Remote Medicaid Management Information Systems (MMIS) Jobs
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52 jobs
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Field Reimbursement Director - EAST (Remote USA)
Field Reimbursement Director - EAST (Remote USA)
Today
Danaher Corporation
- Remote: Georgia (USA), Massachusetts (USA), North Carolina (USA)
- Full time
Direct Market AccessReimbursement RegulationsCustomer EngagementMedicareCoding TheoryPayer Marketing
Member Outreach and Engagement Consultant, DentaQuest (Los Angeles and Sacramento)
Member Outreach and Engagement Consultant, DentaQuest (Los Angeles and Sacramento)
Today
DentaQuest
- Remote: California (USA)
- Full time
Civic EngagementCare CoordinationEducational OutreachHealth And Human ServicesManaged CarePatient Education And Counseling
Member Outreach and Engagement Consultant, DentaQuest (Los Angeles and Sacramento)
Member Outreach and Engagement Consultant, DentaQuest (Los Angeles and Sacramento)
Today
Sun Life
- Remote: California (USA)
- Full time
Civic EngagementCare CoordinationSocial MarketingHealth And Human ServicesPatient Education And CounselingAnalytics
Supervisor, Clinical Review
Supervisor, Clinical Review
30+ days ago
Comagine Health
- Remote: United Kingdom
- Senior (5-10 years)
- 81 - 113K
Medical ManagementMedicaid Management Information Systems (MMIS)Recruitment StrategiesUtilization ManagementInterQual CriteriaOrganizational Structure
Career Opportunities: Healthcare Customer Service Representative - Topeka, KS (30037)
Career Opportunities: Healthcare Customer Service Representative - Topeka, KS (30037)
2 day ago
Gainwell Technologies LLC
- Remote: United States
- Full time
Healthcare Industry KnowledgeEvernoteMicrosoft Dynamics CRMMedicaid Management Information Systems (MMIS)
ACA Navigator (Remote-Must live in Albany, GA)
ACA Navigator (Remote-Must live in Albany, GA)
30+ days ago
Georgia Legal Services Program
- Remote: Georgia (USA)
- Full time
Educational OutreachHealthcare Industry KnowledgePublic TransportData CollectionCivic EngagementMedicaid Management Information Systems (MMIS)
Vice President, Risk Stratification, Remote
Vice President, Risk Stratification, Remote
30+ days ago
Aledade, Inc.
- Remote: Virginia (USA)
- Full time
AnalyticsMedicareRisk SelectionHealthcare StrategyEconomicsStatistical Modeling
HSS Clinical Coordinator RN - Remote in Lake Charles or Lafayette, LA Markets
HSS Clinical Coordinator RN - Remote in Lake Charles or Lafayette, LA Markets
30+ days ago
UnitedHealthcare
- Remote: Laos
- Mid-level (2-5 years)
- 54 - 107K
Nurse Licensure CompactDemographyCare ManagementCase Management SystemsMedicaid Management Information Systems (MMIS)Remedial Education
Clinical Specialist - Performance Improvement
Clinical Specialist - Performance Improvement
7 day ago
Detroit Wayne Integrated Health Network
- Remote: Michigan (USA)
- Full time
Utilization ManagementProject ManagementQuality AssessmentBehavioral HealthEducational AssessmentQualification Protocols (IQ/OQ/PQ)
LPN – Utilization Management (Shift Care Team)
LPN – Utilization Management (Shift Care Team)
8 day ago
The CKHobbie Group
- Remote: Pennsylvania (USA)
- Full time
Care CoordinationUtilization ManagementPediatric NursingCompliance ManagementHealth PoliciesInternal Documentation
Diversion Peer Support Specialist (Remote NC)
Diversion Peer Support Specialist (Remote NC)
6 day ago
Vaya Health
- Remote: North Carolina (USA)
- Full time
Care ManagementSubstance Abuse PreventionSocial IntegrationMental Health EducationCare CoordinationData Entry
Claims Business Analyst - Remote
Claims Business Analyst - Remote
30+ days ago
Cognizant
- Remote: Pennsylvania (USA)
- Full time
Business Process ImprovementCustomer Requirements AnalysisMedicareClaims And Litigation ManagementManaged CareClaims And Litigation Management
Director, Government Affairs - West
Director, Government Affairs - West
7 day ago
GeneDx
- Remote: California (USA), Texas (USA)
- Full time
Public AffairsLegislationStakeholder EngagementHospital ExperienceGenomicsLife Sciences
Career Opportunities: Provider Enrollment Specialist -Remote WV (28161)
Career Opportunities: Provider Enrollment Specialist -Remote WV (28161)
12 day ago
Gainwell Technologies LLC
- Remote: West Virginia (USA)
- Full time
Data EntryMedicaid Management Information Systems (MMIS)Call Center Experience
Special Investigator (D.C / DMV resident required)
Special Investigator (D.C / DMV resident required)
14 day ago
AmeriHealth Caritas
- Remote: Maryland (USA), Virginia (USA)
- Full time
Fraud InvestigationPhone InterviewsCompliance ManagementAnalyticsPharmacy Benefit ManagementMedicare
Accounts Receivable Representative
Accounts Receivable Representative
30+ days ago
National Partners In Healthcare
- Remote: Texas (USA)
- Full time
Data EntryAccounts ReceivableInsurance Follow-UpMedical AbbreviationsICD Coding (ICD-9/ICD-10)Medicare
Prior Authorization Pharmacist
Prior Authorization Pharmacist
30+ days ago
US Tech Solutions
- Remote: Rhode Island (USA)
Medicaid Management Information Systems (MMIS)Pharmacy Benefit ManagementManaged Care
Manager of Healthcare Partnerships
Manager of Healthcare Partnerships
8 day ago
Mom's Meals | A Purfoods Company
- Remote: United States
- Full time
MedicaidMedical SalesPresentation TrainingManaged CareHome Health CareSalesforce
Speech Language Pathologist - CONTRACTOR
Speech Language Pathologist - CONTRACTOR
30+ days ago
Stride, Inc.
- Remote: Virginia (USA)
- Full time
Medical Licensing (Health Law)Speech-Language PathologyEvaluation StrategyIndividualized Education Programs (IEP)Internal DocumentationCare Management
Care Manager - LP (Franklin County)
Care Manager - LP (Franklin County)
30+ days ago
Vaya Health
- Remote: United States, Minnesota (USA), North Carolina (USA), Texas (USA)
- Full time
- Mid-level (2-5 years)
- 19 - 19K
Project CollaborationCare PlanningIntegrated CareCrisis InterventionClinical AssessmentsHealth Risk Assessments
SNF Billing Specialist
SNF Billing Specialist
30+ days ago
Assembly Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 19 - 19K
Insurance LawProblem ManagementHealthcare Industry KnowledgeProject ManagementOnline CommunicationMedicaid Management Information Systems (MMIS)
Case Manager
Case Manager
9 day ago
Cardinal Health
- Remote: United States
- Full time
Patient Education And CounselingPrior AuthorizationGene TherapyOncologyICD Coding (ICD-9/ICD-10)Medicare
Manager, Care Management (Physical Health)
Manager, Care Management (Physical Health)
30+ days ago
Conviva Care Solutions
- Remote: United States, Kentucky (USA), Maryland (USA), North Carolina (USA), Tennessee (USA), West Virginia (USA)
- Full time
- Mid-level (2-5 years)
- 86 - 118K
Care ManagementNursingMedicaid Management Information Systems (MMIS)Behavioral HealthChronic DiseasesManaged Care
Remote Data Entry Operator (Insurance)
Remote Data Entry Operator (Insurance)
30+ days ago
Easy Recruiter Solutions
- Remote: United States
- Junior (1-2 years)
Health Insurance Portability And Accountability Act (HIPAA) CompliancePositive PsychologyBillingData EntryVerification And ValidationMedicaid Management Information Systems (MMIS)
Reimbursement Coordinator
Reimbursement Coordinator
9 day ago
Cardinal Health
- Remote: United States
- Full time
Medical BillingActivities Of Daily Living (ADLs)Cost Benefit AnalysisMedicarePrior AuthorizationAppeals
Peer Support Specialist
Peer Support Specialist
30+ days ago
Vaya Health
- Remote: United States, Minnesota (USA), North Carolina (USA), Texas (USA), Vermont (USA)
- Full time
- Junior (1-2 years)
- 19 - 19K
Documentation GenerationMedicaid Management Information Systems (MMIS)Clinical ConsultingHealth LawsSupportive HousingRehabilitation
Community Health Navigator - Complex (Bilingual/Spanish) | Remote in Shelby, NC
Community Health Navigator - Complex (Bilingual/Spanish) | Remote in Shelby, NC
30+ days ago
AmeriHealth Caritas
- Remote: United States, North Carolina (USA)
Health EducationCommunity AdvocacyMedical AbbreviationsManaged CareMedical Practice ExperienceCommunity Mental Health
Insurance Verification Specialist
Insurance Verification Specialist
30+ days ago
TEKsystems
- Remote: United States, Vatican City, Virginia (USA)
- Full time
- Entry-level / graduate
Patient RegistrationInbound CallsMedical Insurance ClaimsHealthcare Industry KnowledgeCall Center ExperienceMedical Practice Experience
Call Center Lead
Call Center Lead
30+ days ago
Conduent
- Remote: United States
- Full time
- Senior (5-10 years)
- 44 - 44K
Public AdministrationMedicaid Management Information Systems (MMIS)Business Process Outsourcing
EDW QA Manager/Engineer- Remote
EDW QA Manager/Engineer- Remote
30+ days ago
The Dignify Solutions, LLC
- Remote: United States, New York (USA)
- Full time
- Senior (5-10 years)
Oracle SQL DeveloperEncounter Data ManagementOracle ToadJIRATableau (Business Intelligence Software)Scalability Testing
Innovations Care Manager (Jackson/Swain/Graham County)
Innovations Care Manager (Jackson/Swain/Graham County)
30+ days ago
Vaya Health
- Remote: United States, North Carolina (USA)
- Full time
- Mid-level (2-5 years)
- 19 - 19K
Care PlanningCare ManagementEducational AssessmentCrisis InterventionHealth Risk AssessmentsMedicaid Management Information Systems (MMIS)
Coordinator, Individualized Care
Coordinator, Individualized Care
7 day ago
Cardinal Health
- Remote: United States
- Full time
Commercial InsurancesCall Center ExperienceMedicareProprietary SoftwareMedicaid Management Information Systems (MMIS)Problem Management
Innovations Care Manager (Rowan and Forsyth County, NC)
Innovations Care Manager (Rowan and Forsyth County, NC)
30+ days ago
Vaya Health
- Remote: United States, United Kingdom, North Carolina (USA)
- Full time
- Mid-level (2-5 years)
- 19 - 19K
Care PlanningCare ManagementEducational AssessmentCrisis InterventionHealth Risk AssessmentsCare Management Software
Pharmacist - Remote
Pharmacist - Remote
30+ days ago
US Tech Solutions
- Remote: United States
- Fixed term
- Mid-level (2-5 years)
Prior AuthorizationManaged CarePharmacy Benefit ManagementPharmacy ExperienceMedicaid Management Information Systems (MMIS)Medicare
Innovations Care Manager (Haywood & Jackson Counties)
Innovations Care Manager (Haywood & Jackson Counties)
30+ days ago
Vaya Health
- Remote: United States, North Carolina (USA)
- Full time
- Mid-level (2-5 years)
- 19 - 19K
Documentation GenerationMotivational InterviewingMedication Therapy ManagementCare ManagementHealth Risk AssessmentsMedicaid Management Information Systems (MMIS)
Claims Director
Claims Director
6 day ago
Davies North America
- Remote: United States
- Full time
AdjudicationMedical Insurance ClaimsMedical AbbreviationsOrganizational StructureMedicareManaged Care
Supervisor, Clinical Review Mountain and Pacific Time Zones
Supervisor, Clinical Review Mountain and Pacific Time Zones
30+ days ago
Comagine Health
- Remote: United States
- Senior (5-10 years)
- 81 - 113K
Clinical Data AnalysisCase Management SystemsNurse Licensure CompactMedical ManagementInterQual CriteriaClinical Assessments
CARE MANAGER (BILINGUAL IN MANDARIN OR CANTONESE PREFERRED)
CARE MANAGER (BILINGUAL IN MANDARIN OR CANTONESE PREFERRED)
30+ days ago
Advance Care Alliance New York
- Remote: United States
- Full time
- 55 - 59K
Individual Development PlanningTelehealthAutonomous SystemCare ManagementMedicaid Management Information Systems (MMIS)Health Information Technology
Reimbursement Specialist - Prior Authorization
Reimbursement Specialist - Prior Authorization
30+ days ago
Guardant Health
- Remote: United States, California (USA)
- Full time
- Mid-level (2-5 years)
- 45 - 81K
Health Reimbursement ArrangementInsurance LawMedicaid Management Information Systems (MMIS)Merchant ServicesPrior AuthorizationMedicare
Care Manager (Vance County, NC)
Care Manager (Vance County, NC)
30+ days ago
Vaya Health
- Remote: United States, North Carolina (USA), Texas (USA)
- Full time
- Mid-level (2-5 years)
- 19 - 19K
Care PlanningMotivational InterviewingCrisis InterventionCare ManagementCommunity DevelopmentHealth Risk Assessments
Manager, Care Management Support
Manager, Care Management Support
30+ days ago
Conviva Care Solutions
- Remote: United States, Maryland (USA), North Carolina (USA), Tennessee (USA), Virginia (USA), West Virginia (USA)
- Full time
- Senior (5-10 years)
- 78 - 107K
Medicaid Management Information Systems (MMIS)Care ManagementElectronic Medical RecordManaged CareMedical Licensing (Health Law)Nurse Licensure Compact
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
US Tech Solutions
- Remote: United States, Illinois (USA)
- Mid-level (2-5 years)
Assurance ServicesMedicaid Management Information Systems (MMIS)Prior AuthorizationUtilization ManagementMediTouchManaged Care
Network Optimization Professional
Network Optimization Professional
30+ days ago
Conviva Care Solutions
- Remote: United States, Kentucky (USA)
- Full time
- Mid-level (2-5 years)
- 59 - 80K
Process ImprovementData GovernanceProvider Network ManagementData ManagementNetwork UtilitiesProject Management
Customer Service - Work at Home
Customer Service - Work at Home
30+ days ago
ibex
- Remote: United States
- Mid-level (2-5 years)
Liability InsuranceClaims And Litigation ManagementHospital ExperienceHardware SupportBillingMedicare
Speech Language Pathologist - CONTRACTOR
Speech Language Pathologist - CONTRACTOR
30+ days ago
Stride, Inc.
- Remote: United States
- Full time
Medical Licensing (Health Law)Speech-Language PathologyCare ManagementMicrosoft 365Assistive TechnologyInternal Documentation
Physical Health PN Contract Manager (Remote)
Physical Health PN Contract Manager (Remote)
30+ days ago
Vaya Health
- Remote: United States
- Mid-level (2-5 years)
Reimbursement RegulationsPerformance Based ContractingEnvironment ManagementVendor ContractsMedicaid Management Information Systems (MMIS)Office App
Innovations Care Manager (Buncombe County, NC)
Innovations Care Manager (Buncombe County, NC)
30+ days ago
Vaya Health
- Remote: United States, North Carolina (USA)
- Full time
- Mid-level (2-5 years)
- 19 - 19K
Health Risk AssessmentsCare PlanningCare ManagementCrisis InterventionBehavioral HealthMedication Therapy Management
HSS Clinical Coordinator RN - Remote in Baton Rouge, LA Market
HSS Clinical Coordinator RN - Remote in Baton Rouge, LA Market
30+ days ago
UnitedHealthcare
- Remote: United States, Laos, Louisiana (USA)
- Mid-level (2-5 years)
- 54 - 107K
Care CoordinationNurse Licensure CompactDemographyMedication Therapy ManagementCase Management SystemsMedicaid Management Information Systems (MMIS)
Clinical Review Supervisor
Clinical Review Supervisor
30+ days ago
CorVel Corporation
- Remote: United States, Texas (USA)
- Full time
- Senior (5-10 years)
- 3 - 114K
Medicaid Management Information Systems (MMIS)ICD Coding (ICD-9/ICD-10)MedicareDiagnosis-Related GroupClinical Data Analysis
Representative I
Representative I
30+ days ago
US Tech Solutions
- Remote: United States
- Full time
Medicaid Management Information Systems (MMIS)Prior AuthorizationProblem ManagementCall Center ExperienceMedicare
