• 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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  • Quality Assurance Specialist (Medicare/…

    General Dynamics Information Technology (Fairfax, VA)
    …years of related experience **Job Description:** GDIT is searching for Quality Assurance Specialist to join our growing team. You will support an exciting new ... program focused on identifying vulnerabilities in Medicaid , Medicare and the Marketplace. The position will monitor,...found. + Work collaboratively within a team of Medicare, Medicaid and/or Marketplace policy expert SMEs and analysts. +… more
    General Dynamics Information Technology (08/16/24)
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  • Developmental Disability Specialist II…

    Fairfax County Sheriff's Office (Fairfax, VA)
    Developmental Disability Specialist II - Support Coordination Print (https://www.governmentjobs.com/careers/fairfaxcounty/jobs/newprint/4569667) Apply  ... Developmental Disability Specialist II - Support Coordination Salary $70,711.26 - $117,851.76...services are provided. You should have an understanding of Medicaid Waiver services and comply with all Medicaid more
    Fairfax County Sheriff's Office (08/02/24)
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  • Employment Specialist

    Fedcap (Springfield, VA)
    JOB SUMMARY The Employment Development Specialist plays a vital role in assisting adults with intellectual and developmental disabilities (IDD) and adults with other ... and fostering relationships with employers to create inclusive work environments. The specialist serves as an advocate for clients, ensuring they have equal… more
    Fedcap (09/06/24)
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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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  • Medical Collections Specialist

    HCA Healthcare (Reston, VA)
    …**Introduction** Do you have the career opportunities as a Medical Collections Specialist you want with your current employer? We have an exciting opportunity ... HCA Healthcare. We are looking for a skilled collections specialist to work Monday-Friday between the hours of 8:30...contracts in collection of third party accounts (Medicare and Medicaid ) + You will complete account reconciliation of accounts… more
    HCA Healthcare (09/14/24)
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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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  • Provider Enrollment Specialist

    General Dynamics Information Technology (Fairfax, VA)
    …None **Job Family:** Healthcare Claims **Skills:** Health Care,Healthcare Networks, Medicaid , Medicaid Policy,Provider Enrollment **Experience:** 2 + years ... of related experience **Job Description:** A Provider Enrollment Specialist is responsible for managing the enrollment process for healthcare providers within an… more
    General Dynamics Information Technology (09/13/24)
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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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  • Insurance Verification Specialist

    TEKsystems (Virginia Beach, VA)
    Description: The Program Specialist is responsible for serving as the customer's primary point of contact providing operational and reimbursement support to complex ... surveillance programs, case management, and compliance programs. The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or… more
    TEKsystems (09/13/24)
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  • Medical Record Scanning and Indexing…

    HCA Healthcare (Blacksburg, VA)
    …thrive? Submit your application for our Medical Record Scanning and Indexing Specialist opening with LewisGale Hospital Montgomery today and find out what it ... We are seeking a Medical Record Scanning and Indexing 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 (09/06/24)
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  • Training Specialist (US)

    Elevance Health (Norfolk, 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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  • eCOB Specialist III

    Elevance Health (Norfolk, VA)
    **eCOB Specialist III** **Location** : Hybrid, within 50 miles of an Elevance Health pulse point. **Hours:** Monday - Friday, an 8 hour shift between 6 am - 6 pm The ... **eCOB Specialist III** is responsible for researching and investigating other...to other carriers, members, groups, providers, attorneys, CMS and Medicaid and report to identify members who are or… more
    Elevance Health (09/11/24)
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  • 340B Pharmacy Compliance Specialist

    University of Virginia (Charlottesville, VA)
    The 340B Pharmacy Compliance Specialist provides support for the UVA Health's 340B Programs. This program consists of 3 DSH, 10 entity-owned retail pharmacies, and a ... and data reporting to identify process improvements. The 340B Pharmacy Compliance Specialist serves as a liaison between UVA Health's covered entities and 340B… more
    University of Virginia (07/06/24)
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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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  • Executive Director Specialist RN

    Gentiva (Fairfax, VA)
    …in people's lives every day. **Overview** We are looking for an **Executive Director Specialist RN** traveling to many of our offices throughout our East Region as a ... a minimum of 75% of the time throughout the region + Experience with Medicaid and Medicare reimbursement + Experience in health care sales and/or management with P&L… more
    Gentiva (09/05/24)
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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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  • Enrollment Specialist - Virginia

    Public Partnerships LLC (VA)
    …and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and ... services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services. Our… more
    Public Partnerships LLC (09/12/24)
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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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