- 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 ... please visit: https://omig.ny.gov/about-us/about-omigReporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 (Financial Analysis) duties… more
- Molina Healthcare (Columbia, SC)
- …**Job Summary** Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid , Medicare, ... contract reporting deliverables for compliance with contractual and regulatory requirements prior to submission. + Assesses information received from government… more
- Intermountain Health (Murray, UT)
- … Integrity Specialist for Select Health is responsible for reviewing contracts and auditing systems to ensure accurate contract , Medicare, Medicaid ... system configuration of all provider types and vendor pricing and editing against contracts and Medicare and Medicaid pricing methodologies. Works to identify… more
- CVS Health (Oklahoma City, OK)
- …to Aetna's established policies. * Responsible for auditing, building, and loading contracts , agreements, amendments and/or fee schedules in contract management ... care more personal, convenient and affordable. **Position Summary** The Senior Contract Manager, Network Management negotiates, executes, conducts high level review… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …and Oversight Group (PEOG), Division of Quality and Compliance (DQC). As a Contract Management Specialist , GS-1101-13, you will provide support to the Division's ... post awards, and contract closeout. Responsibilities Serve as a Contract Management Specialist developing, recommending, and promoting policies and programs… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health, Department of Title Program Research Specialist 1 (HSA) (NY HELPS) - 85014 Occupational Category Health Care, Human/Social Services Salary ... of Health Insurance Programs, Division of Program Development and Management, Bureau of Medicaid Long Term Care Policy 99 Washington Ave City Albany State NY Zip… more
- Robert Half Office Team (Cincinnati, OH)
- Description We are offering a long term contract employment opportunity for a Credentialing Specialist in Cincinnati, Ohio. As a Credentialing Specialist , ... of all aspects related to the credentialing and re-credentialing process for Medicaid providers across Ohio state. Your role will involve ensuring adherence to… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Health, Department of Title Medical Assistance Specialist 2 - 46091 Occupational Category Other Professional Careers Salary Grade 23 Bargaining ... Health (DOH) employee with permanent or contingent-permanent status as a Medical Assistance Specialist 2; OR current NYS employee with one year or more of permanent… more
- Area Agency On Aging 1-b (Southfield, MI)
- … is responsible for providing comprehensive responses in compliance with contract , regulatory and accreditation requirements pertaining to various product ... and program integrity activities. Ensures agency is adhering to the MI Choice contract and the Michigan Medicaid Provider Manual (MPM) requirements. Completes… more
- University of Utah Health (Salt Lake City, UT)
- …obtained before expiration. + Ensures compliance with UUMG delegated credentialing contracts in accordance with regulatory requirements and accreditation ... of Utah Health Care in accordance with the Medical Staff Bylaws, applicable regulatory requirements and accreditation standards. Work to be done in-office to start.… more
- Rush University Medical Center (Chicago, IL)
- …Schedule:** 8 Hr (8:30:00 AM - 5:00:00 PM) **Summary:** The Admissions Registration Specialist I is responsible for reviewing patient registration for all types of ... is complete and current with each patient visit. The Admissions Registration Specialist I will assist patients with understanding their insurance options and… more
- Insight Global (Boston, MA)
- …and maintenance, formulary review and analysis, and ensure team meets all regulatory and quality standards/timelines. The specialist will process all pharmacy ... Job Description Insight Global is sourcing for a Pharmacy Operations Specialist to join a not-for-profit community based healthcare organization. In this role, you… more
- Northern Light Health (South Portland, ME)
- …Week: 40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Billing Specialist is responsible for coordination of and participation in the billing and reimbursement ... submission to all payers and submission of claims in accordance with regulatory and contractual obligations including all activities related to benefit verification… more
- Trinity Health (Boise, ID)
- …exceptional service and the highest quality of care. The AR Billing Specialist greets patients and family members, obtains, and verifies demographic, clinical, ... insurance and governmental programs,** **regulations** **and billing processes (Medicare, Medicaid , Social Security Disability,** **Champus** **, and Supplemental Security… more
- Trinity Health (Chelsea, MI)
- …and assignment of benefits required. Provides information to patients concerning regulatory requirements. At point of service, provides estimated costs and patient ... and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the safety of patient information… more
- Trinity Health (Chelsea, MI)
- …and assignment of benefits required. Provides information to patients concerning regulatory requirements. At point of service, provides estimated costs and patient ... and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the safety of patient information… more
- Robert Half Accountemps (Moline, IL)
- Description Robert Half is hiring a full-time Insurance Verification Specialist to join our client! This candidate will work closely with the Revenue Cycle Manager ... department policies and procedures as required to meet payer and regulatory requirements Requirements Required Qualifications: Experience with Microsoft Word, Excel… more
- Trinity Health (Ann Arbor, MI)
- …of insurance and governmental programs, regulations and billing processes (Medicare, Medicaid , SSD, SSID), managed care contracts and coordination of ... and assignment of benefits required. Provides information to patients concerning regulatory requirements. At point of service, provides estimated costs and patient… more
- Devereux Advanced Behavioral Health (Villanova, PA)
- …to come to our Corporate headquarters in Villanova, PA.** As an Accounts Receivable Specialist at Devereux, you will work with a team of dedicated professionals who ... staff include Clinical, Finance, Information Technology, Human Resources, Legal, Contracts , External Affairs & Development and Marketing/Communications. The position… more
- Northwell Health (Valley Stream, NY)
- …of assessment for patients/residents to comply with Centers for Medicare and Medicaid Services (CMS) and Department of Health requirements; assessing residents for ... + Ensures compliance to organization policies and procedures, and regulatory requirements. + Oversees compliance with government and agency regulations.… more