- Aequor (Parsippany, NJ)
- Job Title: Medicaid Claims Analyst Location: Parsippany, NJ Duration: 6 Months Core Essential Skill sets:- Medicaid rebate experience in pharm enviornment.- ... and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience- Minimum 2&plus years pharmaceutical/product focused… more
- Eisai, Inc (Nutley, NJ)
- …profile, we want to hear from you. Essential Functions Revenue Management Systems (Contracting, Medicaid , Govt. Pricing, Chargebacks) Technologies Leadership ... technology impact to business processes and the overall Finance Revenue Management (Contracting, Medicaid , Govt. Pricing, Chargebacks etc.) function. Provide… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …experience on IT Projects in health and human services programs (such as Medicaid , MMIS, claims processing, eligibility , HHS analytics, data warehouse, etc.) ... is expected. Preferred Technical and Professional Expertise: 4+ years of Medicaid , MMIS, Decision Support Systems (DSS), eligibility /enrollment systems, claims… more
- Accounting Now (Pinellas Park, FL)
- …specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer ... documenting related account activities, posting adjustments and collections of Medicare, Medicaid , Medicaid Managed Care, and commercial insurance payers. The… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …the last three (3) years. 4+ years of State government experience in Medicaid , MMIS, eligibility /enrollment systems, claims process or related experience Proven ... is critical. Proficiency in defining and documenting the following is required: Project Management Plan Project Work Plan in Microsoft .mpp format and in Jira using… more
- Lundbeck (Stamford, CT)
- …based on customer needs and organizational goals, incorporating "total office" account management . Local Market & Therapeutic Area Expertise - Gather and validate ... anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Ability… more
- Eisai, Inc (Boston, MA)
- …of the US healthcare system across major payer segments (Medicare, Medicaid , Federal, and Commercial) Strong understanding of medical and pharmacy benefits, ... to excel at multiple objectives simultaneously Demonstrated excellence account management , relationship development, and strong collaborator Must successfully complete… more
- Pacer Staffing (Atlanta, GA)
- …standards, Managed Care concepts, Behavioral Health practices and principles, Medicaid and Medicare eligibility requirements and benefits, community ... serious disabilities, physical disabilities.) Job Summary: The position provides case management services for TRICARE beneficiaries registered in the Extended Care… more
- Marion County (Salem, OR)
- …and family therapy, conducting mental health assessments, Wraparound eligibilities, case management , and clinical consultations.This is your opportunity to join a ... in all screening and assessment tools required by the county. Provides case management and outreach services to clients. Assists clients and families with developing… more
- Marion County (Salem, OR)
- …Mental Health Specialist on this team provides individual and group therapy, case management , and supervision and monitoring for individuals in order to support them ... carries out recreational, social and skills training activities; performs case management and counseling functions with Adults in Custody (AIC); facilitates… more
- Volunteers of America Mid-States (Elizabethtown, KY)
- …VOA! We offer a comprehensive benefits package to employees who meet eligibility requirements. BENEFITS: Volunteers of America Mid-States, offers a rich and robust ... Targeted Case Manager's primary duty is to provide case management services to families involved in the Family Recovery...clients. 9 Ensure that all documentation complies with KY Medicaid and accreditation standards. 10 Conduct a Life Skills… more
- Sourcing Square US (Dallas, TX)
- …is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare systems, and in accordance with the appropriate board. The ... effectiveness of care.Counsels patients and families regarding medical processes, management of the health illness/condition, medication, nutrition, and health… more
- Sourcing Square US (Denton, TX)
- …is billed as an independent billing provider, as recognized by Medicare and Medicaid within the healthcare systems, and in accordance with the appropriate board. The ... of care. Counsels patients and families regarding medical processes, management of the health illness/condition, medication, nutrition, and health promotion.… more
- Volunteers of America Mid-States (Somerset, KY)
- …VOA! We offer a comprehensive benefits package to employees who meet eligibility requirements. BENEFITS: Volunteers of America Mid-States, offers a rich and robust ... attend court appearances, family team meetings, and coordinate case management with treatment provider(s) and DCBS worker(s)/supervisor. The Clinical Liaison… more
- Volunteers of America Mid-States (Louisville, KY)
- …VOA! We offer a comprehensive benefits package to employees who meet eligibility requirements. BENEFITS: Volunteers of America Mid-States, offers a rich and robust ... Maintain billing requirements along with understanding of BHSO, AODE and KY Medicaid Regulations 4. Work effectively with referral sources and community partners. 5.… more
- New York State Civil Service (Albany, NY)
- … System (WMS), the transition of populations out of WMS, developing the Medicaid Eligibility and Client Management (MECM) System, ongoing ... Telecommuting allowed? Yes County Albany Street Address The Division of Eligibility and Marketplace Integration/ Eligibility Systems Modernization Group/Bureau of… more
- Staffing Solutions Organization (Albany, NY)
- … System (WMS), the transition of populations out of WMS, developing the Medicaid Eligibility and Client Management (MECM) System, ongoing ... Albany, NY** **Summary:** TheHealthcare Data Specialistwill work with the Upstate Eligibility Systems group as part of a team responsible for implementing… more
- Staffing Solutions Organization (Albany, NY)
- … System (WMS), the transition of populations out of WMS, developing the Medicaid Eligibility and Client Management (MECM) System, ongoing ... Managing Healthcare Data Analyst will work with the Upstate Eligibility Systems group as part of a team responsible...and test plans + Apply knowledge and experience of Medicaid regulations, program policy, current system design and integration… more
- UNC Health Care (Goldsboro, NC)
- …the health and well-being of the unique communities we serve. Summary: The Medicaid Eligibility Specialist screens, coordinates and facilitates the Medicaid ... up to State appeals. 7. Gathers and provides necessary verification to establish Medicaid eligibility via direct contact with patient and/or patient's family,… more
- City of New York (New York, NY)
- …Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid . The Medicaid Eligibility Unit is responsible for the ... Medicaid eligibility review and processing of initial applications, change actions,...- Complete the required case action utilizing the Welfare Management System (WMS) and various external program applications, such… more
