, appropriateness, compensability, and/or quality of care of services prescribed for and provided to Medicaid recipients. It will be the..., appropriateness, compensability, and quality of care of services prescribed for and provided to Medicaid recipients that includes the...
knowledge of Medicaid/Medical Assistance a plus, but not required) Role Description: Assist in the design and conduct...
, LCMHC, LP, LMFT, or associate licensure of these. Each clinician must be credentialed with NC Medicaid and other insurance...
: EOHHS is seeking to hire a Senior IT Security Analyst to join our team supporting our Medicaid Management Information System... applications, microservice architectures, serverless architectures, etc. Experience with Medicaid systems or in IT healthcare...
) Maintains current knowledge of Medicaid claim regulations and processes. May produce reports and keep management informed...
and coordination between Medicaid or other insurance plan and health providers. Ensure any urgent medication needs are resolved...
to complete goals. Adheres to all program guidelines, including Medicaid, DDS, etc. Provides habilitation training in life areas... request. Maintains daily Medicaid notes on each client, as applicable. Maintains daily DOL information for individuals who...
, reconciliations, and audit schedules. Contractual allowance calculations, third party reserves, Medicare/Medicaid/BCBS cost reports..., GME reimbursement, revenue budgets, maximum revenue opportunities within Medicare and Medicaid regulations and managed...
for Medicare & Medicaid Services (CMS) mandates. Manages project plans when implementing network-wide contract initiatives... & Medicaid Services (CMS) mandates. - Manages project plans when implementing network-wide contract initiatives. - Coordinates...
and procedures to optimize reimbursement from third party payers including Medicare, Medicaid Blue Cross and Managed Care companies... and contractual allowance analyses. Updates the Medicare and Medicaid reimbursement rates as directed. Coordinates and oversees the...