Medicaid & LTSS Specialist (Remote, PST)
Optum
- Remote job
Optum is seeking a Medicaid Specialist to support the Medicaid program from Seattle, WA with flexibility for remote work. The role focuses on engaging with members and providers, analyzing data, and ensuring accurate reporting while adhering to PST hours. The ideal candidate will have 2+ years of Medicaid and LTSS experience, strong data entry skills, and proficiency in Excel/Word. Join a team dedicated to improving health outcomes and equity. #J-18808-Ljbffr Optum
$20 - $36 per hour
...Medicaid Specialist Optum is a global organization that delivers care, aided... ...Friday 8:00 am to 5:00 pm PST Location: Must reside in the... ...have the flexibility to work remotely* as you take on some tough challenges... ...of Medicaid and LTSS principles Data entry background...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to Friday- UnitedHealth Group is seeking a Medicaid Specialist to join Optum's growing team. This... ...role supports Medicaid operations, LTSS, and data reporting, with an... ...problem solving. The position allows remote work from Seattle while aligned to PST. The ideal candidate will have 2+...Remote job
$5,000 - $6,999 per month
Career Opportunities: Program Specialist (PFD LTSS Non-Medicaid and DFPS Rates) (20437) Posting ID 20437 -Posted - Health & Human Services Comm - SP26 DFPS Rate Setting - Business and Financial Operations - Eligible for Telework - c. $5000 - $6999 per month Join the Texas...Remote workFull timeContract workTemporary workPart timeWork at officeShift work2 days per week$21.16 - $38.37 per hour
...to apply for the Medicare Appeals & Grievances Specialist (PST Hours) role at Molina Healthcare . This position is remote and will be working Pacific Standard hours.... ...subrogation and eligibility criteria. Experience with Medicaid and Medicare claims denials and appeals...Remote workHourly payFull timeContract workWork experience placementWork at office- Gainwell Technologies is seeking a Provider Enrollment Specialist to support Nevada Medicaid enrollment remotely. The role involves reviewing enrollment, revalidation, and documentation, with outreach to providers to ensure complete submissions and timely approvals. The...Remote work
- ...A healthcare technology company is seeking a seasoned Revenue Cycle Specialist to manage Medicaid payer accounts and ensure timely reimbursement for healthcare services. This fully remote role involves critical tasks such as claim follow-up and denial resolution, making...Remote work
- ...To support Medicaid enrollment efforts, the part-time temporary Medicaid Eligibility Specialist will conduct eligibility assessments, communicate Medicaid regulations to members... ...redetermination processes while working remotely. Key responsibilities Conduct eligibility assessments...Remote workTemporary workPart time
$30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ..., CA. This role requires expertise in Medicaid and Medi-Cal operations, along with experience... ...program metrics. This position is remote and offers a pay range of $30-$45 per hour...Remote workHourly payContract work- ...Managing the Medicaid Extra Benefits Program, the full-time Medicaid Program Specialist will conduct market research, oversee marketing projects, and ensure compliance with SCDHHS requirements while working remotely within Columbia, South Carolina. Key responsibilities...Remote workFull timeWork at office
$725 per month
...Medicaid Specialist - Remote Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You'll earn more than a paycheck; you can find opportunities to grow your career through professional development...Remote workWork at office- Centauri Health Solutions in the United States is seeking a Remote Member Advocate to support Medicaid, MSP, and LIS enrollment by phone. You will verify sensitive personal and financial details and ensure 100% accurate enrollment while maintaining HIPAA compliance. The...Remote job
$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...Remote workHourly payWork at officeLocal areaMonday to FridayAfternoon shift$21.84 - $25 per hour
...Medicaid Eligibility Specialist II (Las Vegas, NV / Hybrid) Started in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing... ...Vegas, NV FreedomCare office 3 days a week and 2 days remote Monday through Friday 9AM to 6PM. Department &...Remote workTemporary workWork at officeMonday to Friday3 days per week- Sentara Health Plans is seeking a Care Coordinator for LTSS Waiver Members/Medicaid to work remotely in Northern Virginia (Fairfax, Springfield, Alexandria) with required in-person assessments and limited travel. The role focuses on case management for adult patients and...Remote job
- Sentara Health Plans is seeking a Care Coordinator for LTSS Waiver Members/Medicaid working remotely in Northern Virginia (Fairfax, Springfield, and Alexandria). The role includes case management and coordinating multidisciplinary care to support patients and families....Remote jobFull time
- Job Summary The Medicaid Specialist Field Staff is responsible for overseeing and executing the Medicaid application process for residents,... ...to Alden facilities and work on‑site Monday through Friday; remote work is not available for this role. Must be able to read,...Remote workWork at officeMonday to Friday
$70k - $73k
...Healthcare Finance Organization is Looking to a hybrid Lead Medicaid Enrollment Specialist! This Jobot Job is hosted by Joshua Tacke Are you a fit?... ...-287-5432 Why join us? National Healthcare Finance Org Remote Great benefits 401K with match Collaborative culture...Remote workTemporary workLocal areaRelocation packageShift work- Remote Bilingual Medicare & Medicaid Eligibility Specialist (Advocate) Virtual Job Description Posted Friday, July 24, 2026 at 4:00 AM Who We Are Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence...Remote jobMonday to Friday
- ...We are currently searching for a skilled professional to join a well-known client’s team in California as a TMF/Sr. TMF Specialist. This remote role will provide primary support to ensure inspection readiness of Trial Master Files (TMF). Your work will have a direct...Remote workLocal areaImmediate start
- ...Insight Global is seeking a fully remote Prior Authorization Specialist to support a Healthcare AI client. This... ...within Monday-Friday, 9am-8pm PST (can't work weekends) (must be available... ...types (commercial, Medicare Advantage, Medicaid managed care) • Hands-on experience...Remote workContract workPart timeMonday to FridayFlexible hoursShift workWeekend work
$19 - $23 per hour
...Intake Specialist (In-Office if Local / Remote if Non-Local) Our mission to change wound care and improve... ...verification Verify possible Medicaid coverage for every registration... ...through Friday; Either 7:30 am - 4:00 pm PST OR 10:00 am - 6:00 pm (occasional...Remote workHourly payFull timeLive inWork at officeLocal areaMonday to Friday- Health & Human Services Commission (HHSC) in Austin, TX seeks a Program Specialist VI to oversee cost reporting and rate-setting activities for non-Medicaid programs in the DFPS area. Under supervision, you develop, implement, and monitor cost reporting processes and reimbursement...Remote work
$5,521.16 - $6,779.25 per month
...Long-Term Services and Supports Policy division of the Health & Human Services Commission invites you to apply for the LTSS Project & Program Specialist PSIV / Program Specialist IV role in Austin. This full-time position offers a salary between $5,521.16 and $6,779.25...Remote workFull time- Hyre Harper Co. is hiring a Remote Clinical Documentation Improvement (CDI) Specialist to support their CDI program. This role requires proficiency in EPIC electronic health records and at least 2 years of CDI experience. Responsibilities include reviewing medical records...Remote jobFlexible hours
$26 - $30 per hour
...an experienced Revenue Cycle AR Specialist to join our team. MeBe provides... ...balances. This is a fully remote position and candidates must reside in the MST or PST time zones. About You: You take... ...working with Commercial, Medi‑Cal/Medicaid, and managed care payers...Remote workHourly payPermanent employmentTemporary workLocal area$24.91 - $40.07 per hour
Sentara Health Plans is hiring a Care Coordinator for LTSS Waiver Members/Medicaid - Remote in Northern Virginia (Fairfax, Springfield, and Alexandria... ...network features a robust provider network, including specialists, primary care physicians, and hospitals. We offer...Remote jobHourly payPermanent employmentFull timeTemporary workShift work- ...mental illness. We’re expanding our team and looking for a Medicaid Waiver Specialist (Screener) who is passionate about helping others navigate... ...training, and after 2–3 months on‐site, you’ll transition to a remote schedule. What You’ll Do ~ Conduct detailed screenings...Remote workFull timeTemporary workMonday to Friday
$25 - $26 per hour
...Health & Hospice Prior Authorization Specialist Puget Sound Home Health & Hospice is... ...delays. $25$26/hour, DOE | Full-Time | Remote | Working PST Health: Medical, dental & vision,... ...documentation Verify Medicare and Medicaid eligibility using UGS/DDE and EDS Enter...Remote workFull timeWork at office$25k
...Transition/Custodial Prevention Specialist, you will work one-on-one... ...Long Term Services and Support (LTSS), with a focus on addressing... ...members in maintaining Medicaid eligibility. Assist with entry... ...information. Travel: While this is a remote position, occasional travel...Remote workFull timeTemporary workApprenticeshipWork at officeHome officeMonday to Friday- ...services or human services background to join our team. This is a remote position, where you will partner with people in your community... ...and get the most out of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people with disabilities...Remote workWork at officeLocal areaWork from home
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