deadlines and multiple tasks and respond positively to changes in direction, priorities, responsibilities, or assignments.
Bachelor’s Degree in Healthcare Management, Business, Information Technology, Computer Science or related field is preferred.
Other combinations of education and experience may be substituted.
Knowledge and ability to effective apply federal/state statutes, administrative rules, and state policies and procedures relative to service delivery.
Skill and ability to build long-term internal and external relationships with customers critical to the organization.
Initiative, sound judgment, efficiency, independence, and reliability in the completion of tasks, , and other major responsibilities.
Medicaid Specialist Jobs
By Edenbridge Health At Washington, DC, United States
Associate’s degree or equivalent experience in customer service in a human services environment, business, or comparable education and experience required.
Prepares forms from DHCF and tracks the participant’s recertification with DHCF to make sure they are approved year to year.
Supports PACE4DC, LLC (d/b/a Edenbridge PACE) finance department in the validation of Medicaid payments and revenue cycle as needed and requested.
Maintains professional affiliations and any required certifications.
Experience working with DHCF long-term care or with a frail elderly population is preferred but not required.
Extensive knowledge of community resources available to seniors and their families.
Verification Specialist, Medicaid Jobs
By UF Health Shands Hospital At , Gainesville, 32610 $16.55 - $19.18 an hour
Minimum Education and Experience Requirements:
Person should display initiative and have the ability to multitask and manage multiple responsibilities.
Six months of general office or medical practice experience preferred.
Basic knowledge of computers, telephone etiquette, CPT and ICD-10 coding and medical terminology preferred.
Good communication skills, both verbal and written, and the ability to work cooperatively with others are essential skills.
High school diploma or equivalent required.
Insurance Revenue Specialist - Medicaid Specialist
By Smile Doctors At , Remote
Manages denials and follows up on unpaid or improperly paid claims.
Report Monitoring and Analysis (monitor and work AR reports, providing feedback to Team Lead/Manager
Strive for continuous improvement, offer insight, and contribute to resolution when issues arise.
Medical, dental, vision and life insurance
Short and long-term disability coverage
3 weeks paid time off in your first year + paid holidays
Regional Vp, Operations Medicaid Ok
By Humana At , Oklahoma City, 73102
Minimum two (2) years of experience in health plan management
Understands and actively manages ongoing adherence to local, State, and federal regulatory and programmatic requirements
Bachelor’s degree in Business, Operations Management, Healthcare Administration or related field
Manages implementation of strategic plans developed in cooperation with the Plan leaders
Maintains intimate familiarity with Contractual requirements and stipulations
Four (4) to six (6) years of experience working in healthcare operations
A/R Medicaid Specialist
By UofL Health At , Louisville, 40202
Knowledge of general insurance requirements.
(Potential for remote work after completion of training and/or previous experience has been verified)
Follow up on unpaid Medicaid and Managed Medicaid claims in a timely manner.
Responsible for reviewing and understanding explanation of benefits/remittance advice.
1 year of patient registration, billing or equivalent experience
Working knowledge of medical and insurance terms is desirable.
Care Coach 1 - Kentucky Medicaid
By Humana At , , Ky
Prior nursing home diversion or long-term care case management experience.
Coordinating services, and monitoring and evaluating the case management plan against the member's personal goals
Intermediate to advanced computer skills and experience with Microsoft Word, Excel and Outlook.
Licensed Practical Nurse (LPN), licensed in the state of Kentucky, with at least 4 years of relevant experience.
Experience with health promotion, coaching and wellness.
Knowledge of community health and social service agencies and additional community resources.
Medicaid Program Specialist 1-2 (My Medicaid Email Team Specialist)
By State of Louisiana At , , La $2,978 - $5,843 a month
No Civil Service test score
is required in order to be considered for this vacancy.
is not eligible to receive credit.
For further information about this vacancy contact:
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
An applicant may be required to possess a valid Louisiana driver's license at time of appointment.
Medicaid Program Specialist 1-2
By Louisiana Department of Health At Monroe, LA, United States

No Civil Service test score

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

Medicaid Program Specialist 1-2 (My Medicaid Email Team Specialist)
By Louisiana Department of Health At Louisiana, United States

No Civil Service test score is required in order to be considered for this vacancy.

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

Enrollment Specialist X4-5 (Remote - Medicare/Tricare/Medicaid [Sc/Ga])
By Chartis Clinical Quality Solutions At Marietta, GA, United States
Experience with Medicare, Medicaid, and TriCare (Enrollment in both SC and GA)
Looking to hire 4-5 Contractors FT with Enrollment experience
Start late July / early August (until end of Sept) - potentially longer...
Still some planning around timing of this
Complete 9 Panel Drug Screen
Senior Operations Executive - Medicaid Expert
By NovumHealth At Florida, United States
Extensive executive leadership experience spanning over 10 years, accompanied by a deep knowledge of the value-based care and/or behavioral health domains
Manage care gaps for members while implementing strategies to drive shared savings through innovative care delivery models
Experience with supervision of healthcare executives or supervision of teams
Demonstrated familiarity with hospitals, healthcare providers, and comprehensive statewide knowledge in the Florida
Exceptional operational skills with a keen eye for detail, ensuring seamless execution of projects and initiatives
Maximize efficiency and productivity by ensuring resources are strategically allocated to support mission-critical objectives through clear communication
Medicaid Project Manager Jobs
By State of Iowa - Executive Branch At Des Moines, IA, United States
Three years of full-time professional-level work experience in program administration, program development, program research/evaluation, or management; and
Effectively comprehend and utilize complex federal requirements, state rules, and department program processes in project design and governance.
Provide agency leadership with data supported business case proposals aligned to meet agency strategic planning andinterconnectedness of programmatic issues.
Provide consolidated tracking and reporting portfolios to provide agency leadership with project status monitoring.
Be proficienct in (Microsoft Office Suite + PowerPoint/SharePoint).
Prioritize work assignments to effectively meet deadlines.
Medicaid Analyst 1-3 Jobs
By Louisiana Department of Health At Shreveport, LA, United States
This position is located within the Louisiana Department of Health / Medicaid Vendor Administration
/ Eligibility Field Operations / Caddo
No Civil Service test score
Medicaid Analyst 1: $16.42/hr.-$1,313.60 bi-weekly
Medicaid Analyst 2: $17.56/hr.- $1,404.80 bi-weekly
This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.
Medicaid Analyst Supervior Jobs
By Louisiana Department of Health At New Orleans, LA, United States

Supplemental Information This position is located within the Louisiana Department of Health / Medical Vendor Administration / Eligibility Field Operations / Orleans Parish Announcement Number: ...

Systems Processor- Medicaid Jobs
By Blue Cross Blue Shield of Arizona At Phoenix, AZ, United States
Create and maintain accurate inventory reporting for Management
Master the skills and requirements of the Processor position
Facilitate and resolve customer/provider requests and inquiries for all levels of management
Scope of this position includes accountabilities that support the following programs:
Participate in the translation of negotiated contract terms into system and benefit structure
Demonstrate and maintain current working knowledge of the required BCBSAZ systems, procedures, forms and manuals
Program Lead - (Medicaid)
By Kepro At Raleigh, NC, United States
5+ years staff/workload management experience required.
Are you an experienced Program Lead looking for a new challenge?
Leads team members in improving skills, creativity, and problem-solving.
Manages and completes assigned work plan objectives and projects on a timely basis.
Knowledge and willingness to become a subject matter and thought leader for designated program(s).
Experience with stated State Medicaid program (PCS, CAP/DA, CAP/C), strongly preferred.
Medicaid Recovery Officer Jobs
By State of Idaho Employment At Boise, ID, United States
Some knowledge of case collection management and control methods.
Experience using legal documents to obtain judgements, execute liens, release confidential information and initiate legal action.
Experience interviewing to elicit sensitive information.
Experience contacting others by telephone to request payment on accounts.
Experience applying laws, regulations, and policies.
Excellent medical, dental and vision insurance- (full-time) employee only coverage for PPO $65/month for medical and vision & $11.80/month for dental
Medicaid Provider Consultant Jobs
By Better Health Group At Jacksonville, FL, United States
Knowledge, Skills, And Abilities Requirements
Work with management to turn negative outcomes into positive outcomes
Knowledge/experience with Medicaid Lines of Business
Excellent written and verbal communication skills
Ability to manage time and identify opportunities to grow and excel as a team
Strong computer skills with an understanding of G Suite - Gmail, Drive, Calendar, Docs, Sheets