Description : SUMMARY: Medicaid Appeals Specialist will be responsible for preparing and submitting appeals... specific to Medicaid payers utilizing evidence and documentation for EPSDT appeals. QUALIFICATIONS: Education: High...
thorough knowledge of the Uniformed Bill, Medicaid and Managed Medicaid billing, secondary deductible/coinsurance billing... understanding of Medicaid eligibility, benefits, determining primary payer, and covered benefits. Responsibilities: Monitor...
The Project Director - Medicaid is responsible for leading and managing complex projects aimed at enhancing Medicaid... alignment with Medicaid program goals and regulations. Identify and assess project risks and develop mitigation strategies...
thorough knowledge of the Uniformed Bill, Medicaid and Managed Medicaid billing, secondary deductible/coinsurance billing... understanding of Medicaid eligibility, benefits, determining primary payer, and covered benefits. Responsibilities Monitor...
Summary MACPAC, a non-partisan legislative branch agency that advises the U.S. Congress on Medicaid and CHIP policy... issues, is seeking a Medicaid Payment and Financing Principal Analyst. Overview Accepting applications Open...
work environment Role You will Play The Associate Actuary will provide Medicaid Actuarial consulting/ services... remote work environment. Background Profile Strong experience working in Medicaid or a Value-base Care ecosystem 5...
Become a part of our caring community and help us put health first The Director, Actuarial of Medicaid Pricing... Director, Actuarial of Medicaid Pricing may be responsible for any combination of valuation, pricing, analytics, forecasting...
for capture growth opportunities. This role will work horizontally across the organization, coordinating with Medicaid... model blueprints for viable Medicaid health plans that meet the needs of state clients and populations served in target...
Operations Coordinator/Administrative Assistant – Medicare/Medicaid Programs Dallas, TX @Orchard LLC is retained..., Access, PowerPoint, Word and Outlook. Working knowledge of Medicare and/or Medicaid protocols for Fraud and Abuse...
Operations Coordinator/Administrative Assistant - Medicare/Medicaid Programs Dallas, TX @Orchard LLC is retained..., Access, PowerPoint, Word and Outlook. Working knowledge of Medicare and/or Medicaid protocols for Fraud and Abuse...