- New York State Civil Service (Albany, NY)
- …HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1 (Financial Analysis)/Trainee 1 (FA)/Trainee 2 (FA) (NY ... Description New York State leads the nation in developing a robust culture of Medicaid program integrity and healthcare compliance . Formed in 2006 to more… more
- Medical Mutual of Ohio (OH)
- …to work hybrid or fully remote; Ohio residents preferred._** **Responsibilities** ** Compliance & Accreditation Specialist ** + **Interprets standards and ... and communicates changes.** + **Performs other duties as assigned.** **Senior Compliance & Accreditation Specialist ** + Interprets standards and regulations… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Compliance Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight , and monitoring of… more
- State of Georgia (GA)
- Compliance Specialist 2: Zone 10 Georgia...million people. DCH serves as the lead agency for Medicaid , oversees the State Health Benefit Plan (SHBP) and ... secure. DCH is currently seeking qualified applicants for the position for Compliance Specialist 2 position with Healthcare Facility Regulation Division. This… more
- Staffing Solutions Organization (Albany, NY)
- …and ad-hoc managed care oversight activities. + Monitor and evaluate Medicaid Managed Care Organizations' compliance with behavioral health standards. + ... focused on recovery. This position is integral to OMH's Medicaid managed care oversight activities and is...Develop and maintain Medicaid Managed Care Organization behavioral health compliance … more
- New York State Civil Service (Thiells, NY)
- …improving care, medical representation on teams,participation in facility wide committees and compliance with all oversight entities (ie OPWDD, NY State ... Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38… more
- New York State Civil Service (Kingston, NY)
- …as needed in response to DQI audits, regulations, and their roles in Medicaid Compliance .* Write, revise as needed, and oversee implementation of individuals' ... of individual care to ensure standards of care.* Participate in DQI and Medicaid Compliance audits, implement and oversee implementation of corrective actions as… more
- State of Colorado (CO)
- …Health Benefits Administrative Specialist (Term-Limited) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4658993) Apply Behavioral Health ... Benefits Administrative Specialist (Term-Limited) Salary $57,708.00 - $75,024.00 Annually Location Statewide,...Department Department of Health Care Policy and Financing Division Medicaid & Behavioral Health Initiative & Coverage Office Opening… more
- Fedcap (Springfield, VA)
- …Human Resources/Talent Acquisition, staff, and external and internal candidates with disabilities Compliance & Reporting: Assists in oversight of compliance ... JOB SUMMARY The Employment Development Specialist plays a vital role in assisting adults...about outcome measures Audit individual files to ensure regulatory compliance and accurate recordkeeping of service delivery. Collect, edit,… more
- Carle (Urbana, IL)
- … oversight agencies and accreditation agencies including Joint Commission, Medicaid , Medicaid Rehabilitation Option, Illinois Department of Public Health, ... Recovery Support Specialist - Assertive Community Treatment + Department: Assertive...calendar year. + Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (eg Medicare… more
- Staffing Solutions Organization (Albany, NY)
- …The incumbent of this position will assist the Bureau of Managed Care Oversight and its stakeholders (eg, Medicaid managed care plans, local government, ... Senior Healthcare Program Specialist Albany, NY, USA Req #1000 Monday, September...in transitioning the children's behavioral health services system into Medicaid Managed Care. Special emphasis will be placed on… more
- Burrell Behavioral Health (Kirksville, MO)
- …facilitating smooth transitions for clients into our care programs. + Financial Oversight : Monitor funding sources and complete Medicaid status reviews at ... financial records? Join our team at Preferred Family Healthcare as a Billing Specialist ! In this role, you'll oversee the in-house database, ensure accuracy of… more
- Staffing Solutions Organization (Albany, NY)
- …projects, and policy knowledge and implementation. The BASP is seeking a passionate Medicaid Senior Healthcare Program Specialist to support the team in its ... Senior Healthcare Program Specialist Albany, NY, USA Req #989 Monday, September...record minutes + Supports HH Designation activities to ensure compliance through quality monitoring, oversight and technical… more
- MyFlorida (Orlando, FL)
- BEHAVIORAL SPECIALIST - 67015173 Date: Sep 16, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 837661 Agency: Agency for Persons with Disabilities Working Title: BEHAVIORAL SPECIALIST - 67015173 Pay Plan: Career Service Position Number: 67015173 Salary:… more
- LA Care Health Plan (Los Angeles, CA)
- …strong independent judgment. This position will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services (CMS), California ... Customer Solution Center Appeals and Grievances Specialist II Job Category: Customer Service Department: CSC...appeals, as well as participating in internal and external oversight activities. The position is responsible for maintaining the… more
- Carle (Urbana, IL)
- … oversight agencies and accreditation agencies including Joint Commission, Medicaid , Medicaid Rehabilitation Option, Illinois Department of Public Health, ... Community Support Specialist - Community Support + Department: Community Support...as needed on activities, and work group activities. Meets compliance standards for all documentation and clinical charts. TrilliumPlace… more
- Carle (Urbana, IL)
- … oversight agencies and accreditation agencies including Joint Commission, Medicaid , Medicaid Rehabilitation Option, Illinois Department of Public Health, ... Community Support Specialist - Assertive Community Treatment + Department: Assertive...group activities. + Meets clinical productivity standards. + Meets compliance standards for all documentation and clinical charts. TrilliumPlace… more
- LA Care Health Plan (Los Angeles, CA)
- …Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM. ... Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization...and/or combination in utilization management, appeals and grievances, delegation oversight , and/or CNA experience. At least 2 years of… more
- Staffing Solutions Organization (Albany, NY)
- …experience. **Preferred Qualifications:** + Experience in managed care, care coordination, Medicaid , compliance , and/or delivery of Strong analytical and ... Senior Healthcare Program Specialist 1 Commerce Plaza, Albany, NY 12210, USA...Insurance Programs (OHIP), Division of Health Plan Contracting and Oversight , Bureau of Consumer Services in implementing and evaluating… more
- Commonwealth Care Alliance (Boston, MA)
- …(CHC) preferred. + 5 or more years direct work experience in regulatory affairs and/or compliance in Medicare or Medicaid required + 5 or more years of ... This Role is Important to Us:** Under direction of the Director of Medicare Compliance , the primary focus areas of this position include development and oversight… more