with Medicare/DSNP/Medicaid populations and a commitment to building strong, supportive relationships. Excellent customer service...
families, caregivers, DSPs. Participate in annual ISP meetings and team reviews. Complete Medicaid-compliant documentation...
/Medicaid), AP, and restricted funds. Complete and validate Illinois DCFS CFR submissions. Lead audit readiness efforts... and serve as the primary liaison with external auditors. Reconcile Medicaid and behavioral health billing revenue streams...
, and analytics. EOHHS is the Commonwealth of Massachusetts agency responsible for administering the Medicaid and Children's Health...
Plan and/or Government Program implementations, including Medicaid, Medicare Part D, Managed Care, and Part B. This role... across Commercial, Medicaid, Medicare, and Exchange lines of business. Own implementation objectives for new PBM clients, ensuring...
with Medicare and Medicaid guidelines. These are contractor positions – which allow for flexibility in scheduling, at your own... of experience OR · NYS Certified Physician Assistant License · An active NYS Medicaid number · 2 years of prior experience...
prioritized DDS business functions, supports interoperability with DDS and Medicaid systems, and identifies integration...
enrollment and file maintenance for Medicaid programs. Process Description: Process to completion 100 percent of assigned...
for Medicaid recipients to determine if the service falls within the scope of coverage of the Medicaid Program and NYS Regulation... and represents the NYS Medicaid Prior Approval Department via telephone. Knowledgeable of NYCRR Title 10 and 18 regulations...
, technical specifications, test results and provide system documentation for new and revised processes. Assures Medicaid...