• Regional Medicaid Specialist

    CommuniCare Health Services Corporate (Richmond, VA)
    Regional Medicaid Specialist , Virginia Communicare Health Services is currently recruiting a dynamic individual with prior Business Office or Admissions ... experience in Long Term Care for the position of Regional Medicaid Specialist for our facilities located in Virginia. JOB SUMMARY The position of Medicaid more
    CommuniCare Health Services Corporate (08/15/24)
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  • Maximum Allowable Cost Programs Specialist

    Prime Therapeutics (Richmond, VA)
    …drives every decision we make. **Job Posting Title** Maximum Allowable Cost Programs Specialist - Remote **Job Description Summary** The purpose of this position is ... pharmacy reimbursement, provides liaison services between enrolled providers and the Medicaid departments, and supports providers during the enhancement of the… more
    Prime Therapeutics (09/15/24)
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  • Senior Revenue Integrity Charge Specialist

    HCA Healthcare (Richmond, VA)
    …and inclusion thrive? Submit your application for our Senior Revenue Integrity Charge Specialist opening with Parallon today and find out what it truly means to ... location._** We are seeking a Senior Revenue Integrity Charge Specialist for our team to ensure that we continue...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
    HCA Healthcare (07/30/24)
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  • Claims Financial Recovery Coding Specialist

    Humana (Richmond, VA)
    …and help us put health first** The Claims Financial Recovery Coding Specialist /Medical Coding Coordinator 2 for the Financial Recovery Team, is responsible ... procedures, contract provisions, and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 + Maintains required standards of… more
    Humana (08/20/24)
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  • HHS Solutions Specialist

    CAI (Richmond, VA)
    …Full time **Worksite Flexibility** Remote **Job Summary** As the HHS Solutions Specialist , you will to develop proposal responses and create tailored solutions for ... complex RFP requests in the Medicaid , Medicare, Child Welfare, and/or Child Support areas. **Job...**Job Profile Summary** We are seeking a HHS Solutions Specialist to develop proposal responses and create tailored solutions… more
    CAI (07/25/24)
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  • Training Specialist

    Elevance Health (Richmond, VA)
    **Training Specialist , LTSS Service Coordination** **Location** : Virginia. This is a hybrid role with 1 - 2 days per week required in-office. The ideal candidate ... Travels locally to worksite and other locations as necessary. The **Training Specialist , LTSS Service Coordination** is responsible for facilitating a variety of… more
    Elevance Health (09/11/24)
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  • Healthcare Program Specialist - Remote

    TEKsystems (Richmond, VA)
    Healthcare Program Specialist Fully remote with equipment provided!! Opportunity to help patients access needed care! Details: Hours - Monday-Friday an 8:00hr shift ... | Administrative Support | Customer Service | Healthcare Industry | Medicare | Medicaid | Medical Claims Core Experience: + Major medical experience + Specialty… more
    TEKsystems (09/16/24)
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  • Certified Peer Recovery Specialist - Must…

    CVS Health (Richmond, VA)
    …recovery journey. **Required Qualifications** + Current Certified Peer Recovery Specialist certification in Virginia by recognized Dept. of Behavioral Health ... training preferred. + Bilingual skills desired. + Experience in serving the Medicaid Populations in urban or rural environments with familiarity of local formal… more
    CVS Health (08/31/24)
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  • Virginia Case Management Specialist 2

    Public Consulting Group (Richmond, VA)
    …receive services from one of three Virginia DD- Home and Community Based Services Medicaid Waivers + This position will be hybrid. Assessments are conducted at a ... location chosen by the individual and his/her team. Common locations ae at the individual's home, a CSB/BHA office, a Day Support Program, a licensed residential provider's location or virtually. + This is a full-time role, including regular working hours as… more
    Public Consulting Group (09/04/24)
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  • Non Medical Case Worker

    ACI Federal (Petersburg, VA)
    …AIDS Drug Assistance Program (ADAP) requirements and application, (b) Medicaid , Medicare, Supplemental Security Income (SSI), Social Security Disability Insurance ... of required trainings must be kept in the Non-Medical Case Manager/Eligibility/Intake Specialist 's personnel file. + Five hours of continuing education in HIV/AIDS… more
    ACI Federal (07/17/24)
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  • Delaware Valley ACO Fellowship/Provider Engagement…

    Humana (Richmond, VA)
    …accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and ... Board + Leads strategic planning efforts to develop a specialist network within the ACO + Develops a health...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
    Humana (06/24/24)
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  • Senior Product Owner, SFMC

    Humana (Richmond, VA)
    …for a Senior Product Owner that is Salesforce Marketing Cloud Email Specialist certified to join the Marketing Regulatory and Operational Communications (MROC) team. ... with multi-channel campaigns** + **Salesforce Marketing Cloud (SFMC) Email Specialist certification** + **Requirements documentation/story creation experience** + Excellent… more
    Humana (09/10/24)
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  • Principal Enterprise Architect(remote virtual)

    Humana (Richmond, VA)
    …Master's degree in IT-relevant discipline + Highly preferred any Cloud specialist certification + Familiar with application and workload dependencies, architecture, ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
    Humana (09/07/24)
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  • Patient Health Advocate

    Somatus (Richmond, VA)
    …on a monthly basis Qualifications Required + Experience working with Medicare, Medicaid or Special Needs populations. + Medical Assistant, Licensed Practical Nurse, ... Engagement Specialist or Community Health Worker Experience. + Ability to connect with people and understand the challenges they face. + Ability to use a range of… more
    Somatus (08/13/24)
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