Medicaid Jobs in Charleston (SC)
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Search Results - Medicaid Jobs in Charleston (SC)
Bestica Inc.-Charleston (SC)
Key Responsibilities
• Conduct bedside consultations with patients and explain Medicaid eligibility and application requirements.
• Collect, review, and verify required financial and eligibility documents.
• Complete and submit Medicaid...
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CSpring-Charleston (SC)
Overview
In this role you will own Medicaid reporting deliverables end-to-end, translating federal/state guidance into clear business requirements. You will collaborate with state users and technical teams, facilitate workshops, and guide testing...
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Gentiva-North Charleston
and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource management principles...
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Gainwell-Charleston (SC)
Overview
In this role you will drive Medicaid interoperability through FHIR-based solutions, translating state and CMS requirements into technical designs. You will partner with architects, engineers, and state clients to ensure scalable...
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C001 Medical University of South Carolina (MUSC - Univ)-North Charleston
White remains the payer of last resort.
• 20% - Coordinates insurance eligibility verification and benefits review for HIV patients across Medicare, Medicaid, private insurance, and Marketplace plans. Researches and resolves insurance discrepancies...
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appcast.io -
Network Health-Charleston (SC)
Overview
In this role you will lead the identification and correction of encounter data errors within the Medicaid line, coordinating with vendors, clients, and internal teams. You will ensure compliance with DHS rules and support ongoing...
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Charleston (SC)
management or care management, preferably coordinating care across multiple settings.
• 2+ years healthcare related experience.
• Experience working with Medicare, Medicaid, and/or Special Needs populations.
• Experience working in a physician office...
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somatus.com -
Pennant Group-Charleston (SC)
Overview
In this role you lead the AR and Medicaid revenue cycle for a multi-state senior living portfolio, ensuring accurate billing, timely reimbursements, and regulatory compliance. You’ll provide subject-matter guidance on Medicaid and waiver...
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Greenlife Healthcare Staffing-North Charleston
protocols for conducting on-site surveys. Specific activities include the following:
• Conduct on-site surveys of Medicare-Medicaid certified health care facilities to determine compliance with Federal regulations.
• Surveys require preparations such as off...
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workable.com -
UnitedHealth Group-Charleston (SC)
Overview
In this role you will lead end-to-end production of complex Medicaid proposals, ensuring high-quality, compliant submissions on tight deadlines. You will collaborate with print vendors, the Proposal team, and leadership to align on RFP...
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North Charleston
work:life balance, continuous learning, and career development.
Summary
Join Gainwell as a Disability Reviewer supporting Wisconsin's Katie Beckett Medicaid program, which serves eligible children with disabilities and complex medical needs. In this role...
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tiptopjob.com -
Greenlife Healthcare Staffing-Charleston (SC)
/customers of the facilities. The responsibility of the Surveyor is to apply approved survey protocols for conducting on-site surveys. Specific activities include the following:
• Conduct on-site surveys of Medicare-Medicaid certified health care facilities...
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workable.com -
Gainwell-Charleston (SC)
required deliverables related to account operations
Key requirements
• 2-4 years of clinical pharmacy experience
• Strong knowledge of clinical pharmacy programs, drug utilization review, and regulatory requirements
• Experience with Medicaid/Medicare...
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UnitedHealth Group-Charleston (SC)
Overview
Senior actuarial leader in Optum Advisory and Implementations, driving strategic actuarial consulting for Medicare, Medicaid, and Dual-Eligible populations. You will manage client relationships, guide actuarial staff, and coordinate...
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UnitedHealth Group-Charleston (SC)
field; OR CPQH/CHCQM certification
• 2+ years of experience in managed care, Medicaid, maternal/child health, pediatrics, or population health
• Proven technical skills with Microsoft Excel, PowerPoint, Word, and Adobe PDF
• Solid organizational, time...
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