• Medicaid Specialist

    National Health Care Associates (Marlborough, CT)
    …dedication is valued and appreciated. We invite you to join our team! **-** ** Medicaid Specialist ** **24 Hours Part Time** **Marlborough Health Care Center** The ... for booking and collecting estimated PPA on pending residents. Upon approval Medicaid Specialist will update census and payor tree. Bill all retro PPA changes… more
    National Health Care Associates (10/01/24)
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  • Correspondence Policy Specialist

    Evolent Health (Hartford, CT)
    …to providing better health outcomes._ **Collaboration Opportunities:** A Correspondence Policy Specialist on the Shared Services Correspondence team will be working ... Retirement Income Security Act of 1974 (ERISA), Centers for Medicare and Medicaid Services (CMS), and Company Policy across product lines and business segments.… more
    Evolent Health (11/06/24)
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  • Collections Specialist / PA Third Party…

    Hartford HealthCare (Farmington, CT)
    …to insure optimal revenue cycle performance. The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550 million in ... and monitoring of accounts receivables engagements with small balance, out of state Medicaid and credit vendors as needed. *Education* . Minimal: High school diploma… more
    Hartford HealthCare (10/01/24)
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  • Sr Resolution Specialist

    Prime Therapeutics (Hartford, CT)
    …passion and drives every decision we make. **Job Posting Title** Sr Resolution Specialist **Job Description** The Resolution Specialist Sr is responsible for ... of the contract negotiation process + Familiarity with Medicare Part D and Medicaid **Minimum Physical Job Requirements** + Constantly required to sit, use hands to… more
    Prime Therapeutics (11/06/24)
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  • Traveling Sales Specialist CT/MA/NH

    Brookdale Senior Living (Hartford, CT)
    …as one of America's Greatest Workplaces for Diversity Full Time Traveling Sales Specialist Supporting CT, MA & NH: Hartford, Boston & surrounding markets Brookdale. ... record of generating and closing qualified leads. As our Traveling Sales Specialist you'll partner you will be partnering with community Executive Directors and… more
    Brookdale Senior Living (11/01/24)
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  • Manager Rebate Pharmacy Operations

    Prime Therapeutics (Hartford, CT)
    …management. Enforces teamwork across all internal departments, as well as with Medicaid Clients, and an in-depth understanding of all rebate programs, trends, and ... state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each...department are achieved. + Works with Quality and Training specialist to refine and improve any processes that effect… more
    Prime Therapeutics (11/06/24)
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  • Senior Product Owner (SFMC Certified)

    Humana (Hartford, CT)
    …a Technical Senior Product Owner that is Salesforce Marketing Cloud Email Specialist certified to join the Marketing Regulatory and Operational Communications (MROC) ... _OR_ equivalent related experience + Salesforce Marketing Cloud (SFMC) Email Specialist certification + 4+ years of communications, marketing, product owner… more
    Humana (11/08/24)
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  • Registered Nurse Psych Authorization Part Time

    Elara Caring (Rocky Hill, CT)
    …is looking for a passionate **Registered Nurse** **Authorization & Eligibility Insurance Specialist ** to join our elite team of professionals and make a difference, ... full-time staff. What is Required? + High school diploma or equivalent, with Medicaid /Insurance Experience + Positive attitude + Dedication to quality patient care +… more
    Elara Caring (10/31/24)
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  • MDS - Nurse Assessment Coordinator (RN)

    National Health Care Associates (West Hartford, CT)
    …Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge of state ... federal regulations governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs of… more
    National Health Care Associates (10/30/24)
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  • Senior Payment Integrity Analyst

    HealthEdge Software Inc (Hartford, CT)
    **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… more
    HealthEdge Software Inc (11/06/24)
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  • Principal Enterprise Architect(remote virtual)

    Humana (Hartford, CT)
    …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 (11/04/24)
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  • Patient Health Advocate

    Somatus (Hartford, CT)
    …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 (10/16/24)
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  • Patient Health Advocate (TOC)

    Somatus (Hartford, CT)
    …Qualifications Required Education and Experience + Experience working with Medicare, Medicaid or Special Needs populations. + Medical Assistant, Licensed Practical ... Nurse, Engagement Specialist or Community Health Worker experience. + Effective written and verbal communication skills demonstrating respect and cultural awareness… more
    Somatus (09/18/24)
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  • MDS - Nurse Assessment Coordinator (LPN/RN)

    National Health Care Associates (Newtown, CT)
    …Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge of state ... federal regulations governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs of… more
    National Health Care Associates (11/09/24)
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