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Psychiatric Mental Health Nurse Practitioner (PMHNP)
Medicaid Health Home – Adult & Youth. Must be licensed to practice as a Psychiatric Mental Health Nurse Practitioner or Psychiatric Mental Health Clinical Nurse...
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Psychiatric APRN (NP or CNS) - Remote Telepsychiatry
FasPsych, LLC - United States
Medicare, Medicaid, SCHIP); Adult Psychiatric-Mental Health Clinical Nurse Specialist. Provides psychiatric services via video teleconference to eligible...
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Software Development Specialist 3

State of Ohio Jobs - 437 reviews - Franklin County, OH
$64,709 a year
Medicaid & third party billing & reimbursement applications. Current Department of Developmental Disabilities OCSEA employees shall receive first consideration...


TriHealth - 107 reviews - Ohio
Familiarity with Medicare and Medicaid programs preferred.. The Regulatory Affairs Specialist helps to ensure TriHealth Benefit Solutions remains compliant with...

Health Services Policy Supervisor

State of Ohio - 437 reviews - Franklin County, OH
$68,744 a year
As Health Services Policy Specialist, 65212; Oversees the development and implementation of Medicaid Dashboards....

Compliance Specialist

First Transit - 739 reviews - Cincinnati, OH 45202 (Mount Adams area)
Research, interpret and document state specific regulatory requirements for NEMT services funded by Medicaid. Job Purpose or Scope:....


Firelands Regional Medical Center - 56 reviews - Sandusky, OH
Under the supervision of the Director of Case Management, the Clinical Documentation Specialist is responsible for improving the overall quality and...

UM Coordinator - Utilization Review - Full Time - Days

ProMedica - 73 reviews - Maumee, OH 43537
Estimated salary: $56,000 - $72,000 a year
Medicare, Medicaid, and Commercial members. Thank you for inquiring about a position with Paramount....

IT Product Speacialist - Ohio Candidates ONLY

TP Resources - Columbus, OH
$49 an hour
The Product Specialist is the expert for a technical development or execution environment product or set of products....
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Health Partner Reporting Manager

CareSource - 130 reviews - Dayton, OH 45402 (Downtown area)
Analyze and monitor the state network to ensure that consumers have meaningful access to PCPs and specialists according to adequacy requirements....

TL Grievance & Appeals

CareSource - 130 reviews - Dayton, OH 45402 (Downtown area)
Oversee day-to-day performance of grievance and appearls specialist, while ensuring all regulatory, compliance and HIPAA guidelines are met for Medicaid,...

Corporate Pricing Supervisor

Omnicare, Inc. - 1,151 reviews - Cincinnati, OH
Supervision of the Pricing Specialists within the department. Reimbursement, item-specific Gross Margin Thresholds, state-specific Medicaid Reimbursement and...