Remote Medicaid Eligibility Audit Specialist
Analytica
- Remote job
Analytica is seeking a Medicaid Eligibility Auditor to support the State Medicaid Program Integrity Audit initiative, a federal oversight program strengthening Medicaid/CHIP integrity nationwide. The role emphasizes detailed eligibility reviews, policy adherence, risk identification, and collaboration with state Medicaid agencies. You will prepare audit findings and participate in continuous process improvement. #J-18808-Ljbffr Analytica
- Analytica is seeking a Medicaid Eligibility Auditor to support the State Medicaid Program Integrity Audit (SMPIA) initiative, a key federal oversight program focused on strengthening... ...candidate will excel in a collaborative, remote team environment and demonstrate strong...Remote workFor contractorsWork at officeLocal area
$91.04k - $136.56k
...thinking organization, apply now.We are currently seeking a Medicaid Eligibility SME to join our team in Nashville, Tennessee (US-TN), United... ...compensation for specific roles. The starting pay range for this remote role is $91,040 - $136,560. This range reflects the minimum...Remote workTemporary workWork at officeFlexible hours$13.5 - $14.5 per hour
...paid 15 min breaks This position is remote upon completion of 4 weeks of training on... ...programs the uninsured or underinsured may be eligible to receive. We are looking for self-... ...helps guide patients through the Medicaid process so the patient can focus on recovery...Remote workHourly payTemporary workWork at officeLocal areaImmediate startMonday to FridayDay shift$84k - $112k
Description: Clinical Audit Response Specialist Hybrid / Full Time / Portsmouth... .... * Support Medicare, Medicaid, commercial payer,... ...Portsmouth, NH. * Hybrid or remote work expectations may vary... ...This position may also be eligible for an annual bonus and restricted...Remote workFull timeWork at officeLocal area$40k - $45k
...Medicaid Eligibility Support Coordinator We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional... ...for an assigned group of nursing centers. Duties in this remote role include gathering documents, submitting applications,...Remote workTemporary workWork at officeImmediate start- ...Centauri Health Solutions is seeking empathetic Medicare/Medicaid Eligibility Specialists to support members remotely, guiding them through benefits and enrollment with care. You will verify Medicaid, LIS, and MSP eligibility, gather required information, and document...Remote work
$78.8k - $145.13k
Milliman’s Medicaid Finance and Policy Practice is seeking... ...in accounting, audit, financial analysis, healthcare... ....LocationThis is a remote position. Candidates... ..., transportation, and eligible medical expenses.Paid... ..., technology specialists to plan administrators...Remote workFull timeTemporary workWork experience placementWork at officeWorldwideFlexible hours$19 - $23 per hour
...Medicaid Eligibility Representative Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician... ...~1 year of previous call center experience (In-office or Remote) ~ High School Diploma/GED ~ Experience with electronic health...Remote workHourly payWork at officeLocal areaMonday to FridayAfternoon shift$20 - $23 per hour
...Medicaid Eligibility Specialist II (Las Vegas, NV / Hybrid) FreedomCare is a Healthcare company that is innovating and revolutionizing the way... ...Las Vegas, NV FreedomCare office 3 days a week and 2 days remote Monday through Friday 9AM to 6PM. Department & Position...Remote workTemporary workWork at officeMonday to Friday3 days per week$66k - $106k
...with us. Job Posting Title Client Audit Specialist (PBM) - Remote Job Description As a member of... ...regulated environment Must be eligible to work in the United States without... ...regulatory compliance for Medicare/Medicaid/Commercial or ACA drug benefit Project...Remote workFull timeContract workWork experience placementWork at officeLocal areaVisa sponsorshipWork visa- ...QualificationsDesired Qualifications For Audit Coordination Specialist [DOE0072071] (DOE0072071) Candidates:... ...Office (HFO) facilities (with some remote support as approved by the... ...help you save for your retirement for eligible employees. A range of investment options...Remote workFull timeTemporary workFor contractorsFor subcontractorWork at officeFlexible hours
- ...YouTube. Job Description This is a remote position with up to 50% domestic travel... ...anywhere in the United States. The National Medicaid team strategically develops and executes... .../dental/vision insurance and 401(k) to eligible employees. This job is eligible to...Remote workFull timeContract workLocal area
- ...Programs (OHIP) is to optimize the health of Medicaid members by wisely using all available... ...of Health (NYSOH) system, the Medicaid Eligibility and Client Management (MECM) system,... ...roles, from Technical Architects and Specialists to Developers, Project Managers, Analysts...Remote workFull timeWork at officeLocal areaFlexible hoursShift work
- ...at .Job DescriptionProSidian Seeks a Audit Coordination Specialist [DOE0042041] for Program Support on a... ...Address (Subject to Change or Working Remotely): 2440 Stevens Center Place, H520... ...help you save for your retirement for eligible employees. A range of investment options...Remote workFull timeContract workTemporary workFor contractorsFor subcontractorWork at officeFlexible hours
- ...DescriptionProSidian Seeks a Assurance & Audit Specialist | Compliance / Risk / Regulatory: Risk,... ...1099 Contract: No Overtime Pay Basis Remote (within USA - W/ On-Site Meetings Expected... ...partners with providers to offer eligible employees a range of medical and dental...Remote workFull timeContract workTemporary workFor contractorsWork at officeFlexible hours
$27 - $40 per hour
...ensuring accuracy, compliance, and operational excellence. The Audit Specialist is responsible for completing payer audits and supporting... ...and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group...Remote workHourly payWork at officeLocal areaWork from home$35 - $45 per hour
...We're Looking For: As an Inpatient Auditing Specialist, you will be instrumental in addressing... ...for customer issues. This role is fully remote with a flexible schedule, allowing you... ...conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant...Remote workHourly payReliefFlexible hours$105k - $180k
Location: All locations in the United StatesWork Arrangement: Remote, Hybrid, or In-office A Day in the LifeA typical day as a Wealth Transition Services Tax Manager might include the following:Advising and consulting on the estate planning process to create plans based...Remote workWork at officeLocal areaVisa sponsorship$110.2k - $122.3k
...Patient Financial Services, the Revenue Protection Specialist is responsible for managing and responding to external audits from government and commercial insurance... ...billing and follow-up required. ~ Medicare and Medicaid experience required. ~ Registered Nurse (RN)...Remote work$55k - $75k
...This role involves performing both remote and on-site audits across the USA, working closely with... .... The Vendor Compliance & Escalation Specialist focuses on audit execution and compliance... ...benefits that an individual may be eligible for. The base pay offered is dependent...Remote workContract workVisa sponsorship$91.7k - $163.7k
...Growing together.The Operations Manager, Medicaid Account Management will be responsible... ..., you will have the flexibility to work remotely* as you take on some tough challenges.Primary... ...in the Optum systemsUnderstands the eligibility and pharmacy claims adjudication processMonitor...Remote workMinimum wageFull timeContract workWork experience placementWork at officeLocal area- .... Job Description Responsible for auditing coded inpatient or outpatient medical records... .... Holds educational sessions for coding specialists, documentation specialists, and... ...Shift: Primarily for office workers - not eligible for shift differential Disclaimer: This...Remote jobInternshipWork at officeShift work
- ...Texas Health and Human Services Commission (HHSC) seeks an Eligibility Advisor I for a temporary role in Victoria, TX. The position supports AES in determining eligibility for SNAP, TANF, and Medicaid, with telework eligibility and a daytime schedule. The role ends 08/...Remote workTemporary work
$140k - $220k
...enabling human life on Mars.IT INTERNAL AUDIT MANAGER SpaceX is seeking an IT Internal... ...requires being onsite full-time - hybrid and remote work will not be consideredWillingness to... ...package at SpaceX. You may also be eligible for long-term incentives, in the form of...Remote workPermanent employmentFull timeTemporary workWeekend work$87.7k - $157.8k
...have the flexibility to work remote from home anywhere in the United... ...leading the state HEDIS audit and regulatory submission portfolio... ...of HEDIS, NCQA requirements, Medicaid quality reporting, and... ...Benefits may be subject to program eligibility. Centene is an equal...Remote workFull timePart timeH1bWork at officeWork from homeFlexible hours$70k - $80k
...indirect supervision, the Coding Compliance Audit/Education Specialist audits medical records for compliance... ...programs). This role is also eligible for an annual bonus targeted at 10%.... ...guidelines. Technical Requirements (for remote workers only, not applicable for...Remote workFull timeWork at officeLocal areaWork from homeHome office$180.2k - $355.1k
...consulting services to public sector clientsLead engagements focused on Medicaid reimbursement, including actuarial rate development across... ...of the current range is $180,200 to $355,100.You may also be eligible to participate in a discretionary annual incentive program,...Local area$124.5k - $214.6k
...S. Government Top Secret (TS) security clearance and be actively utilizing the clearance in their current role.Candidates must be eligible for access to Sensitive Compartmented Information (SCI).An active TS clearance with a current Polygraph satisfies the SCI-eligible...Ongoing contractContract workFor subcontractorLocal area- ...State & Local Tax Senior Associate Income / Franchise Focus Remote Eligible Denver, CO / Des Moines, IA / Fargo, ND / Minneapolis, MN /... ..., including tax planning, restructuring, due diligence, audit defense, audit management, taxability research, writing and correspondence...Remote jobWork at officeLocal area
$108k - $133k
...Some positions at Novogradac may be open to remote or hybrid work arrangements depending on... ..., Property Compliance, Nonprofit, Single Audit, Uniform Guidance, A-133, Forecasting,... ...-sharingDiscretionary annual bonuses for eligible positions & CPA bonus planStrong emphasis...Remote workWork experience placementWork at officeFlexible hoursShift workWeekend workAfternoon shift
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