Remote Medicaid Provider Relations Specialist
Gainwell Technologies
Gainwell Technologies is looking for a Professional Field Representative for a remote role in Wisconsin. This position involves serving as a liaison for Wisconsin Medicaid providers, focusing on education, issue resolution, and operational support. The ideal candidate will have at least 2 years of experience in healthcare programs and strong communication skills. The role offers flexible hours and opportunities for career development within a supportive environment. #J-18808-Ljbffr
- ...Conduent is seeking a Transaction Processor Associate to join their Provider Enrollment Team. This role involves processing Medicaid provider applications with a flexible work schedule that suits your needs. The ideal candidate should have a high school diploma, strong...Remote workFlexible hours
- ...A healthcare company is seeking a skilled Appeals Processor III to work remotely in the United States. This role involves reviewing and processing healthcare appeals related to Medicaid or Medicare coverage decisions. The ideal candidate will have at least 2 years of experience...Remote work
$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- ...PointCare, LLC is seeking dedicated professionals for a full-time remote position focused on healthcare outreach. As part of our... ...Outreach Services team, you will assist patients in navigating the Medicaid enrollment process. Ideal candidates are fluent in both English...Remote workFull time
- ...Description JOB DESCRIPTION Job Summary Provides support for claims activities including... ...by the Centers for Medicare and Medicaid Services (CMS). Essential Job Duties... ...complaints from Molina members, providers, and related outside agencies to ensure that internal...Remote workContract workWork at office
$55 per hour
...Actalent is seeking a Remote Pharmacist responsible for reviewing Medicaid members' Utilization Management requests, determining the approval or denial of prior authorizations, and engaging with providers. The role demands a PharmD or Bachelor's degree in Pharmacy, a...Remote work$60.2k - $107.4k
Optum is seeking a Provider Engagement Representative who will be responsible for managing business relationships with Skilled Nursing Facilities for the Michigan Medicaid program. This role includes conducting both in-person and virtual meetings to ensure effective communication...Remote job- ...solutions company is seeking a Claims Recovery Specialist in Albany, NY. This role involves managing a high-volume caseload related to Medicaid beneficiaries, ensuring compliance with... ...Office. The position is primarily remote with occasional in-office meetings, offering...Remote jobWork at office
$75k - $85k
...Group is seeking an experienced accountant to prepare and review Medicaid cost reports while ensuring compliance with regulations. This... ...communicating effectively with clients. This position is fully remote, offering a salary range of $75,000 to $85,000. #J-18808-Ljbffr...Remote job$75k - $85k
...Raleigh, NC, is looking for an accountant to prepare and analyze Medicaid cost reports. Candidates should possess a Bachelor’s degree in... .... Compensation ranges from $75,000 to $85,000, and the position allows for remote work. #J-18808-Ljbffr Public Consulting GroupRemote job- Public Consulting Group in Albany, NY, is seeking an Accounting Specialist to prepare and analyze Medicaid cost reports while ensuring compliance with regulations. You will facilitate client communication and support external audits. The ideal candidate holds a Bachelor...Remote job
$75k - $85k
Public Consulting Group is seeking a professional for Medicaid cost reporting and financial analysis. Responsibilities include ensuring... ...Accounting with a minimum of 2-4 years of experience. The position is remote and offers a compensation range of $75,000 - $85,000, along...Remote job$75k - $85k
...Group in Boise, ID, seeks a professional for Medicaid cost reporting and financial analysis.... ...a Bachelor's Degree in Accounting or related field and at least 2-4 years of accounting... ...competitive salary range of $75,000 - $85,000 and remote working conditions. #J-18808-Ljbffr...Remote job$75k - $85k
Public Consulting Group in Austin, TX, seeks a Financial Analyst to manage and prepare Medicaid cost reports. The ideal candidate will analyze revenues and expenditures, ensuring compliance with all relevant regulations. This role requires a Bachelor's degree in Accounting...Remote job- AbsoluteCARE Medical Center & Pharmacy seeks an Enrollment and Eligibility Specialist to provide support on member eligibility and retention. Ideal candidates will have experience with Ohio's Medicaid and Medicare systems, possess good communication skills, and be...Remote jobWork at office
$18.46 per hour
...Representatives to assist Virginia residents with Medicaid, SNAP, and TANF services. This fully remote position requires candidates to be fluent in both English... ...applicants through application processes and providing high-quality customer service. The position offers...Remote jobHome office$19 - $23 per hour
Medicaid Eligibility Specialist (Onsite) - Atlanta Job Category: Non Exempt Requisition... ...all relevant regulations related to our involvement with... ...experience (In‑office or Remote) High School Diploma/GED... ...making skills Experience providing excellent customer service...Remote workHourly payFull timeWork at officeLocal areaAfternoon shift$54.3k - $119.34k
...Alliance for Career Enhancement in Louisville, KY is seeking an experienced individual for a full-time role focused on supporting Medicaid providers. The position involves maintaining relationships, resolving complex issues, and providing education on policies. Candidates...Full time$54.3k - $119.34k
...The ideal candidate will have at least 5 years of experience in healthcare and 3 years in Medicaid Managed Care. Responsibilities include maintaining relationships with providers, educating on compliance, and supporting operational needs. The position is full-time with...Full time$54.3k - $119.34k
...for Career Enhancement is hiring for a full-time role involving extensive interaction with providers in Kentucky. The role includes maintaining relationships, educating Medicaid providers on compliance, and assisting with operational activities. Qualified applicants must...Full time$54.3k - $119.34k
Capacity Path is seeking an individual contributor to manage relationships with high-profile Medicaid providers in Florence, Kentucky. This role requires at least 5 years of healthcare experience, with specific focus on Medicaid Managed Care. Responsibilities include provider...$54.3k - $119.34k
Capacity Path is looking for an experienced individual contributor to maintain relationships with high profile Medicaid providers in Louisville, KY. The role involves optimizing provider interactions, educating Medicaid providers, and supporting operational activities....Full time$120k
Hybrid Remote Business Office Manager (NY Medicaid Specialist) Salary: $120,000 per year Benefits: Medical, Dental, Vision Insurance Life Insurance Disability Insurance 401K Paid Time Off Position Summary The Remote Business Office Manager is responsible for the end...Remote jobWork at officeLocal area$55k - $65k
...Carisk Partners, Inc. is seeking a Provider Relations Specialist to serve as a key liaison between the organization and the provider community. This role is crucial for expanding and strengthening the provider network to support injured workers in the Workers’ Compensation...Remote work- A major health care provider is seeking a Senior Provider Relations Representative for a remote role within WA, MO, or NC. This position focuses on resolving provider issues, enhancing provider relationships, and analyzing performance data. Ideal candidates should have...Remote work
- Partners-Health-Management seeks a PN Relations Cross Functional Account Specialist to support and enhance provider relationships within the Health Network. This remote position requires strong organizational skills and a minimum of four years of experience in managed...Remote work
- ...Provider Revalidation Specialist Location: Remote (Must reside in Massachusetts) Travel: Up to 25% for site visits within Massachusetts Job Summary We are... ...provider enrollment, network management, or provider relations in healthcare Intermediate proficiency with MS Excel...Remote work
- ...Job Title : Provider Relations Specialist Location : Remote Duration : 03+ months Education : Bachelor's degree or equivalent combination of education and relevant experience within the health care industry required Shift Details...Remote workShift work
$85k - $105k
...Provider Relations Specialist- TN Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating... ...for travel, events, or conferences Location ~ Remote based ~70-90% Travel within the assigned territory ~...Remote workPermanent employmentFull timeTemporary workImmediate startMonday to FridayWeekend workAfternoon shift$55k - $65k
...group health, casualty and auto markets. Role Overview The Provider Relations Specialist serves as a key liaison between Carisk Partners and the... ...state or local laws. The pay range for this role is: 55,000 - 65,000 USD per year (Remote (United States)) #J-18808-Ljbffr...Remote workTemporary workWork at officeLocal areaFlexible hours
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