Showing 1-20 of 4,099
Showing 1-20 of 4,099
Managed Medicaid Services jobs

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MJHS-Brooklyn, NY-Est. salary: $57,000 - $75,000 a year

Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our...

BHS support center-Shoreview-Shoreview, MN-Est. salary: $27,000 - $38,000 a year

Monitors claims processes including Medicare, Medicare Advantage, Managed Care, all inclusive and various insurance payers....

AmeriHealth Caritas-Philadelphia, PA-Est. salary: $49,000 - $61,000 a year

We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other...

Senior Whole Health LLC-Cambridge, MA-Est. salary: $61,000 - $77,000 a year

Understanding of clinical interface with computer programs Understanding of state reporting and assessment requirements Demonstrated competence in documentation...

Logisticare-South Portland, ME-Est. salary: $23,000 - $29,000 a year

Strong demonstrated customer service skills. Excellent customer service and phone skills. LogistiCare seeks full-time Customer Service Representatives (CSR) to...

Valley Care Clinics-McAllen, TX-Est. salary: $38,000 - $50,000 a year

Resolves managed care operational issues such as authorization for services, billing, and claims payment. Ensures all clinical operations comply with Medicare...

MJHS-Brooklyn, NY-Est. salary: $74,000 - $100,000 a year

Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our...

Anthem, Inc.-Richmond, VA-Est. salary: $35,000 - $46,000 a year

Knowledge of Medicaid, managed care and/or LTSS. LCSW, LPC, LPN Field Service Coordinator Clinician (Non RN) – Richmond, Virginia This is a field service...

INDEPENDENT LIVING SYSTEMS, LLC-Bronx, NY-Est. salary: $78,000 - $110,000 a year

Working knowledge of Medicare and Medicaid Services. Experience in a managed care, home care or managed long-term care environment is required. SIGN ON BONUS!*....

Indeed Hire in partnership with Senior Whole Health-New York, NY-Est. salary: $69,000 - $93,000 a year

Medicaid Advantage Plus — Medicare/Medicaid managed care experience preferred. Managed Long Term Care Program —...

YourCare-Rochester, NY-Est. salary: $32,000 - $42,000 a year

Knowledge of Managed Care insurance plans. Interview, screen and enroll potentially eligible recipients into Child Health Plus and refers Medicaid eligible...

COMPULINK BUSINESS SYSTEMS-Newbury Park, CA-Est. salary: $38,000 - $51,000 a year

Billing, Collections, Managed Care, Medicare, Medicaid and Commercial Practices). Knowledge of appeals process for Medicare, Medicaid and other payers....

Coordinated Transportation Solutions-Concord, NH-Est. salary: $10 - $15 an hour

Confirms that requests for transportation are to Medicaid covered services. Under the direct supervision of the Contact Center Manager, the Customer Service...

Firelands Regional Medical Center-Sandusky, OH-Est. salary: $36,000 - $52,000 a year

Dependency services offered by the Behavioral Healthcare Department, including diagnostic assessment; Scheduling an adequate number of sessions/billable service...

Pentec Health-Glen Mills, PA-Est. salary: $49,000 - $66,000 a year

Under the supervision of the Director or the Director¡¦s designee, the Payor Contract Administrator supports all necessary initiatives with targeted payor...

RML Specialty Hospital-Hinsdale, IL-Est. salary: $68,000 - $89,000 a year

Maintains and updates summary managed care pricing schedules. Interacts with Medicare, Medicaid, and Blue Cross representatives to ensure up-to-date...

Commonwealth Care Alliance-Boston, MA-Est. salary: $100,000 - $140,000 a year

Our patients are seniors and persons with disabilities covered under Medicaid or both Medicaid and Medicare. Ensure Application development initiatives are well...

Centers Plan for Healthy Living-New York, NY-Est. salary: $59,000 - $77,000 a year

Centers Plan for Healthy Living (CPHL), is a Managed Care Organization servicing members with Medicare and/or Medicaid....

ikaSystems Corporation-Southborough, MA-Est. salary: $83,000 - $110,000 a year

3+ years of work experience in a managed care environment, CMS payer role, regulatory/compliance analyst or as a consultant providing regulatory analysis to...

Caravel Autism Health-Green Bay, WI-Est. salary: $62,000 - $80,000 a year

Oversees the Medicaid reimbursement process, including primary insurance exhaust, and secondary Medicaid payments occur timely....


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