- CVS Health (Atlanta, GA)
- …goals._** **Position Summary** This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project ... on coordination and collaboration amongst of work for Network Operations-Intake and triage, provider data assignments, claim pend assignments. Will be lead for… more
- HCA Healthcare (Nashville, TN)
- …with respect to provider enrollment and billing errors, utilizing proper customer service protocol + Update and maintain data inappropriate Provider ... and integrity. We care like family! Jump-start your career as a Medicaid Provider Enrollment Specialist today with Parallon. **Benefits** Parallon, offers… more
- CVS Health (Columbus, OH)
- …Implements processes and assignments for research, collecting, analyzing, and compiling data and information for the business consulting department reports. + ... retention. + Directs individuals to develop a high degree of customer service by fielding internal and external inquiries, finding resolutions, or redirecting as… more
- New York State Civil Service (Albany, NY)
- …Prepare and analyze background information to identify targets.* Examine and analyze fee-for- service and managed care documentation to ensure provider compliance ... NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title...outside the United States or its territories, you must provide independent verification of equivalency. This information can be… more
- Mathematica (Madison, WI)
- …related to monitoring and improving the following Medicaid programs: Medicaid payment and financing policies (fee-for- service base and supplemental payments, ... rigorous analytic thinking to the collection and interpretation of quantitative and qualitative data , including analysis of Medicaid administrative data and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …May provide functional supervision in accordance with the Civil Service Allocation Criteria Memo. Location of Work: Department of Health and Hospitals. ... compliance with program regulations. Administers the day-to-day operational functions of the Medicaid fee for service programs. Assures that program policy and… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …continued eligibility requests. Maintain work assignment and gather results of review to provide statistical and data for unit reports. Assist and/or complete ... procedures of the organization as well as State Civil Service rules, and all applicable federal and state laws....and/or directing inquirers to appropriate resources. Cross train to provide back up to the Medicaid Beneficiary… more
- Aston Carter (Parsippany, NJ)
- …and rebate contract terms. Responsibilities: + Work with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each ... and review to ensure completeness of information received. Upload data into Medicaid systems and authorize transactions....for key findings and changes to state programs. + Provide backup for Medicaid team members in… more
- Humana (Topeka, KS)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our ...federal and state government to define health plan covered service packages and eligible cohorts. + Communicate covered services… more
- MyFlorida (Tallahassee, FL)
- …proper coverage, enrollment into managed care plans; extracting, analyzing, and/or reporting Medicaid data ; and ensuring that new Agency systems are planned ... Agency for Health Care Administration Working Title: 68059454 - MEDICAID MANAGEMENT REVIEW MONITOR Pay Plan: Career Service...as the primary organizational unit within the Agency to provide oversight and monitoring of the Agency's Medicaid… more