- New York State Civil Service (Hauppauge, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Medicaid Integrity Specialist 1 /Trainee 1 /Trainee 2 Financial Analysis (NY ... 11788 Duties Description Duties include:Reporting directly to an audit supervisor, the Medicaid Integrity Specialist 1 (Financial Analysis) prepares and… more
- New York State Civil Service (Albany, NY)
- …year or more of permanent or contingent-permanent competitive service, or 55 b/c service as a Medicaid Integrity Specialist 1 ; OR current New York State ... NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Administrative Specialist 1 /Trainee 1 /Trainee 2 (NY HELPS) Occupational Category… more
- Commonwealth Care Alliance (Boston, MA)
- …research, as necessary on all new and revised coding logic, related Medicare/ Medicaid policies for review/approval through the Payment Integrity governance ... the required certification OR willing to get certified within 1 year of employment - + Certified Professional Coder...Medicaid and Medicare) + Medical Coding, Compliance, Payment Integrity and Analytics + Direct and relevant experience with… more
- University of Rochester (Pittsford, NY)
- …equity considerations._ **Responsibilities:** GENERAL PURPOSE In addition to the duties of Medicaid Enrollment and Outreach Specialist (MEOS I), MEOS II supports ... that ideal are the values we share: equity, leadership, integrity , openness, respect, and accountability. Together, we will set...Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States… more
- University of Southern California (Alhambra, CA)
- As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various ... the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization...a subject matter expert for projects that impact revenue integrity and CDM. Subject matter expert to meet and/or… more
- HCA Healthcare (Richmond, VA)
- …you want to join an organization that invests in you as a Senior Revenue Integrity Clinical Charge Specialist ? At Parallon, you come first. HCA Healthcare has ... difference. We are looking for a dedicated Sr Revenue Integrity Clinical Charge Specialist like you to...required or Licensed Radiologic Technologist (ARRT) certification + Minimum 1 year healthcare experience in an acute care hospital… more
- MyFlorida (Tallahassee, FL)
- OPERATIONS REVIEW SPECIALIST - LW - 60060348 1 1 1 Date: Dec 22, 2025 The State Personnel System is an E-Verify employer. For more information click on ... 867320 Agency: Children and Families Working Title: OPERATIONS REVIEW SPECIALIST - LW - 60060348 1 ...Under the ESS Program, the Office of Public Benefits Integrity (OPBI) is responsible for investigating government assistance fraud… more
- Rush University Medical Center (Chicago, IL)
- …veteran status, and other legally protected characteristics. **Position** Admission Registration Specialist 1 - Radiology **Location** US:IL:Chicago **Req ID** ... **Work Type:** Full Time (Total FTE between 0.9 and 1 .0) **Shift:** Shift 1 **Work Schedule:** 8...the circumstances of each case. **Summary:** The Admissions Registration Specialist I is responsible for reviewing patient registration for… more
- MyFlorida (Orlando, FL)
- INVESTIGATION SPECIALIST I - 60060474 Date: Dec 15, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 858739 Agency: Children and Families Working Title: INVESTIGATION SPECIALIST I - 60060474 Pay Plan: Career Service Position Number: 60060474… more
- State of Minnesota (St. Paul, MN)
- …Title: Screening Specialist ** **Job Class: Human Services Program Representative 1 ** **Agency: Human Services Dept** + **Job ID** : 90828 + **Location** ... reenrolling Minnesota Health Care Program (MHCP) providers. The role of the Screening Specialist is to travel throughout the state to conduct screening activity for… more
- Louisiana Department of State Civil Service (LA)
- …Specialist Trainee - SER: $ 1 ,649.60 bi-weekly (Pay Level SS-411) Child Welfare Specialist 1 - SER: $ 1 ,764.80 bi-weekly (Pay Level SS-412) Child ... with dignity, compassion and respect, while providing services with integrity . Help make a difference and join our team...perform professional child welfare services. Differs from Child Welfare Specialist 1 by the absence of independence… more
- University of Washington (Seattle, WA)
- …insurance coverage and/or Financial Assistance + Refer uninsured patients for Medicaid /Financial eligibility screening + Prepare estimates of fees upon request from ... appropriate insurance opportunities + Complete applications which include Health Care Exchange, Medicaid , Medicaid Expansion, and Medicare Part D + Manage and… more
- Magellan Health Services (Albuquerque, NM)
- The Network Contract Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for ... Presbyterian Health Plan with Medicaid , Medicare, and Commercial lines of business. This role...updates, Letters of Direction, and other required modifications. The specialist will also ensure all contract updates are compliant… more
- State of Minnesota (St. Paul, MN)
- …Health Insurance Integrity and Accountability Division exists to assure that Medicaid is the payor of last resort in those cases where a third-party ... **Working Title: Tort Specialist ** **Job Class: Human Services Program Specialist...Central Office + **Division/Unit** : Health Care Administration / Integrity and Accountability - Tort Recovery + **Work Shift/Work… more
- HCA Healthcare (Nashville, TN)
- …codes (URC)/Hold Reasons + As needed, may periodically be asked to perform Coding Integrity Specialist II (CIS-II) duties + Periodically works with their Manager ... Submit your application for the opportunity below:Coding Account Resolution Specialist -OutpatientParallon **Benefits** Parallon offers a total rewards package that… more
- HCA Healthcare (Miami, FL)
- …as we do. We want you to apply! **Job Summary and Qualifications** Coding Integrity Specialist (CIS) III reviews and evaluates hospital inpatient medical record ... Submit your application for the opportunity below: Acute Care Inpatient Coding Specialist Parallon **Benefits** Parallon offers a total rewards package that supports… more
- MyFlorida (Pensacola, FL)
- HUMAN SERVICES PROGRAM SPECIALIST - 64027506 Date: Dec 20, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... No: 863508 Agency: Department of Health Working Title: HUMAN SERVICES PROGRAM SPECIALIST - 64027506 Pay Plan: Career Service Position Number: 64027506 Salary:… more
- Commonwealth Care Alliance (Boston, MA)
- …appropriateness, efficiency and quality of the services provided. The LTSS Program Specialist will have a wide range of responsibilities including project management ... and (e)assistance to these external partners as necessary. The Specialist is expected to work with managers and staff...checks, and additional data review steps, to ensure data integrity of member record to include accurate ASAP, LTSC… more
- HCA Healthcare (Brentwood, TN)
- …At HCA Healthcare, we are committed to caring for patients with purpose and integrity . We care like family! Jump-start your career as an Appeals Specialist ... by location._** Come join our team as an Appeals Specialist . We care for our community! Just last year,...taken on accounts. **What qualifications you will need:** + 1 year of related experience is required **Parallon** provides… more
- MyFlorida (Gainesville, FL)
- ELIGIBILITY SPECIALIST I - 60025538 Date: Nov 26, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 861308 Agency: Children and Families Working Title: ELIGIBILITY SPECIALIST I - 60025538 Pay Plan: Career Service Position Number: 60025538 Salary:… more