Medicaid Eligibility Trainer

Job SummaryWe are seeking a skilled Medicaid Eligibility Trainer to join our team at Conduent State Healthcare, LLC. As a Medicaid Eligibility Trainer, you will be responsible for conducting training classes for employees on the use of technology/software, internal policies and procedures, call center processes, and other content related to Medicaid data...

Job SummaryWe are seeking a skilled Medicaid Eligibility Trainer to join our team at Conduent State Healthcare, LLC. As a key member of our training team, you will be responsible for delivering high-quality training programs to our employees on Medicaid data entry and registration.Key ResponsibilitiesDevelop and deliver training classes on...

Job SummaryWe are seeking a highly skilled and experienced Medicaid Eligibility Training Specialist to join our team at Conduent State Healthcare, LLC. As a key member of our training team, you will be responsible for delivering high-quality training programs to our employees, ensuring they have the necessary skills and knowledge to excel in their roles.Key...

Job SummaryPivot Onsite Innovations is seeking an experienced and passionate Industrial Athletic Trainer to join our team. As a key member of our occupational health team, you will be responsible for planning, coordinating, and supervising all components of a worksite injury management and health improvement program for employees.Key ResponsibilitiesPerform...

Job SummaryThe Industrial Athletic Trainer will play a crucial role in developing and implementing a comprehensive worksite injury management and health improvement program for employees. This position requires a unique blend of athletic training skills, ergonomic expertise, and health education to prevent injuries and promote a healthy work environment.Key...

Job SummaryPivot Onsite Innovations is seeking an experienced and passionate Industrial Athletic Trainer to join our team. As a key member of our occupational health team, you will be responsible for planning, coordinating, and supervising all components of a worksite injury management and health improvement program for employees.Key ResponsibilitiesPerform...

Job Title: PACE Program ManagerJoin the State of Kansas team as a PACE Program Manager, responsible for the program management of the Program of All-Inclusive Care for the Elderly (PACE) program in Kansas.Job SummaryThe incumbent will oversee the design, development, management, and oversight of program goals, procedures, objectives, grievances, and appeals...

Job SummaryWe are seeking a highly skilled Customer Service Representative Coach to join our team at Conduent. As a key member of our organization, you will play a critical role in supporting our supervisory staff, serving as an escalation point for team members' inquiries, and aiding in the resolution of complex cases.Key ResponsibilitiesFunction as a...

Job SummaryWe are seeking a highly skilled and experienced Program Manager to lead the Program of All-Inclusive Care for the Elderly (PACE) in Kansas. The successful candidate will be responsible for designing, developing, managing, and overseeing program goals, procedures, objectives, grievances, and appeals for the PACE program.Key ResponsibilitiesEvaluate...

Healthcare Operations Coordinator IILocation: Kansas. This role operates in a hybrid model, combining remote work with office responsibilities. Candidates should ideally reside within a 50-mile radius of the Topeka, Kansas Elevance Health PulsePoint location.The Healthcare Operations Coordinator II plays a crucial role in delivering non-clinical assistance...

Position OverviewAs a Healthcare Customer Service Representative at Gainwell Technologies, you will play a vital role in enhancing the health and well-being of our community's most vulnerable members. This position offers an excellent opportunity for career advancement within a company that prioritizes flexibility, learning, and professional growth.Your...

Job SummaryAs a Customer Service Representative with Demo - Maximus, you will play a critical role in providing exceptional support to our clients. Your primary responsibility will be to answer incoming calls from consumers, including the general public, prospective enrollees, and individuals assisting enrollees or acting on their behalf.Key...

Job SummaryWe are seeking a skilled Clinical Utilization Review Specialist to join our team at Elevance Health. As a key member of our healthcare team, you will play a critical role in ensuring the appropriate and consistent administration of plan benefits.Key ResponsibilitiesCollaborate with healthcare providers to collect clinical information required for...

Position OverviewAs a Healthcare Customer Service Representative at Gainwell Technologies, you will play a vital role in enhancing the health and well-being of our community's most vulnerable members. Your contributions will be essential in addressing business challenges and improving operational efficiency.Your Responsibilities- Deliver prompt, efficient,...

Position Title:Healthcare Operations Coordinator IIJob Overview:The Healthcare Operations Coordinator II plays a pivotal role in supporting non-clinical functions within medical management operations. This position is designed for individuals who can manage complex inquiries and file assessments from both members and healthcare providers.Key...

Job DescriptionJob Title: Quality Assurance AssociateJob Summary:We are seeking a highly skilled Quality Assurance Associate to join our team at Conduent. As a Quality Assurance Associate, you will play a critical role in ensuring compliance with policy and procedures, identifying trends, and providing effective coaching and feedback to agents and...

Job OverviewThe Operations Supervisor will play a crucial role in supporting the management of gym activities to guarantee an outstanding "Judgement Free" experience for members while also ensuring the club's financial success.Key Responsibilities1. Assist in the recruitment, hiring, training, and development of a high-performing team, including Member...

Healthcare Customer Service RepresentativeLocation: RemoteAt Gainwell Technologies, we understand that exceptional teams drive successful operations. Join us in addressing business challenges and enhancing our growth trajectory. As a Healthcare Customer Service Representative, you will have a remarkable opportunity to advance your career in an organization...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is...

Job SummaryJobs for Humanity is seeking a highly skilled Project Manager to join our team. As a Project Manager, you will be responsible for conducting annual Medicaid and compliance reviews, contributing to the development of technical reports, and providing ongoing project management and support for contracted activities.Key ResponsibilitiesProvide...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is...

{"Job Title": "Project Manager", "Job Summary": "We are seeking a highly skilled Project Manager to join our team at Jobs for Humanity. As a Project Manager, you will be responsible for conducting annual Medicaid and compliance reviews and readiness reviews, and contributing to the development of the annual external quality review (EQR) technical reports....

Job DescriptionJob DescriptionPosition Summary: The Supervisor of Kinship provides support and supervision to Kinship Care Coordinators and Specialists providing direct service.Location: TopekaEducation: Bachelor’s degree, in a field that is eligible to be licensed by the BSRB, from an accredited college or university; OR Master’s degree, in a field that...

Medical Management Specialist II Location: Kansas. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Topeka, Kansas Elevance Health PulsePoint location. The Medical Management Specialist II is responsible for providing non-clinical support to medical management operations, which includes...

Quality Assurance Associate (Onsite) Pay - $19.82/hour   Job Description: Quality Associates (QA) are responsible for ensuring compliance of policy and procedures are consistently applied and maintained. The QA will partner with the supervisor to identify QA trends to provide effective coaching/feedback to agents and eligibility professionals where...

Myers and Stauffer LC is a certified public accounting and health and human service reimbursement consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health and human service programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45 years...

Licensed Utilization Review II Location: KS, FL. and VA. This is a remote position The ideal candidate will live within 50 miles Elevance Health PulsePoint locations. Hours: Monday through Friday,10:30 - 7:00 Eastern time The Licensed Utilization Review II responsible for working primarily with healthcare providers to help ensure appropriate and...

Anticipated End Date:2024-08-26Position Title:Medical Management Specialist IIJob Description:Medical Management Specialist IILocation: Kansas. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Topeka, Kansas Elevance Health PulsePoint location.The Medical Management Specialist II is...

Anticipated End Date: 2024-09-18 Position Title: Licensed Utilization Review II (US) Job Description: Licensed Utilization Review II Location: KS, FL. and VA. This is a remote position The ideal candidate will live within 50 miles Elevance Health PulsePoint locations. Hours: Monday through Friday,10:30 - 7:00 Eastern time The Licensed Utilization Review II...

Anticipated End Date: 2024-09-18 Position Title: Licensed Utilization Review II (US) Job Description: Licensed Utilization Review II Location : KS, FL. and VA. This is a remote position The ideal candidate will live within 50 miles Elevance Health PulsePoint locations. Hours : Monday through Friday,10:30 - 7:00 Eastern time The Licensed Utilization Review II...

Anticipated End Date: 2024-08-26 Position Title: Medical Management Specialist II Job Description: Medical Management Specialist II Location: Kansas. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Topeka, Kansas Elevance Health PulsePoint location. The Medical Management Specialist II is...

Description Licensed Utilization Review II Location : KS, FL. and VA. This is a remote position The ideal candidate will live within 50 miles Elevance Health PulsePoint locations. Hours : Monday through Friday,10:30 - 7:00 Eastern time The Licensed Utilization Review II responsible for working primarily with healthcare providers to help ensure appropriate...

Description Licensed Utilization Review II Location : KS, FL. and VA. This is a remote position The ideal candidate will live within 50 miles Elevance Health PulsePoint locations. Hours : Monday through Friday,10:30 - 7:00 Eastern time The Licensed Utilization Review II responsible for working primarily with...

Licensed Utilization Review II Location: KS, FL. and VA. This is a remote position The ideal candidate will live within 50 miles Elevance Health PulsePoint locations. Hours : Monday through Friday,10:30 - 7:00 Eastern time The Licensed Utilization Review II responsible for working primarily with healthcare providers to help ensure appropriate and...

Job Summary: The Claims Operations Manager will oversee the daily activities of the claims production unit/s (i.e., Data Capture, Underwritten Business, Prime, Medicare Supplemental, Dental, Other Party Liability (OPL), Medicare/Medicaid Secondary Payer (MSP), Federal Employee Program (FEP), State of Kansas (SEHP), Inter-plan Teleprocessing (ITS) HOME, ITS...