- University of Washington (Seattle, WA)
- …hours per week + Day Shift + This position is Remote **POSITION HIGHLIGHTS** The ** Insurance Follow Up Lead ** is responsible for analyzing and developing ... (FPPS)** has an outstanding opportunity for a **full-time, day shift, INSURANCE FOLLOW -UP SPECIALIST (Patient Account Representative 2).** **WORK SCHEDULE**… more
- Elevance Health (Overland Park, KS)
- **Nurse Appeals Lead - Medicaid Appeals** Location: This position will work a hybrid model (remote and in office). The ideal candidate will live within 50 miles of ... + **Atlanta, GA** + **Tampa, FL** The **Nurse Appeals Lead ** is responsible for serving as a team ...: + AS or BS in Nursing preferred. + Medicaid Appeals knowledge preferred. + For URAC accredited areas,… more
- Elevance Health (Tampa, FL)
- **Director II Medicaid State Operations** Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one ... of our Elevance Health PulsePoint locations. The **Director II Medicaid State Operations** is responsible for fiscal and operational...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Richmond, VA)
- …network physicians. + Prepares and implements custom medical necessity criteria for Medicaid business to meet State contract requirements + Support the health plan ... development + Experience in working with government agency policies. Medicaid preferred. + Proficiency in MS excel, Outlook, Word,...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Buffalo, NY)
- ** Medicaid Quality Management Director** Location: This position will work a hybrid model (remote and office). The candidate must live within 50 miles of the ... and reports quality measures per state, Centers for Medicare and Medicaid Services (CMS), and accrediting requirements. **Minimum Requirements:** + Requires BA/BS… more
- Elevance Health (Metairie, LA)
- …with applicable regulatory requirements; ensures alignment and support with overall Medicaid Business Unit mission, goals and objectives. + Responsible for local ... the HMO/healthcare field, minimum of 5 years working with Medicaid and/or Medicare programs; or any combination of education...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Tampa, FL)
- RN Utilization Management Nurse Sr. ( Medicaid -InPatient) JR130851 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This is ... and **occasional** weekends. The **Nurse Medical Management Sr** serves as T **eam Lead ** for nursing staff who collaborate with healthcare providers and members to… more
- Elevance Health (Topeka, KS)
- …use of proprietary data and claim systems for review of Kansas Medicaid claims. + Responsible for independently identifying and developing enterprise-wide specific ... represent the Company in court proceedings regarding research findings. + Health insurance experience required with understanding of health insurance policies,… more
- AbbVie (Mettawa, IL)
- …For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on Twitter, Facebook, Instagram, YouTube and LinkedIn. Job Description ... The Finance Lead manages a wide variety of tasks that support Medicaid financial reporting and planning. Key responsibilities will include financial modeling for… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement Lead ** _This is United States, virtual based position._ **_National Government Services_** _is a proud member of Elevance Health's family of ... contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs._ The **Audit and Reimbursement … more
- BrightSpring Health Services (Englewood, CO)
- …at Amerita is acceptable) and working knowledge of Managed Care, Commercial Insurance , Medicare and Medicaid reimbursement, and Cash Applications + Home ... + Knowledge of CPR+ software a plus + Working knowledge of managed care, commercial insurance , Medicare and Medicaid preferred but not required About our Line of… more
- Public Partnerships LLC (Columbus, OH)
- **Project Manager Lead , Operations - Remote US** **Full Time** **Alpharetta, GA, US** **Salary Range:** TBD annually Public Partnerships LLC (PPL) supports ... and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and… more
- Conduent (Denver, CO)
- …be part of a culture where individuality is noticed and valued every day. ** Lead Contact Center Agent** **Responsibilities** Lead team of junior team members for ... support of Medicaid Enterprise Data Warehouse (EDW) end users. Provide informal...whether it can be handled in place or further follow -up is required, to provide end user with appropriate… more
- HCA Healthcare (Nashville, TN)
- …care like family! Jump-start your career as a Vendor Resource Management Pro-Fee Team Lead today with Work from Home. **Benefits** Work from Home, offers a total ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- Rush University Medical Center (Oak Park, IL)
- …8 Hr (6:00:00 PM - 3:30:00 AM) **Summary:** The Admissions Registration Specialist Lead is responsible for reviewing patient registration for all types of admissions ... and specimens to ensure patient and guarantor demographic and insurance information is complete and current with each patient...current with each patient visit. The Admissions Registration Specialist Lead is proficient in working in a multitude of… more
- HCA Healthcare (Nashville, TN)
- …We care like family! Jump-start your career as a Trauma Data Abstractor Team Lead today with Work from Home. **Benefits** Work from Home, offers a total rewards ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Team Lead Patient Disability Advocate? At Parallon, you come first. HCA Healthcare has committed up to ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- BrightSpring Health Services (Vineland, NJ)
- …of denials or follow -up of claims. + Maintains current knowledge of Medicaid claim regulations and processes. + Produces reports and keeps management informed of ... offer: + DailyPay + Health, dental, vision and life insurance benefits + Company paid STD and LTD +...unpaid claims and claims pending follow -up. + Understands all dispensing systems used in the… more
- BrightSpring Health Services (Englewood, CO)
- …branches and healthcare professionals. The Revenue Cycle Management Ancillary Services Team Lead will be capable of performing all activities related to the tracking ... and providing Revenue Cycle Management (RCM) support . The RCM Ancillary Services Team Lead will be the primary resource for all employees of the RCM Ancillary… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** In the Lead , IT Disaster Recovery role, you'll spearhead our Disaster Recovery (DR) Testing Program, ... high-stakes situations, this is the opportunity to make a significant impact. The Lead , IT Disaster Recovery leads all aspects of our exercise program including… more