- New York State Civil Service (Albany, NY)
- …HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1 (Financial Analysis)/Trainee 1 (FA)/Trainee 2 (FA) (NY ... Description New York State leads the nation in developing a robust culture of Medicaid program integrity and healthcare compliance . Formed in 2006 to more… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1/Trainee 1/Trainee 2 NY HELPS Occupational Category Other ... Description New York State leads the nation in developing a robust culture of Medicaid program integrity and healthcare compliance . Formed in 2006 to more… more
- HCA Healthcare (Nashville, TN)
- …and integrity. We care like family! Jump-start your career as a Medicaid Provider Enrollment Specialist today with Parallon. **Benefits** Parallon, offers ... vary by location._** Come join our team as a Medicaid Provider Enrollment Specialist . We care for...needed + Work with payors and providers to ensure compliance with enrollment process + Initiate contact with payors… more
- Staffing Solutions Organization (Albany, NY)
- Medicaid Program Advisor Albany, NY, USA Req #1012 Wednesday, September 18, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group ... workforce, which is a reflection of our clients and the people they serve. ** Medicaid Program Advisor, Albany NY** **DPDM - 1136** **Summary** The Bureau of Adult… more
- Area Agency On Aging 1-b (Southfield, MI)
- The Appeals and Compliance Specialist is responsible for providing comprehensive responses in compliance with contract, regulatory and accreditation ... during the administrative hearing process. Works closely with the Compliance Officer and is an active member of the...adhering to the MI Choice contract and the Michigan Medicaid Provider Manual (MPM) requirements. Completes state forms and… more
- The Arc Erie County NY (Williamsville, NY)
- …and strengthens the entire community. The Arc Erie County is looking for a Corporate Compliance Specialist ! What you'll be doing: As our Corporate Compliance ... See our full Job Description below: Job Description Job Title: Corporate Compliance Specialist Department: Quality Improvement & Corporate Compliance … more
- Children's Aid (Manhattan, NY)
- Compliance Specialist 9/25/24Full Time--Manhattan Job ID: 007327 Description: Executive Headquarters (117 West 124th St) $65,000 - $75,000 / year **Position ... Summary: **The primary purpose of the Compliance Specialist position is to support the...Strong understanding of healthcare regulations, including HIPAA, Privacy, and Medicaid , applying meticulous attention to detail in compliance… more
- Molina Healthcare (Columbus, OH)
- …Please identify this experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one ... these quality improvement functions: Quality Interventions and Quality Improvement Compliance . + Acts as a lead specialist ...+ 1 year of experience in Medicare and in Medicaid . + Experience with data reporting, analysis and/or interpretation.… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Compliance Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the… more
- University of Virginia (Charlottesville, VA)
- The 340B Pharmacy Compliance Specialist provides support for the UVA Health's 340B Programs. This program consists of 3 DSH, 10 entity-owned retail pharmacies, ... pharmacy operations and data reporting to identify process improvements. The 340B Pharmacy Compliance Specialist serves as a liaison between UVA Health's covered… more
- NHS Management, LLC (Athens, AL)
- …experience along the way. We are in search of a qualified Finanical Specialist Assistant: To perform the successful and timely completion of assigned business and ... resolution and development of business office goals and objectives. + Strives for compliance with internal controls and state and federal regulations. + Ability to… more
- State of Georgia (GA)
- Compliance Specialist 2: Zone 10 Georgia...million people. DCH serves as the lead agency for Medicaid , oversees the State Health Benefit Plan (SHBP) and ... secure. DCH is currently seeking qualified applicants for the position for Compliance Specialist 2 position with Healthcare Facility Regulation Division. This… more
- Molina Healthcare (Dallas, TX)
- …implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ ... of these quality improvement functions: Quality Interventions and Quality Improvement Compliance . + Implements key quality strategies, which may include initiation… more
- Ventura County (Ventura, CA)
- Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary ... processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance reimbursement requirements.… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Program Research Specialist 1 (HSA) (NY HELPS) - 85014 Occupational Category Health Care, Human/Social Services Salary ... of Health Insurance Programs, Division of Program Development and Management, Bureau of Medicaid Long Term Care Policy 99 Washington Ave City Albany State NY Zip… more
- Tarrytown Rehabilitation & Nursing Center (Everett, MA)
- …consultation to the facilities and teams within his/her area of responsibility. Ensures compliance with federal and state regulations, MA Medicaid , Medicare and ... CLINICAL REIMBURSEMENT SPECIALIST / MULTI FACILITY We offer competitive compensation and benefit plans including: + Competitive Pay + Medical, Dental, Vision… more
- New York State Civil Service (New York, NY)
- NY HELP No Agency Medicaid Inspector General, NYS Office of the Title Investigative Specialist 1/Trainee 1/Trainee 2 (Multiple Positions) Occupational Category ... and apply data to investigations. Understanding of the services provided to Medicaid participants. Duties Description The Division of Medicaid Investigations… more
- New York State Civil Service (Thiells, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 ... or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any...in Canada AND meet the other requirements for Medical Specialist 1 or 2, you are also eligible if… more
- New York State Civil Service (Schenectady, NY)
- …and analytical duties to plan, develop, implement and maintain components of OPWDD's Medicaid Compliance Program. . Supervise and oversee Medicaid ... of fraud, waste, and abuse;. Provide assistance and outreach support to the Medicaid Compliance Liaison field staff;. Facilitate periodic statewide Community of… more
- Staffing Solutions Organization (Albany, NY)
- …routine and ad-hoc managed care oversight activities. + Monitor and evaluate Medicaid Managed Care Organizations' compliance with behavioral health standards. + ... Senior Healthcare Program Specialist Albany, NY, USA Req #892 Friday, September...Develop and maintain Medicaid Managed Care Organization behavioral health compliance … more