• USAA (Phoenix, AZ)
    …results, and ensuring claims payment accuracy in accordance with Centers for Medicare & Medicaid Services (CMS) guidelines. Additional responsibilities include: ... more
    JobGet (03/14/25)
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  • Accounting Clerk- Patient Financial Services…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Accounting Clerk- Patient Financial Services ( Medicare & Medicaid Claims Follow-Up)-Corporate 150 East 42nd Street - Full-Time Days** Under ... more
    Mount Sinai Health System (01/15/25)
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  • Data Scientist ( Medicare / Medicaid

    General Dynamics Information Technology (Fairfax, VA)
    …Trust/Other Required:** NACI (T1) **Job Family:** Data Science **Skills:** Fraud Protection, Medicaid , Medicare **Experience:** 3 + years of related experience ... more
    General Dynamics Information Technology (02/22/25)
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  • Risk Adjustment Encounters Analyst…

    Elevance Health (Grand Prairie, TX)
    **Risk Adjustment Encounters Analyst - Medicare / Medicaid ** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will ... more
    Elevance Health (03/04/25)
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  • Claims Operations Manager, Medicare

    CareFirst (Fairfax, VA)
    …(all benefits/incentives are subject to eligibility requirements). **Department** Medicare / Medicaid Claims **Equal Employment Opportunity** CareFirst BlueCross ... more
    CareFirst (03/10/25)
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  • Manager Patient Accounting-Patient Financial…

    Mount Sinai Health System (New York, NY)
    **Job Description** **Manager Patient Accounting-Patient Financial Services ( Medicare / Medicaid ) Corporate-Full-Time Days** The Manager is responsible for ... more
    Mount Sinai Health System (03/06/25)
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  • Patient Account Representative - Medicare

    Guidehouse (Lewisville, TX)
    …from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare / Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & ... more
    Guidehouse (02/02/25)
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  • Revenue Cycle Assistant- Medicare

    Mount Sinai Health System (New York, NY)
    **Job Description** Revenue Cycle Assistant- Medicare & Medicaid -Corporate 150 East 42nd Street- Full-Time Days The Revenue Cycle Assistant is responsible for ... more
    Mount Sinai Health System (01/28/25)
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  • Sr. Program Manager Quality - Medicaid

    Fallon Health (Worcester, MA)
    …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE (Program of All-Inclusive Care for the ... more
    Fallon Health (01/08/25)
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  • Supervisor IV-Patient Financial Services…

    Mount Sinai Health System (New York, NY)
    **Job Description** Supervisor IV-Patient Financial Services ( Medicare and Medicaid Claims Follow-Up) Corporate- Full-Time Days Responsible for the supervision ... more
    Mount Sinai Health System (01/28/25)
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  • Okemos ONSITE Medicare / Medicaid

    TEKsystems (Okemos, MI)
    …servicing group health contracts, or project management. + Previous experience servicing Medicaid , Medicare Advantage, or dual programs is preferred. + Any ... more
    TEKsystems (03/13/25)
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  • Physician

    Centers for Medicare & Medicaid Services (Washington, DC)
    …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of the Administrator, (OA). As a ... more
    Centers for Medicare & Medicaid Services (03/09/25)
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  • Medicare Advantage Quality Consultant…

    Highmark Health (Dover, DE)
    …improvement models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, ... more
    Highmark Health (03/05/25)
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  • Medical Director - Medicaid N. Central

    Humana (Columbus, OH)
    …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... more
    Humana (03/11/25)
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  • Medicare Sales Operations Specialist - Sr.

    Medical Mutual of Ohio (OH)
    …for audit purposes. + Provides on-site, face-to-face agent oversight of Centers for Medicare / Medicaid Services (CMS) filed events - both informal and formal ... more
    Medical Mutual of Ohio (03/13/25)
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  • Medicaid Healthcare Customer Service…

    Robert Half Office Team (Minneapolis, MN)
    …administrative tasks * Navigating through health care audits, specifically those related to Medicare and Medicaid * Familiarity with the Centers for Medicare ... more
    Robert Half Office Team (03/13/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Columbus, OH)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... more
    Humana (03/04/25)
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  • Medicaid Insurance Product Manager

    Humana (Columbus, OH)
    …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... more
    Humana (02/20/25)
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  • Medicaid Operations Strategy Advancement…

    Humana (Tallahassee, FL)
    …for needs of the business **Preferred Qualifications** + 3+ years' experience in a Medicaid or Medicare Managed Care Organization + Master's Degree in Public ... more
    Humana (03/13/25)
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  • Medicare Benefits Standards & Guidance Lead…

    CVS Health (Columbus, OH)
    …and supplemental benefits are administered correctly. On occasion, CMS (Centers for Medicare Medicaid Services) requires regulatory changes during the plan year. ... more
    CVS Health (03/14/25)
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