Senior Medicaid Enrollment & Data Integrity Specialist
HealthEdge
HealthEdge is hiring a Senior Enrollment Specialist to ensure accurate enrollment, billing, and maintenance of member data across CMS transactions. You will research discrepancies, build case files for CMS resolution, and maintain eligibility requirements. The role also involves mentoring juniors and collaborating on client projects. The position supports remote US work and requires 5+ years in Medicare enrollment processing, with familiarity of Medicare Advantage and CMS systems. #J-18808-Ljbffr HealthEdge
$50k - $56k
...growth. UST HealthProof is looking for a Senior Enrollment Specialist, reporting to the Enrollment Manager.... ...billing and maintenance of member data by researching and resolving... ...transactions Be responsible to review Medicaid eligibility and complete verification...SeniorPermanent employmentFull timeFor contractorsWork at officeRemote work$90k - $125k
...success stories. Position Summary Reporting to the Senior Director of Finance, this role is responsible for... ...reporting functions. The position balances report development, data governance, multi-system integration, and advanced financial analytics to support strategic...SeniorBi-weekly payContract workLocal area$145k - $200k
...Mathematica Inc. is looking for a Senior or Principal Researcher with extensive experience in Medicaid and CHIP programs. The role demands a deep understanding of health policy and proven leadership in project development. The successful candidate will oversee multidisciplinary...Senior$69.4k - $99.2k
...skills and capabilities. Summary As a Senior Business Operations Analyst - CEV/Medicaid/SNAP at Gainwell supports... ...supporting delivery teams through data analysis, workflow evaluation, operational... ...eligibility, verification, enrollment, operations, or related operational...SeniorFull timeWork experience placementRemote workFlexible hours$115k - $130k
...achieves optimal outcomes. UHF’s Medicaid Institute works to achieve... ...Position Summary The Senior Policy and Analytics Manager... ...expertise in health policy, strong data analysis and research skills,... ..., such as eligibility and enrollment, managed care, value-based...Senior- BerryDunn’s Health Analytics Practice Group is seeking a Senior Consulting Actuary to apply actuarial expertise to Medicaid policy, financing, and program evaluation. You will conduct analyses, build models, and translate complex findings into actionable recommendations...SeniorRemote jobFlexible hours
- Cotiviti is seeking a Senior Product Manager to serve as the liaison between business stakeholders and engineering. This role involves owning the product development lifecycle for healthcare enrollment, from requirements gathering to post-launch maintenance. The ideal candidate...SeniorRemote job
- Humana is seeking a Senior Product Owner to convey the Medicaid product vision and roadmap to an Agile delivery team by defining user stories and prioritizing... ...through moderately complex to complex challenges with data-driven decisions and close collaboration with Medicaid...SeniorRemote job
- New York City Department of Education is hiring a Senior Director of Forecasting and Strategic Initiatives in the Office of Student Enrollment (OSE) to lead systemwide enrollment projections, capacity planning, and policy implementation. The role directs major research...SeniorWork at office
- Humana is seeking a Senior Product Owner to articulate the Medicaid product vision and roadmap to an Agile delivery team by defining user stories and prioritizing the backlog. You will drive the backlog, coordinate with stakeholders, and ensure incremental value is delivered...SeniorRemote job
- A client-focused company is seeking a Remote Senior Enrollment Coordinator to lead and support a dedicated team in ensuring successful provider enrollment with insurance carriers. This role requires over 4 years of knowledge in payor enrollment and excellent communication...SeniorRemote jobMonday to Friday
- ...specifically in Facets testing various modules including Member Enrollment and Eligibility, as well as Claim Processing. The ideal... ...-versed in Health Care regulations such as HIPPA, EDI, and x12 data formats. Note: USC, GC, GC_EAD, L2EAD, and H1B can apply for this...SeniorH1b
- ...Services is seeking a Clerical Associate IV to function as the Senior Processor of Medicaid Pay-In payments within the Cashiers Unit. You will manage... ..., oversee CardConnect credit card transactions, and handle data entry for Medicaid-related billing in the DARB system....Senior
- Humana Inc. seeks a Senior Quality Improvement Professional to lead Kentucky Medicaid quality performance initiatives and strengthen the Humana Healthy Horizons program... ...). Remote with periodic travel to Kentucky; strong data analytics required. #J-18808-Ljbffr HumanaSeniorRemote job
- Conduent is actively seeking a Senior Medicaid Technical Business Analyst Engineer to translate Medicaid policies and CMS regulations into scalable... ...are essential. The role emphasizes testing, UAT support, and data-driven insights to optimize operations and member outcomes #J...SeniorRemote job
- Supporting previously enrolled students through proactive outreach and re-enrollment planning, the full-time Senior Student Re-Enrollment Advisor will manage a caseload across multiple partner institutions, helping students navigate barriers to successful re-enrollment...SeniorFull timeRemote work
$43.89k - $62.46k
Ohio University is hiring a Senior Enrollment Advisor, Graduate Enrollment, OHIO Online. This role involves strategizing and coordinating initiatives to attract and enroll graduate students in OHIO Online programs, providing personalized guidance throughout the admission...SeniorFull timeWork at officeRemote workFlexible hours- Senior Vice President, Business Data ArchitectWe are seeking a Senior Vice President, Business Data Architect to turn our Reference Data strategy into... ...applicable plans then in effect, eligible employees may enroll in a 401(k) plan as well as participate in Company-...SeniorContract workWork experience placementWork at officeWorldwideFlexible hours
- ...DescriptionSenior Analytics Engineer OverviewThe Senior Analytics Engineer will lead enterprise-... ....Provide hands-on technical expertise in data modeling, statistical methodologies, and... ...professionals.Background in healthcare, Medicaid, or regulated industries is a plus....SeniorRemote work
- ...you, we disproportionately reward it. About the Role Reporting directly to our Credentialing Manager, the Credentialing / Enrollment Senior Associate will support all credentialing or payer enrollments operations at Nourish, including assisting with day-to-day tasks...SeniorFull timeContract workRemote workFlexible hours
- OverviewThis is a senior hands-on engineering role focused on building... ..., product leaders, data scientists, and engineers to... ...and third-party data sources.Integrating and operationalizing data from... ...effect, eligible employees may enroll in a 401(k) plan as well as participate...SeniorWorldwideFlexible hours
- ...team member for the role of Senior Director, AI Solution Architect... ...for AI engineering, platform integration, governance, and production... ...Veterans.BNY assesses market data to ensure a competitive compensation... ..., eligible employees may enroll in a 401(k) plan as well as...SeniorWork experience placementWorldwideFlexible hours
- ...extraordinary.We’re seeking a future team member for the role of Data Scientist to join our IT Asset Management team. This role is in... ...of the applicable plans then in effect, eligible employees may enroll in a 401(k) plan as well as participate in Company-sponsored medical...SeniorWork experience placementWorldwideFlexible hours
- ...establishing professional relationships, and expanding enrollment through outreach to seniors, disabled individuals, and healthcare facilities. The position... ...to communities and professionals and marketing to Medicaid/Medicare beneficiaries. #J-18808-Ljbffr Castle Rock...SeniorFlexible hours
$137.4k - $161.7k
...make an impact?West Monroe is seeking a Senior Data Engineer to join our Data & AI practice... ...solutions using AWS, Azure, and GCP, integrating cloud-native technologies with Databricks... ...life insurance. Employees are able to enroll in our company’s 401k plan, purchase shares...SeniorLocal areaImmediate startFlexible hours$138k - $208k
...and its partner surfaces. As a Senior Machine Learning Engineer on... ...daily basis, you will explore data to define problem statements,... ...insurance. Indeedians are able to enroll in our company’s 401k plan, as... ...company culture, forming an integral part of our vision for a better...SeniorWork experience placement$215.2k - $244.7k
...impact?West Monroe is seeking a Senior Architect to join our... ...with clients developing Big Data strategy and roadmaps, while... ...application owners to ensure integration with analytics platform and source... ...insurance. Employees are able to enroll in our company’s 401k plan,...SeniorLocal areaImmediate startFlexible hours$56 - $82 per hour
...Our client is seeking an experienced Senior Database Administrator to support enterprise... ...issues, blocking, deadlocks, and data-related incidents. Implement database... ...projects. Storage and infrastructure integration experience. Automation experience using...SeniorHourly payContract work- ...AdministratorStrong scripting experience using PerlAdditional Information** All your information will be kept confidential according to EEO guidelines.SummaryType: ContractFunction: Information TechnologyExperience level: Mid-Senior LevelIndustry: Information Technology And ServicesSenior
- ...best work, raise the bar of the team they join, and act like owners. Debate is open and direct. We let data settle arguments. THE ROLE We're looking for a Senior Data & Machine Learning Engineer who can independently own the matching stack end-to-end. You'll...Senior
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