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  •  ...Medicaid Coordinator Position Summary: At the Long Island State Veterans Home, the Medicaid Coordinator is responsible for assisting with the admissions process and continued Medicaid coverage for all eligible residents through their stay at the Home. Duties... 
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    Stony Brook University

    Stony Brook, NY
    3 days ago
  •  ...Eligibility Coordinator Are you an Eligibility Specialist with Medicare and Medicaid experience looking to work for an amazing organization by serving others and connecting with your co-workers? Immanuel Pathways PACE is seeking an Eligibility Coordinator to work at... 
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    Immanuel

    Omaha, NE
    3 days ago
  •  ...Service (ACRS) seeks a full-time Admin-Gen, Client Retention Coordinator-Temporary in our Administrative Services department in Seattle...  ...navigation, and compliance support to reduce coverage loss under Medicaid timelines. The position coordinates with programs, partners,... 
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    Asian Counseling and Referral Service

    Seattle, WA
    5 days ago
  •  ...Job Description Job Description Position Goal / Function Under the direction of the Medicaid Services Manager, a Medicaid Waiver Coordinator serves as the agency’s specialist for Medicaid Waiver related services, authorizations, reimbursement integrity and compliance... 
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    Greene County Board of Developmental Disabilities

    Xenia, OH
    3 days ago
  • $134.6k - $230.8k

     ...and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. The Medicaid Program Integrity Leader is responsible for developing, implementing, and overseeing Optum's Medicaid program integrity strategies... 
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    UnitedHealth Group

    Eden Prairie, MN
    5 hours agonew
  • $100k - $115k

     ...Senior Consultant, Medicaid Practice Group BerryDunn is seeking a Senior Consultant to join our Medicaid Practice Group. As part of our consulting team focused on state Medicaid agency clients, you'll leverage your leadership and Medicaid program and policy skills... 
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    BerryDunn

    United States
    4 days ago
  • $92.7k - $167.5k

     ...Management, Quality Management, Project Oversight, Claims, Care Coordination) related to Long Term Care Services and Supports (LTSS)....  ...enhance the effectiveness, quality and LTSS objectives of the Medicaid program. This position will assist in the development (along with... 
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    Health Care Service Corporation

    Albuquerque, NM
    1 day ago
  •  ...Wisconsin Community Services  Forensic Coordinator - Waukesha and Milwaukee Counties Job Summary Provide ongoing service coordination...  ...disorders; psychotropic medications; entitlements such as Medicaid, SSI/SSDI, Medicare, and Veterans benefits. PHYSICAL... 
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    Wisconsin Community Services

    Waukesha, WI
    8 hours ago
  • $221.85k - $258.83k

     ...remote candidates may be considered based on business needs, with East Coast location preferred.As Director / Senior Director of Medicaid Revenue Optimization & Automation, you will lead the transformation of Medicaid rebate operations by leveraging advanced technology... 
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    Teva Pharmaceutical Industries

    Parsippany, NJ
    8 hours ago
  •  ...treatment lives. We are seeking a Utilization Review Coordinator to add to our dynamic team. The Utilization Review...  ...organizations or insurance companies Advanced knowledge of Medicare, Medicaid, and other payer-specific guidelines We're officially a Great... 
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    Part time
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    ADDICTION AND MENTAL

    United States
    2 days ago
  •  ...Schedule is Monday through Friday.** The Admin Operations Coordinator reflects the mission, vision, and values of NM, adheres to the...  ...insurance plans including HMO, PPO, POS, commercial, Medicare, and Medicaid. Solid understanding of patient flow in a medical office.... 
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    Northwestern Memorial Healthcare Corporation

    Remote
    1 day ago
  • $21.4 - $30.6 per hour

     ...High School diploma or equivalent preferred Patient Support Service experience, preferred Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred Knowledge of DME, MAC practices if preferred Clear... 
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    Cardinal Health

    Frankfort, KY
    8 hours ago
  •  ...We are looking for looking for a dynamic Utilization Review Coordinator to join our team! Monday - Friday 8A - 4:30P Brentwood...  ...Accreditation of Healthcare Organizations and certified by Medicare, Medicaid and TRICARE®. We provide psychiatric treatment for depression,... 
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    Universal Health Services

    Flowood, MS
    3 days ago
  • $64k

     ...Position Summary Salary $64,000 The UR and RCM Support Coordinator is responsible for securing and maintaining payer authorizations...  ..., initial, concurrent, and discharge reviews with commercial, Medicaid, and Medicaid managed care payers for residential SUD levels... 
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    Alsos Behavioral Health

    Aurora, CO
    3 days ago
  •  ...Clinical Nurse Coordinator – Remote We are seeking a clinically oriented Nurse Coordinator to support patient services and ensure that...  ...s approved hours and services being provided, as required for Medicaid compliance. Prepare and submit required reports to the... 
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    Exclusively Remote

    United States
    4 days ago
  •  ...Brentwood Hospital is looking for a dynamic Utilization Review Coordinator to join our team of professionals who are dedicated to...  ...treatment team Actively interprets managed care, Medicare, Medicaid polices and services as a resource for the treatment team... 
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    Universal Health Services

    Shreveport, LA
    4 days ago
  • $21.1 - $40.9 per hour

     ...Aetna Care Management Care Coordinator We're building a world of health around every individual — shaping a more connected, convenient...  ...Plan (DSNP) members, who are enrolled in both Medicare and Medicaid. As a member of the care team, you will collaborate with members... 
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    Avery Healthcare Group Ltd.

    United States
    2 days ago
  • $21.75 per hour

     ...and social services. Position Summary The Home Delivery Program Coordinator primarily supports the effective delivery of Nourishing Hope’s...  ...to mental wellness app Background Check Because we are a Medicaid provider all applicants who are offered employment with Nourishing... 
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    Full time
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    Cooperative Housing Corp

    Chicago, IL
    2 days ago
  •  ...Supporting Medicaid members in South Carolina, the full-time hourly Medicaid Call Center Representative will manage inquiries, provide information about member eligibility, and assist with Medicaid applications while working remotely within a 60-mile radius of Columbia... 
    Hourly pay
    Full time
    Remote work

    Virtual Vocations Inc

    United States
    2 days ago
  • $16 per hour

     ...Call Center Representative – Medicaid Member Support Location: Remote-South Carolina ( Must reside within a 60-mile radius of Columbia, SC ) $16.00 Hourly Join the Conduent Customer Service Team Interested in supporting Medicaid members in South Carolina? Conduent... 
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    Conduent

    Denver, CO
    2 days ago
  •  ...Case Management Coordinator Our client, a Retail Pharmacy company, is looking for a Case Management Coordinator for their Cutler Bay...  ...resources and supports. Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. Utilizes... 
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    ICONMA

    United States
    1 day ago
  • $19.43 - $21.86 per hour

     ...information to process prior authorizations and referrals and coordinates with providers to ensure consideration is given to unique treatment...  ...policies and procedures, state, federal and CMS (Medicare)/Medicaid regulations. Identifies problems and researches alternative... 
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    Afternoon shift

    Page Mechanical Group Inc

    Portland, OR
    2 days ago
  • $22.63 - $33.24 per hour

     ...Credentialing Coordinator II Facility Samaritan Health Services Location Corvallis, OR Schedule - Shift 1.0 (80 hrs/pp) - Day Department...  ...and meets the requirements of The Centers for Medicare and Medicaid and our accrediting bodies. Experience/Education/Qualifications... 
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    Aya Healthcare

    United States
    3 days ago
  • $19.25 - $31.74 per hour

     ...Minimum Offer $19.25 Maximum Offer $31.74 Now Hiring: Contracts Coordinator Summary The Contracts Coordinator is a critical in-person...  ...than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. We're Determined... 
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    0090 Presbyterian System Services

    Santa Fe, NM
    2 days ago
  • $34.76k - $36k

     ...Agency for Persons with Disabilities Working Title: INTAKE COORDINATOR - 67016253 Pay Plan: Career Service Position Number: 670...  ...documents such as birth certificates, social security cards, Medicaid numbers and collateral information submitted to APD Region Office... 
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    State of Florida

    Miami, FL
    2 days ago
  •  ...discrepancies. Export non AHCCS invoices and Submit AHCCS invoices to 3rd party for review. Enter required invoices into Texas Medicaid portal. Print Paper invoices. Create Unbilled billable report with explanation for each unbilled invoice. Check Emdeon... 
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    MGA Homecare

    United States
    3 days ago
  • $18 - $22 per hour

     ...Enrollment Coordinator Remote Role Compensation: $18 - $22 ABOUT THE ROLE Our Client is seeking an Enrollment Coordinator...  ...Epic, individual market enrollment, and knowledge of Medicare/Medicaid regulations are preferred. WHAT YOU'LL DO Process enrollment... 
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    Medasource

    Grand Rapids, MI
    3 days ago
  •  ...benefits In-depth knowledge of insurance plan requirements for Medicaid and commercial plans Minimum two to three years of...  ...patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow... 
    Full time
    Part time
    Relief
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    HOPCo | Healthcare Outcomes Performance Company

    Phoenix, AZ
    8 hours ago
  •  ...Credentialing Coordinator Location: Birmingham, AL Work Schedule: Hybrid - after a 5-6 month training period that will be completed...  ...VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly... 
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    VIVA Health

    Birmingham, AL
    2 days ago
  •  ...Position Summary: The Credentialing Coordinator is responsible for the timely and compliant re-credentialing (renewal) of physicians...  ...requirements, NCQA accreditation standards, Medicare and Medicaid guidelines, and Community Care Plan (CCP) Credentialing... 
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    CCP Cares

    Sunrise, FL
    16 hours ago