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If you’re a veteran who served on active duty in the U.S. Armed Forces and were separated under honorable conditions, you may be eligible for veterans’. 95 Firstsource Solution USA jobs available on Apply to Account Representative, Patient Advocate, Enrollment and Eligibility Representative and.


Curator- Job Hunter – Page – Mostly Medicaid.

If you’re a veteran who served on active duty in the U.S. Armed Forces and were separated under honorable conditions, you may be eligible for veterans’. 95 Firstsource Solution USA jobs available on Apply to Account Representative, Patient Advocate, Enrollment and Eligibility Representative and. The Senior Enrollment Medicaid Specialist will be the first source of For resume and application tips visit:


– resume builders firstsource advantage care health


Additionally, the opt-out only applies to cookies used by perf. Ensure that your Privacy level is set to Medium or below, which will enable cookies in your browser 3. Settings above Medium will disable cookies. Mozilla Firefox 1. Then select the Privacy icon 3. Google Chrome 1. Safari 1. Safari on OSX 1. The Medicaid business needs the right leader to build a mature data platform and analytics capability to enable growth. The candidate will assemble a team of data experts and business analytics professionals to deliver a broad portfolio of projects, spanning foundational data capabilities, reporting, analytical tools, population health, and customer insights.

They will engage in a collaborative, cross-functional group spanning senior leadership and a variety of functional areas e. They will also demonstrate a talent for translating between technical and non-technical audiences, as well as a desire to champion a data-driven culture with our business partners. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products.

Together, with our 74, employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. What difference will you make? To see our culture in action, search TeamCigna on Instagram. Do not email … cigna. HHS Technology Group is a valued and trusted systems integration partner for several departments within a number of State Governments.

The intense growth and tremendous financial forecast we are experiencing at HHS Technology Group can largely be attributed to our successes on these initiatives and having strong performance accelerating state government technical solutions. The Medicaid Reviewer I will be responsible for the review of all Medicaid-related policies, including state and federal policies, rules, and regulations; advising PERM data processing and review staff on interpretation of policy; and discussing the effect of policy on review findings.

This role is Full-Time with full benefits. Travel will be scheduled for 2 weeks at a time to fly out on Sunday and work through at least Noon on the second Friday. Specific Responsibilities:. Abilities Required:. EEO Statement.

Catapult Consultants is an Equal Opportunity Employer. We believe that every employee has the right to work in a dignified work environment free from all forms of discrimination and harassment. This policy reflects our belief that providing equal opportunities for all employees is a both our legal and moral responsibility, and good management practice.

All employees and applicants are treated without regard to age, sex, color, religion, race, national origin, citizenship, veteran status, current or future military status, sexual orientation, gender identification, marital or familial status, disability or any other status protected by law.

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

The North Carolina Department of Justice, led by the Attorney General of North Carolina, represents the State of North Carolina in court and provides legal advice and representation to most state government departments, agencies, officers, and commissions.

The Department also represents the State in criminal appeals from state trial courts, and brings legal actions on behalf of the state and its citizens when the public interest is at stake. This position is not-subject to the Fair Labor Standards Act.

These cases protect and recover taxpayers dollars that can be used to provide needed medical services to Medicaid enrollees. These cases also protect our most vulnerable elderly and disabled citizens.

The Medicaid Investigations Division receives 75 percent of its funding from the U. Our Medicaid Investigations Division MID is staffed by Department of Justice attorneys, investigators, auditors, analysts, and a nurse investigator, paralegals, and administrative staff. MID provides state and national training opportunities to aid employees in understanding the complexities of health care fraud investigations.

The link below is provided for your information. The primary purpose of the Criminal Enforcement Attorney position is to prosecute criminal cases and assist with criminal investigations.

The Criminal Section will bring state and federal actions against Medicaid providers alleged to have committed complex health care fraud schemes. Allegations investigated also include patient abuse and neglect and the misappropriation of patient funds. Duties include:. This position requires travel which may include overnight stays. This position requires some overtime. Minimum Education and Experience Requirements. Licensed to practice law by the North Carolina State Bar and three years of progressively responsible professional legal experience.

Computer literacy is an important component of all DOJ jobs, we encourage you to apply electronically. To receive credit for your work history and credentials, you must list the information on the online application form. Any information not included on the application form cannot be considered for qualifying credit. Embedded or attached resumes are not accepted as a substitution for a completed application. New Haven, CTWork from home.

CVS Health. Columbia, SC Full-timeWork from home. Clipped from: UnitedHealth Group. Are you looking for a work environment where diversity and inclusion thrive? Submit your application with HCA Healthcare today and find out what it truly means to be a part of a team. We value your contributions. Our employee recognition programs encourage our teams to raise the bar. Come be a part of the change! We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities.

Your benefits include k, PTO medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity! What you will do in this role:.

Parallon is an industry leader in revenue cycle services. We partner with over hospitals and 2, physician practices nation-wide.

We are dedicated to ensuring our patients have the best experience even after they leave our facilities. We are an equal opportunity employer and we value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status. During the recruitment process, no recruiter or employee will request financial or personal information Social Security Number, credit card or bank information, etc.

The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here. For questions about your job application or this site please contact HCAhrAnswers at option 1. As part of the UnitedHealthcare family of plans, RMHP provides innovative health insurance coverage and personalized attention to individuals of all ages and business of all sizes throughout Western and rural Colorado.

You push yourself to reach higher and go further. Join UnitedHealth Group and our family of businesses and you will use your diverse knowledge and experience to make health care work better for our patients. In this Medicaid Behavioral Health Outreach Coordinator role, will be an essential element of an Integrated Care Model by relaying the pertinent information about the member needs and advocating for the best possible care available, and ensuring they have the right services to meet their needs.

Primary Responsibilities:. For more than , members of our unique, physician-founded health care organization, we provide innovative health insurance coverage and personalized attention to individuals of all ages and business of all sizes throughout Western and rural Colorado. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

The Process Improvement Representative 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements.

Performs computations. Typically works on semi-routine assignments. The Process Improvement Representative 2 researches best business practices within and outside the organization to establish benchmark data. Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on enhanced safety, increased productivity and reduced cost.

Determines how new information technologies can support re-engineering business processes. Required Qualifications — What it takes to Succeed. Work At Home Requirements. As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability.

Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. In this interview, you will listen to a set of interview questions over your phone or text and you will provide recorded responses to each question. You should anticipate this interview to take about 15 to 30 minutes.

Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Additional Information. In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities.

This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m, and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible.

Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process. ThriveTogether WorkAtHome. Scheduled Weekly Hours. Your application has been submitted Project Manager — Medicaid Omega Solutions Inc Elevate your job application by verifying your proficiency in.

Settings above Medium will disable cookies Mozilla Firefox 1. Specific Responsibilities: Initiate, support, monitor and evaluate medical review activities related to the PERM task order, including compliance with contract deliverables, internal and external performance requirements, and continual improvement. Communicate and collaborate process improvements identified to the Data Processing management team to ensure we continually meet and exceed expectations.

Review and analyze multiple claim processing, eligibility enrollment, and provider enrollment systems. Make an informed decision to determine if the information in all systems resulted in an accurate payment determination.

Collaborate with Senior Reviewers and Leads about how state and federal policies and regulations are applied to specific claim scenarios in front of stakeholder staff. Collaborate directly with stakeholder staff and the customer about complex review scenarios and how state and federal regulations are applied. Consult with Senior Reviewers and Leads about the implication of how state and federal policies and regulations are applied in differing claims scenarios.

Extensive knowledge of medical terminology and coding principles. Ability to read insurance claims, both paper and electronic, and a basic knowledge of the insurance claims systems. Ability to read and understand complex Medicaid policies. Knowledge of, and the ability to correctly identify, insurance coverage guidelines. Strong critical thinking and decision making capability. Knowledge of and ability to use Microsoft Word, Excel and Internet applications.

Ability to quickly adapt and thrive in a changing work environment. Must have no adverse actions pending or taken by any State or Federal licensing board or program. Must live within reasonable commuting distance of a major airport.

Abilities Required: While performing the duties of this job the employee is regularly required to sit and use hands to finger, handle, or feel while typing at a computer keyboard.

The employee is occasionally required to stand, walk, reach, or lift objects up to 10 pounds. You can also turn to social media for your job search. LinkedIn can connect you with millions of other professionals and important social circles. Joining is free and grants you immediate access to job information, members in your network and helpful insight. Keep in mind that many organizations now promote job openings directly through other social media platforms as well, such as Facebook, Twitter, and Instagram.

Always read the entire job announcement to make sure you fully qualify in the following areas:. Other jobs are open only to those with a specific and narrowly defined set of skills. Some openings are more lenient in these areas, but the farther up the management chain you go, the more requirements you are likely to find. This is also true in cases where the job ad specifies the opening is only for those with current employment status in the federal government.

Not all job ads are that specific, but some are. In both the application process and the interview process, there are some good rules of thumb to follow.

The first is to understand that your resume reviewer and interviewers will have seen hundreds of resumes before they get to yours. The same goes for your interview answers—the interviewers have heard many hours worth of interviewee responses. Also insure that your interview responses are engaged, appropriately enthusiastic, and that you sell your abilities while emphasizing your feelings about teamwork and working for the overall success of the projects you are involved with. It is a very good idea to read the job description and look for keywords—especially where skills, education requirements, and experience are concerned.

Memorize those keywords and be sure to reference them in your resume and cover letter, and again in the interview. Keywords are an important part of any automated resume screening process, and they are important again when you are interviewed—interviewers are looking for a level of familiarity with the world they work in and expect you to work in.

You may have little to no experience in a federal agency, but those who show themselves to be adaptable, agreeable, and suitably experienced in other areas have an advantage in the hiring process. There are plenty of third parties offering to help land you a federal job. Enter your email for updates and we’ll send them straight to your inbox!

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