Medicaid Eligibility Reviewer Jobs in USA

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Medicaid Eligibility Reviewer

Date: 2023-12-01 (Cached)

Job Description: Perform fieldwork to gather information on adequacy of state Medicaid eligibility processes. Analytica is seeking a Medicaid Focused Reviewer to assist in the…

Company: Analytica
Hiring Organization: Analytica
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details




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Eligibility Policy Analyst

Date: 2023-12-01 (Cached)

Job Description: Provide essential technical assistance to state staff and eligibility reviewers, ensuring consistent policy application. Bachelor's degree or equivant;

Company: Empower AI Inc.
Hiring Organization: Empower AI Inc.
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Eligibility Review Manager

Date: 2023-12-01 (Cached)

Job Description: Strong working knowledge of state eligibility systems, state eligibility determination processes, and state eligibility policies;

Company: Empower AI Inc.
Hiring Organization: Empower AI Inc.
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Quality Control Reviewer #W0176

Date: 2023-12-01 (Cached)

Job Description: Good working knowledge of SNAP/Medicaid eligibility programs. Good working knowledge of eligibility requirements for the SNAP and Medicaid programs.

Company: Department of Social Services
Hiring Organization: Department of Social Services
Salary: TBD
Location: Abingdon, VA
Street Address: TBD

Locality: Abingdon, VA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



QUALITY CONTROL CASE REVIEWER

Date: 2023-12-01 (Cached)

Job Description: Possesses experience in auditing Medicaid cases and in identifying eligibility determination errors. \n-\tPossesses experience in auditing Medicaid cases and in…

Company: NYC Careers
Hiring Organization: NYC Careers
Salary: TBD
Location: Manhattan, NY 10048
Street Address: TBD

Locality: Manhattan, NY 10048
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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Medicaid Data Processing Reviewer (PERM)

Date: 2023-12-01 (Cached)

Job Description: Review and analyze multiple claim processing, eligibility enrollment, and provider enrollment systems. Candidates outside of the Omaha area are welcome to apply…

Company: Bland & Associates
Hiring Organization: Bland & Associates
Salary: TBD
Location: Omaha, NE 68114
Street Address: TBD

Locality: Omaha, NE 68114
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



CA PERT SR CASE REVIEWER

Date: 2023-12-01 (Cached)

Job Description: Conduct case reviews of applications for cash assistance, Medicaid, and /or Supplemental Nutrition Assistance Program (SNAP) benefits and cases recertified for…

Company: NYC Careers
Hiring Organization: NYC Careers
Salary: TBD
Location: Manhattan, NY 10048
Street Address: TBD

Locality: Manhattan, NY 10048
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Provider Audit Technical Reviewer

Date: 2023-12-01 (Cached)

Job Description: Some positions require compliance with (i) federal and agency specific regulations and related clauses included in Noridian prime contracts with the Government,…

Company: Noridian Healthcare Solutions
Hiring Organization: Noridian Healthcare Solutions
Salary: TBD
Location: Fargo, ND 58103
Street Address: TBD

Locality: Fargo, ND 58103
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Authorization Coordinator

Date: 2023-12-01 (Cached)

Job Description: Notifies members and providers of any additional instructions necessary once authorization approval has been obtained from the reviewers; answers questions and…

Company: Fallon Health
Hiring Organization: Fallon Health
Salary: TBD
Location: Worcester, MA 01608
Street Address: TBD

Locality: Worcester, MA 01608
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Licensed Psychologist, Peer Reviewer - Part time - Remote in CA

Date: 2023-12-01 (Cached)

Job Description: In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock…

Company: Optum
Hiring Organization: Optum
Salary: TBD
Location: San Diego, CA 92102
Street Address: TBD

Locality: San Diego, CA 92102
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Inpatient Appeals Audit Coder

Date: 2023-12-01 (Cached)

Job Description: This is a great positon for those wanting to move from production coding toward a coding quality reviewer role or for someone interested in hospital billing.

Company: Parallon
Hiring Organization: Parallon
Salary: TBD
Location: Nashville, TN 37203
Street Address: TBD

Locality: Nashville, TN 37203
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



CASE REVIEWER

Date: 2023-12-01 (Cached)

Job Description: Representatives, to determine eligibility for Medicaid. Assist consumers who need further assistance in understanding the eligibility criteria to qualify for.

Company: NYC Careers
Hiring Organization: NYC Careers
Salary: TBD
Location: Brooklyn, NY 11238
Street Address: TBD

Locality: Brooklyn, NY 11238
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



UM Service Coordinator - Acute and Post-Acute

Date: 2023-12-01 (Cached)

Job Description: Accepts authorization service requests and notifications for FCHP members, screens for member eligibility, additional active insurance coverage and…

Company: Fallon Health
Hiring Organization: Fallon Health
Salary: TBD
Location: Worcester, MA 01608
Street Address: TBD

Locality: Worcester, MA 01608
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Inpatient Coding Quality Auditor

Date: 2023-12-01 (Cached)

Job Description: Parallon, offers a total rewards package that supports the health, life, career, and retirement of our colleagues. Participates in special reviews or projects.

Company: Parallon
Hiring Organization: Parallon
Salary: TBD
Location: Nashville, TN 37203
Street Address: TBD

Locality: Nashville, TN 37203
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Claims Coordinator

Date: 2023-12-01 (Cached)

Job Description: Verify member eligibility, review, organize and confirm essential documentation is appropriate. Consult and assist supervisors, manager in coordinating,…

Company: 1199SEIU Benefit and Pension Funds
Hiring Organization: 1199SEIU Benefit and Pension Funds
Salary: TBD
Location: New York, NY
Street Address: TBD

Locality: New York, NY
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Senior Third Party Reviewer

Date: 2023-12-01 (Cached)

Job Description: Verifies patient insurance coverage with Third Party Payers and/or employers and determines eligibility by utilizing appropriate resources.

Company: Mass General Brigham
Hiring Organization: Mass General Brigham
Salary: TBD
Location: Somerville, MA 02145
Street Address: TBD

Locality: Somerville, MA 02145
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



AUDIT REVIEWER

Date: 2023-12-01 (Cached)

Job Description: This unit is responsible for the processing of Medicaid eligibility for consumers who receive services through one of the HCSP programs.

Company: NYC Careers
Hiring Organization: NYC Careers
Salary: TBD
Location: Brooklyn, NY 11238
Street Address: TBD

Locality: Brooklyn, NY 11238
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



SENIOR OUTPATIENT UTILIZATION REVIEW NURSE

Date: 2023-12-01 (Cached)

Job Description: Assures referrals are complete and enrollment/eligibility benefits verified, prior to authorizing inpatient and outpatient care.

Company: River City Medical Group
Hiring Organization: River City Medical Group
Salary: TBD
Location: Sacramento, CA 95831
Street Address: TBD

Locality: Sacramento, CA 95831
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Clinical Safety Specialist III

Date: 2023-12-01 (Cached)

Job Description: When requested, serve as a reviewer for the Institutional Biosafety Committee (IBC) and Institutional Review Board (IRB), establish and implement strategic…

Company: University of Texas at Austin
Hiring Organization: University of Texas at Austin
Salary: TBD
Location: Austin, TX 78701
Street Address: TBD

Locality: Austin, TX 78701
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Inpatient Coding Quality Auditor

Date: 2023-12-01 (Cached)

Job Description: Parallon, offers a total rewards package that supports the health, life, career, and retirement of our colleagues. Participates in special reviews or projects.

Company: Work from Home
Hiring Organization: Work from Home
Salary: TBD
Location: Nashville, TN 37203
Street Address: TBD

Locality: Nashville, TN 37203
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Health Information Technician 1

Date: 2023-12-01 (Cached)

Job Description: Length of eligibility period is dependent on union representation. Dental, vision, and basic life insurance premiums are free after completed eligibility period…

Company: State of Ohio Jobs
Hiring Organization: State of Ohio Jobs
Salary: TBD
Location: Northfield, OH 44067
Street Address: TBD

Locality: Northfield, OH 44067
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Inpatient Appeals Audit Coder

Date: 2023-12-01 (Cached)

Job Description: This is a great positon for those wanting to move from production coding toward a coding quality reviewer role or for someone interested in hospital billing.

Company: Work from Home
Hiring Organization: Work from Home
Salary: TBD
Location: Nashville, TN 37203
Street Address: TBD

Locality: Nashville, TN 37203
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Patient Billing and Claims Reviewer

Date: 2023-12-01 (Cached)

Job Description: The New England College of Optometry (NECO) prepares the next generation of eye care providers, educators, and innovators through a rigorous curriculum and…

Company: New England College of Optometry
Hiring Organization: New England College of Optometry
Salary: TBD
Location: Boston, MA 02215
Street Address: TBD

Locality: Boston, MA 02215
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



HYBRID - Health Care Facilities Surveyor Supervisor 1 - Regulatory Operations (PN 20014722)

Date: 2023-12-01 (Cached)

Job Description: Length of eligibility period is dependent on union representation. Dental, vision, and basic life insurance premiums are free after completed eligibility period…

Company: State of Ohio Jobs
Hiring Organization: State of Ohio Jobs
Salary: TBD
Location: Columbus, OH 43215
Street Address: TBD

Locality: Columbus, OH 43215
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



(Hybrid) Assistant Portfolio Director of Mental and Behavioral Health - Health Affairs Institute

Date: 2023-12-01 (Cached)

Job Description: 401(a) retirement savings with 6% employee contribution match, eligibility to continue health insurance, and other retiree perks. 18 sick days per year.

Company: Careers | West Virginia University
Hiring Organization: Careers | West Virginia University
Salary: TBD
Location: Morgantown, WV 26506
Street Address: TBD

Locality: Morgantown, WV 26506
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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Data as of 2023-12-01 (Cached) with id 34050. Database job listings: 1,214,315 jobs and growing. Find more jobs near me.

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