. Summary As a Medicaid Call Center Representative - Tucker, GA (Hybrid) at Gainwell, you can contribute your skills...
and technical development academies to help build your skills and capabilities. Summary As a Medicaid Drug Rebate Product... Advisor, you will play a critical role in designing and delivering high-quality, scalable Medicaid Drug Rebate applications...
w/ matchSuccessful candidates will have the following: Strong knowledge of Medicaid in PAPCC experienceSNF experienceAttention...
capabilities used to detect and prevent fraud, waste, and abuse (FWA) in the Medicare and Medicaid programs. This includes working... and Medicaid claims data using statistical and machine learning techniques. Developing generative AI–powered solutions and agent...
Performs all duties relating to the billing and follow up on all Medicare, Medicare Replacement Plans and Medicaid... Experience: 1. 2-3 years of Medicare/Medicaid billing experience...
. Job Description: This role serves as the organization's dedicated subject matter expert on Medicaid Waiver programs across all operating states.... As Medicaid regulations, reimbursement structures, and managed care environments continue to evolve rapidly, this specialist...
Medicaid Revenue Manager Assisted Living / Senior Living Position Summary The Medicaid Revenue Manager... is responsible for overseeing Medicaid revenue-cycle activities across the company’s Senior Living's multi-state portfolio...
within an assigned area of Wayne and/or Macomb Counties to conduct in-home visits with Medicare and Medicaid members within a 30- to 40...;and ensure compliance with state Medicaid, LTSS, HCBS waiver, and regulatory requirements. Use your skills to make an impact...
Research regulations and cite violations. Conduct self-directed research to uncover problems in Medicaid payments made..., and/or developing fraud cases Knowledge of Medicaid requirements, laws, rules and regulations related to payment for services billed...
, Medicaid Claims Review is responsible for leading a high-performing team focused on Medicaid claims quality, payment accuracy... and reduce rework across the enterprise. Responsible for overseeing a team that assesses Medicaid claims for accuracy...