- ASSOCIATION FOR COMMUNITY AFFILIATED PLANS (Washington, DC)
- …the financial, operational, and regulatory processes of the Maryland/District of Columbia Medicaid managed care program.Excellent verbal and written ... with strategic expertise in navigating the complexities of the Medicaid program and leading the organization through dynamic regulatory...health plan in a senior role, ideally with a managed care organization; successful experience with more… more
- MedStar Health (Washington, DC)
- …the financial, operational, and regulatory processes of the Maryland/District of Columbia Medicaid managed care program.Excellent verbal and written ... with strategic expertise in navigating the complexities of the Medicaid program and leading the organization through dynamic regulatory...health plan in a senior role, ideally with a managed care organization; (successful experience with more… more
- The National Coalition of Healthcare Recruiters (Santa Clara, CA)
- …department to reach and exceed goalsAbility to work with other departmentsKnowledge of Managed care trends, Medicare and Medicaid regulations #J-18808-Ljbffr ... (Only QUALIFIED Healthcare Professionals accepted)Case Manager-RN - Coordination of Care Services DirectorSan Francisco | Oakland | Fremont, CaliforniaJO# 25012Come… more
- 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 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
- 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
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …programs and treatments within the Medicaid State Plan delivered through either Managed Care or Legacy Medicaid . Successful candidates in this position ... point of contact between LDH and its contractors including Managed Care Organizations (MCO) and the Fiscal...adjudication based on program policy. Manages the Prior Authorization Liaison (PAL) referral process for assigned Medicaid … 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 ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a… 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
- Staffing Solutions Organization (New York, NY)
- Medicaid Program Advisor - DPDM 1069 New York, NY, USA * Virtual Req #988 Monday, September 9, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public ... 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** **DPDM - 1069** **This… more
- Wider Circle (Charlotte, NC)
- …in operations and management within a healthcare setting (health plan, managed care organization, etc.) + Volunteer experience + Medicaid experience a plus + ... to motivate and support each other to get the care they need, when they need it, where they...Area Manager will be responsible for implementing and managing Medicaid programs as outlined by the Implementation and Leadership… more
- VNS Health (Manhattan, NY)
- …five years of experience in clinical medicine, including three years in managed care , and application of evidence based medical necessity criteria ... programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying degrees + Opportunities for… more
- AdventHealth (Maitland, FL)
- …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including governmental ... key contract data elements which are populated into the Managed Care database including addition of new...and ensures expeditious handling of related issues. **Support and Liaison -15%** * Supports and serves as liaison … more
- Burrell Behavioral Health (Springfield, MO)
- …industry. You'll be responsible for enrolling and revalidating providers with various managed - care payers, including Medicare and Medicaid , ensuring that ... Job Description: Job Title: Managed Care Enrollment Specialist ILocation: Springfield,...care to patients. You'll also act as a liaison between external organizations and providers, streamlining communication and… more
- Next Step Health Care (Woburn, MA)
- …and Insurance Case Managers. + Understanding of various insurance methodologies, including Medicare, Medicaid , and Managed Care insurance. We offer a ... or skilled nursing experience, preferred. + Experience in healthcare sales, clinical liaison , long-term care nurse or case manager. + Excellent communication… 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
- Novant Health (Charlotte, NC)
- …three years' experience in home care or hospice, required. Previous experience in managed care , infusion care , and case management and previous home ... **Overview** Novant Health is seeking a Hospice Liaison Nurse. Hospice Liaison Nurse clinically... Nurse clinically assesses and admits patients to Hospice care as well as facilitates discharge planning from the… more
- VNS Health (Manhattan, NY)
- …equivalent, required Bachelor's degree, preferred Work Experience: Minimum two years of managed Medicare, Medicaid , life insurance and/or any other sales ... OverviewThe Community Liaison educates consumers in the communities served by...Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program + Generous tuition reimbursement… more
