- Abbott House (Bronx, NY)
- Job Summary: The Medicaid Managed Care Liaison is the primary contact person for the Medicaid Managed Care Plans (MMCP). MMC Liaison must ... + Medicaid Managed Care policies and procedure + The Medicaid Managed Care Liaison is a full-time position. Duties and Responsibilities: 29I… more
- New Directions Youth and Family Services (Lockport, NY)
- …the appropriate billing information and communicates any insurance concerns with the New Directions Medicaid Managed Care Liaison . 6. Documents all ... supporting the health and well-being of youth in our care . Your main job will be to transport youth...to community based medical providers and serving as a liaison between the provider and Health Services staff and… more
- Idaho Division of Human Resources (ID)
- …staff in determining trends and resolving technical problems. + Works with Idaho Medicaid managed care organization tribal coordinators. + Develops and ... position will serve as the Idaho State Medicaid Program's liaison with Indian Health Care Providers (IHCPs) and Tribal representatives. The liaison will… more
- New York State Civil Service (Albany, NY)
- …the successful direction of mid and high level professional staff is desirable. Experience with Managed Long Term Care and/or Medicaid Fee For Service long ... HELP No Agency Health, Department of Title Director of Medicaid Long Term Care Policy (Health Program...and Department of Labor. They will be the primary liaison with the DOH Division of Legal Affairs on… more
- City of New York (New York, NY)
- … with other agencies such as the NY State Department of Health (SDOH), NY Medicaid CHOICE/MAXIMUS, Managed Care Organizations (MCOs), the Office of ... the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health...Organizations (MCOs) and case management providers through which eligible Medicaid clients access behavioral and health care … more
- McLaren Health Care (Indianapolis, IN)
- …of the Indiana Medicaid programs in which MDwise serves as a managed care entity (MCE). The Compliance Officer facilitates communication between federal and ... the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and...+ _Two (2) years' experience and knowledge of HMO, PPO, TPA, PHO and Managed Care operational… more
- City of New York (New York, NY)
- …APPLICANTS MUST BE PERMANENT IN THE PRINCIPLE ADMINISTRATIVE ASSOCIATE CS TITLE The Home Care Services Program (HCSP) is a Medicaid funded program that provides ... daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the...and guidelines. - Participate in meetings and act as liaison with MAP staff involved in developing Medicaid… more
- Staffing Solutions Organization (Albany, NY)
- Medicaid Program Advisor Albany, NY, USA Req #962 Thursday, August 1, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC ... (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...reflection of our clients and the people they serve. ** Medicaid Program Advisor - Albany, NY** **Item 1064** **Summary:**… more
- CVS Health (Austin, TX)
- …least two (2) years of BH leadership experience in a government, health management, or managed care organization, and/or at least two (2) years of experience as ... purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our...- Serve as a key health plan external facing liaison , regarding behavioral health initiatives, programs, and projects with… more
- LA Care Health Plan (Los Angeles, CA)
- …in a corporate setting. Demonstrated experience handling complex customer calls. Preferred: Managed care or healthcare experience. Skills Required: Strong verbal ... meet all regulatory requirements for Centers for Medicare and Medicaid Services(CMS), and for SPD population. * Contacting members...member contact, including potential care coordination/continuity of care issues. (20%) Liaison to meet LA… more
- Centene Corporation (Des Moines, IA)
- …of compliance; in particular HIPAA, and state regulations. **Preferred Skills:** + Knowledge of Managed Care and Medicaid + Reading Comprehension + Critical ... state of Iowa **Position Purpose:** With the Iowa Total Care Health Plan Compliance Team, you will assist in...executed. + Serve as a company wide resource and liaison on policies, contract issues and provisions, communications, workflow,… more
- UPMC (Pittsburgh, PA)
- …related field required. + A minimum of 5 years of management experience; preferably with managed care . + Experience with Medicaid and/or Long-Term Care ... The Vice President has overall product ownership of the Managed Long-Term Services and Supports (MLTSS) program line of business, Community HealthChoices (CHC). In… more
- Consulate Health Care (Floyd, VA)
- …Preferred Three (3) years' experience in healthcare business development required. + Managed care /insurance experience preferred. + Experience with public and ... join our team!** We are searching for an **Admissions Liaison ** to join our community that is resident and...Learning Management System offers over 1,500 courses for senior care , health and human services industry. **Use it for… more
- CVS Health (Tallahassee, FL)
- …leadership role in primary care setting or + Three years' experience in managed care with a focus on HEDIS and Quality with experience facilitating and ... (ABH) and its high-volume providers to facilitate high quality care for members. The Liaison achieves this...LPN or LISW or + Three years' experience in managed care with a focus on HEDIS… more
- Nuvance Health (Danbury, CT)
- …Connecticut. Make independent nursing judgements. Computer data input/keyboard operations. Knowledge of managed care operations, Medicare and Medicaid and ... clinical data from patient charts for insurance company queries. Provides managed care forms and/or patient education tools in admission chart, as necessary.… more
- Allaire Rehab & Nursing (Edison, NJ)
- …+ Maintain a working knowledge of Federal and State regulations and reimbursement ( Managed Care , Medicare, and Medicaid ). + Provide assistance with ... Allaire Health Services is looking for a Marketing Liaison to join our incredible New Jersey team!...admissions process. + Maintain a strong working knowledge of managed care referral processes. + New Jersey… more
- CVS Health (Richmond, VA)
- …+ Ability to work independently + 2+ years experience required working for a managed care organization (MCO). **EDUCATION** + If an LPC, LCSW, LMFT, BCBA, ... Friday 8-5 with occasional on call holiday weekend coverage required.** **The BH Clinical Liaison ** is a clinical leader in the Medicaid plan focusing on… more
- Humana (Virginia Beach, VA)
- …community and help us put health first** The Senior TRICARE Community Liaison (TCL)- is a customer-facing Humana Military associate who is knowledgeable, ... and how to navigate the Military Health System. The **Senior TRICARE Community Liaison (TCL)** also supports the Health System Leader in local TRICARE network… more
- Flynn & O'Hara Uniforms (Floyd, VA)
- …Preferred Three (3) years' experience in healthcare business development required. + Managed care /insurance experience preferred. + Experience with public and ... join our team! We are searching for an Admissions Liaison to join our community that is resident and...Learning Management System offers over 1,500 courses for senior care , health and human services industry. Use it for… more
- Centers for Independence (Milwaukee, WI)
- …operations or related experience. Some understanding of long term care , disabilities, Medicaid , managed care and/or Medicare is preferred. A valid ... **Participant Liaison Field Rep - iLife** **Job Details** **Job...**Position Type** Full Time **Description** **GENERAL FUNCTIONS** The Participant Liaison Field Rep ensures optimal service is provided to… more