Eligibility and Financial Determination Specialist
4 days ago
We are seeking a highly skilled Eligibility and Financial Determination Specialist to join our team at InnovAge. In this role, you will be responsible for overseeing the Medicaid applications submitted on behalf of our participants to the County Technicians.
Key Responsibilities- Review applications from the Enrollment Representative Group and work closely with them to obtain necessary documentation for Medicaid approval.
- Develop and maintain a tracking system to monitor applications received and their status from first submission to approval.
- Ensure compliance with all State Medicaid Rules and Regulations, staying up-to-date on updates to Federal and State rules and regulations.
- Collaborate with Accounts Receivable and the Medicaid Controller/Analyst to track Medicaid issues with IGCP participants on a monthly basis.
- Work with Enrollment Representatives to troubleshoot difficult cases and provide guidance on eligibility and classification issues.
- 3+ years of related experience
- 1+ year of experience with CBMS Medicaid systems and knowledge of Medicaid system and benefits
- High School diploma or GED
- Valid state-issued driver's license, personal transportation, good driving record, and auto insurance
- Bachelor's Degree
InnovAge is dedicated to empowering seniors to live independently and age in their own homes and communities safely. We offer an alternative to nursing homes through our Program of All-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized healthcare and social support at PACE Adult Day Health Centers.
We are committed to equal opportunity and affirmative action, and we strive to create a diverse and inclusive workplace. Our benefits package includes medical/dental/vision insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays.
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Financial Record Specialist
13 hours ago
Philadelphia, Pennsylvania, United States Hohn and Scheuerle Full timeJob OverviewWe are seeking a skilled Financial Record Specialist to join our team at Hohn and Scheuerle. As a key member of our accounting department, you will be responsible for preparing and examining financial records to ensure accuracy and compliance.Key Responsibilities:Prepare and record financial transactionsProvide data for accounting recordsPerform...
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Financial Operations Specialist
1 month ago
Philadelphia, Pennsylvania, United States Axcelus Financial Full timeAccounting Associate RoleAt Axcelus Financial, we are seeking a highly skilled and detail-oriented Accounting Associate to join our team. This role will be responsible for supporting various general accounting, treasury, and financial reporting duties associated with Axcelus Financial and its affiliate entities.Key Responsibilities:Monitor and maintain daily...
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Financial Crimes Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Collabera Full timeJob Title: Financial Crimes SpecialistCollabera is seeking a skilled Financial Crimes Specialist to join our team. As a Financial Crimes Specialist, you will be responsible for participating in low to moderately complex initiatives and identifying opportunities for process improvements within Financial Crimes.Key Responsibilities:Review and analyze basic or...
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Financial Crimes Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Collabera Full timeJob Title: Financial Crimes SpecialistCollabera is seeking a skilled Financial Crimes Specialist to join our team. As a Financial Crimes Specialist, you will play a critical role in identifying and mitigating financial crimes risks.Job Summary:The Financial Crimes Specialist will be responsible for participating in low to moderately complex initiatives and...
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Financial Crimes Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Collabera Full timeJob Title: Financial Crimes SpecialistCollabera is seeking a skilled Financial Crimes Specialist to join our team. As a Financial Crimes Specialist, you will play a critical role in identifying and mitigating financial crimes risks.Job Summary:The Financial Crimes Specialist will be responsible for participating in low to moderately complex initiatives and...
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Financial Crimes Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Randstad Full timeFinancial Crimes Specialist Job DescriptionRandstad Strategic Accounts is seeking a skilled business professional with expertise in the banking industry to fill a contract position with a top-tier bank. This role offers the opportunity to contribute to driving personal and organizational goals in a dynamic team environment.Key Responsibilities:Participate in...
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Financial Crimes Specialist
4 days ago
Philadelphia, Pennsylvania, United States Randstad Full timeFinancial Crimes Specialist Job DescriptionRandstad Strategic Accounts is seeking a skilled business professional with expertise in the banking industry to fill a contract position with a top-tier bank. This role offers the opportunity to contribute to driving both personal and organizational goals.Key Responsibilities:Participate in initiatives to identify...
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Financial and IT Specialist
37 minutes ago
Philadelphia, Pennsylvania, United States Temple University Full timeJob Summary:The IT Financial Support Specialist will assist with the financial management of the Office of Telecommunications and ITS by being the primary processor for all bills, invoices and encumbrances related to the operations of Telecommunications and other IT related services.Responsibilities include monitoring and reconciling operating and capital...
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Financial Crimes Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Collabera Full timeFinancial Crimes SpecialistCollabera is seeking a skilled Financial Crimes Specialist to join our team. As a Financial Crimes Specialist, you will be responsible for handling low to moderately complex financial crime investigations and identifying process improvements.Key Responsibilities:Participate in financial crime initiatives to identify and mitigate...
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Financial Crimes Specialist
4 days ago
Philadelphia, Pennsylvania, United States Dexian DISYS Full timeJob Title: Financial Crimes SpecialistDexian DISYS is seeking a highly skilled Financial Crimes Specialist to join our team. As a Financial Crimes Specialist, you will play a critical role in identifying and mitigating financial crimes, ensuring compliance with regulatory requirements, and providing expert advice to stakeholders.Key Responsibilities:Conduct...
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Financial Crimes Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Innova Solutions Full timeJob Title: Financial Crimes SpecialistInnova Solutions is seeking a highly skilled Financial Crimes Specialist to join our team. As a Financial Crimes Specialist, you will be responsible for reviewing and analyzing complex financial crimes challenges, contributing to the resolution of multi-faceted situations, and strategically collaborating with clients.Key...
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Financial Crimes Specialist
3 days ago
Philadelphia, Pennsylvania, United States Digital Intelligence Systems, LLC Full timeJob Title: Financial Crimes SpecialistWe are seeking a highly skilled Financial Crimes Specialist to join our team at Digital Intelligence Systems, LLC. This is a permanent position with a 6+ month contract, with the possibility of extension.Job Summary:The Financial Crimes Specialist will be responsible for reviewing and analyzing complex financial crimes...
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Consumer Loan Sales Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States OneMain Financial Full timeJob SummaryAs a Consumer Loan Sales Specialist at OneMain Financial, you will play a critical role in empowering customers by providing access to friendly, fast, and affordable financing for life's expenses. You will learn the lending and servicing business, allowing you to grow your career and develop new relationships with customers throughout the loan...
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Financial Crimes Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Randstad Full timeJob Title: Financial Crimes SpecialistRandstad Strategic Accounts is seeking a business professional with expertise in the banking industry to fill a contract position with a top-tier bank. This role offers the opportunity to contribute to driving both personal and organizational goals.Job Responsibilities:Participate in or provide support for low-complexity...
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Financial Crimes Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Randstad USA Full timeFinancial Crimes SpecialistAt Randstad USA, we are seeking a highly skilled Financial Crimes Specialist to join our team in downtown Philadelphia, PA or McLean, VA. As a key member of our Financial Crimes team, you will be responsible for participating in low to moderately complex initiatives and identifying opportunities for process improvements within...
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Financial Crimes Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Digital Intelligence Systems, LLC Full timeJob Title: Financial Crimes SpecialistAt Digital Intelligence Systems, LLC, we are seeking a highly skilled Financial Crimes Specialist to join our team. As a key member of our Financial Crimes Department, you will play a critical role in identifying and mitigating financial crimes risks.Job Summary:The Financial Crimes Specialist will be responsible for...
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Consumer Loan Sales Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States OneMain Financial Full timeJob Title: Consumer Loan Sales SpecialistAt OneMain Financial, we're committed to helping hardworking Americans achieve their financial goals. As a Consumer Loan Sales Specialist, you'll play a critical role in empowering customers to make informed financial decisions and achieve their goals.Responsibilities:Deliver exceptional customer service and build...
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Financial Crimes Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Collabera Full timeJob OverviewCollabera is seeking a skilled Financial Crimes Specialist to join our team. As a Financial Crimes Specialist, you will play a critical role in identifying and mitigating financial crimes risks within our organization.Key Responsibilities:Participate in initiatives to identify and mitigate financial crimes risksReview and analyze financial crimes...
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Financial Crimes Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Collabera Full timeFinancial Crimes SpecialistAbout the Role:This is an exciting opportunity to join our team as a Financial Crimes Specialist, where you will play a key role in handling low to moderately complex financial crime investigations and identifying process improvements.Key Responsibilities:• Participate in financial crime initiatives to prevent and detect...
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Financial Crimes Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Dexian - DISYS Full timeFinancial Crimes SpecialistDexian DISYS is seeking a skilled Financial Crimes Specialist to join our team. As a key member of our Financial Crimes Department, you will play a critical role in reviewing and analyzing complex financial crimes challenges.Key Responsibilities:Review and analyze complex financial crimes challenges that require in-depth evaluation...