Medicaid Administrative Claims Jobs

The Scheduling Specialist role supports the Therapy Services team at The Arc of the Ozarks by managing appointment logistics for a diverse range of clinical services. Key responsibilities include coordinating schedules for twenty-four providers, confirming client appointments, maintaining accurate records within the Electronic Health Record system, and assisting with front desk duties such as processing payments and verifying insurance. This full-time, in-office position offers the opportunity to work within a mission-driven organization dedicated to person-centered care. The role is appealing for its supportive collaborative culture, comprehensive benefits including health insurance and retirement matching, and opportunities for professional growth while helping the community access essential therapy services.

The Behavioral Health Registered Nurse role is based at Liberty Resources Integrated Health Care in Syracuse, New York, where the nurse serves as a key member of the clinical team supporting children, families, and adults with behavioral health challenges. Key responsibilities include conducting comprehensive health assessments, developing and revising care plans, administering medications, and providing crisis intervention and health education to clients and staff. The position appeals to candidates seeking a supportive environment with manageable caseloads, professional development opportunities, and a culture that values diversity and inclusion. The role offers a hybrid work arrangement with at least one evening shift per week and includes access to loan repayment programs, comprehensive benefits, and a 401k plan.

This PRN Registered Nurse role at the Village at Victory Lakes focuses on coordinating resident assessments and care planning within a skilled nursing facility. The position involves managing the MDS and CAAS processes, ensuring compliance with federal and state regulations, and establishing accurate care plans for each resident. Key responsibilities include conducting resident interviews, updating documentation, participating in quality assurance programs, and mentoring nursing staff. The role appeals to experienced nurses seeking flexible hours and an opportunity to foster professional growth while promoting resident dignity. The position is based on-site in Lindenhurst, Illinois, with no travel required.

This PRN Registered Nurse role at the Village at Victory Lakes focuses on coordinating resident assessments and care planning within a skilled nursing facility. The position involves managing the MDS and CAAS processes, ensuring compliance with federal and state regulations, and establishing accurate care plans for each resident. Key duties include conducting resident interviews, updating documentation, participating in quality assurance programs, and mentoring nursing staff. The role appeals to experienced nurses seeking flexible hours while contributing to a supportive environment that prioritizes resident dignity and well-being. The position is based on-site in Lindenhurst, Illinois.

This part-time clinician role at Signify Health, a CVS Health company, seeks a Nurse Practitioner or Physician Assistant to conduct in-home health evaluations in the Spokane, Washington area. The position involves performing comprehensive physical assessments, reviewing medication histories, and administering diagnostic tests like spirometry or diabetic eye exams during 45-minute visits. Key responsibilities include building trusted relationships with patients, providing health education, and utilizing digital tools for clinical workflows without prescribing medications. The role appeals to those seeking a purpose-driven environment where clinicians can focus entirely on patient care without administrative burdens. It offers flexible scheduling, local travel within licensed states, and the opportunity to make a tangible impact on community health outcomes while working with a supportive, national network of colleagues.

This full-time lifeguard position is based at the VA Bronx Healthcare System, where the role involves ensuring the safety of veterans and patrons in a specialized therapy pool. Key responsibilities include maintaining constant surveillance of swimmers, testing water chemistry and levels, enforcing safety rules, and administering emergency care or CPR when needed. The position offers year-round employment with flexible scheduling options and includes training and certification opportunities for new candidates. The role appeals to those seeking a stable position within a government facility that supports military veterans, emphasizing a professional environment focused on patient care and safety.

The Compliance Program Administrator role within the Arizona Department of Health Services supports the Chief Compliance Officer in overseeing regulatory compliance for the state hospital. Key responsibilities include ensuring adherence to federal and state healthcare regulations, leading internal audits and survey readiness initiatives, and managing the organization's policy management system. The position involves supervising compliance managers, developing staff training programs, and serving as a liaison with regulatory agencies. This opportunity is appealing due to the department's commitment to public health, its flexible work schedules, and a robust benefits package that includes student loan assistance and paid parental leave. The role is based on-site in Phoenix, Arizona.

This Clinical Assistant role supports certified practitioners within Hanger's Patient Care segment, a leading provider of orthotic and prosthetic services. The position involves assisting with patient care, independently providing orthotics, and performing technical tasks such as mold fabrication, device modifications, and soft good fittings. Key responsibilities also include maintaining accurate clinical documentation, managing inventory, and ensuring compliance with safety and regulatory standards. The role appeals to those seeking to empower human potential by helping patients achieve greater mobility and freedom. It offers a collaborative environment with opportunities for mentorship, flexible scheduling, and professional growth within a company dedicated to clinical excellence and innovation.

This 13-week travel nursing role places a Registered Nurse as a Case Manager within a hospital-based Care Management team in Olympia, Washington. The position involves coordinating patient care, conducting needs assessments, and managing discharge planning for a diverse population ranging from neonates to geriatrics. Key responsibilities include performing utilization reviews, collaborating with interdisciplinary teams, ensuring regulatory compliance, and maintaining documentation using Epic EMR. The role offers the appeal of working with a supportive agency that prioritizes flexibility and administrative ease, allowing nurses to focus on patient outcomes. The schedule consists of day shifts with floating requirements, and the position is ideal for experienced nurses seeking a new location and professional growth.

This full-time Electronic Health Records Specialist role supports a Federally Qualified Health Center dedicated to serving underserved communities. The position focuses on maintaining EHR system integrity, optimizing clinical workflows, and ensuring strict HIPAA compliance. Key responsibilities include providing day-to-day technical support to staff, managing data security, coordinating system upgrades, and training users on best practices. The role offers a collaborative environment with a strong mission to improve patient care delivery. Candidates benefit from a comprehensive package including medical, dental, and vision coverage, a retirement plan with employer matching, and paid time off. The position is based on-site within the clinic.

The Day Habilitation Provider role involves supporting individuals with developmental disabilities and seniors in achieving greater independence through daily living skills and recreational activities. Key responsibilities include assisting with personal care and meal preparation, transporting participants in the community, documenting progress in electronic medical records, and collaborating with care coordinators to implement individualized care plans. The position offers a meaningful opportunity to make a lasting impact on participants' lives within a supportive team environment. The role operates on a standard Monday through Friday schedule and requires reliable transportation and a valid driver's license to facilitate community engagement.

The role involves a full-time Clinical Assistant Professor position within the Department of Ophthalmology at the University of Florida College of Medicine in Jacksonville. The specialist provides expert medical and surgical management of glaucoma, performing procedures such as MIGS, trabeculectomy, and laser treatments while also delivering routine anterior segment care. Key responsibilities include collaborating with subspecialists for integrated patient care, educating residents and medical students, and engaging in clinical research. The position is appealing due to its location within a premier academic health center offering advanced technology, a diverse patient population, and a collaborative, patient-centered environment. This opportunity supports professional growth through teaching and research within a large, established network serving the Southeast region.

The Principal Clinical Data Manager role at Everest Clinical Research leads data management activities for global clinical trials within a full-service CRO. The position involves overseeing database design, validating electronic data, resolving complex queries, and managing team resources to ensure high-quality deliverables. Key responsibilities include developing data management plans, leading user acceptance testing, and mentoring staff on data flow and quality control processes. This opportunity appeals to experienced professionals seeking a dynamic environment with a strong focus on quality and customer service. The role offers flexibility through remote work options across the USA or an on-site position in Bridgewater, New Jersey, supporting career growth within a rapidly expanding organization.

The Clinical Care Nurse role is a clinic-based position within the Houston area focused on improving patient outcomes through effective transitions of care and quality performance. The nurse analyzes clinical data to identify care gaps, coordinates post-discharge follow-ups to prevent avoidable readmissions, and delivers targeted education on chronic disease management to patients and providers. This position appeals to those seeking a mission-driven environment that values health equity, empathy, and professional growth within an integrated care team. The role requires daily in-center presence at a designated clinic with occasional quarterly travel for strategic meetings.

The Jail In-Reach PEER Specialist role involves providing peer support and recovery-focused services to individuals with mental illness or co-occurring disorders within the DeKalb County jail system. Key responsibilities include developing community transition plans, screening for essential resources like housing and benefits, and coordinating care to ensure successful reintegration into the community after release. The position requires maintaining detailed documentation, participating in multidisciplinary team meetings, and acting as a role model of recovery. This opportunity is appealing for its mission-driven focus on reducing incarceration and homelessness while offering professional growth through specialized forensic peer mentorship training. The role is primarily based in the jail with some office and community travel, operating on a standard weekday schedule with occasional flexibility for program events.

This full-time RN Clinical Educator role supports the Family Birthing Center at Presbyterian Hospital in Albuquerque. The position serves as a clinical expert and instructional designer, responsible for assessing learning needs, developing evidence-based training programs, and leading projects to bridge performance gaps across the organization. Key duties include coaching staff, utilizing learning technology, and participating in professional speaking engagements. The role offers a Monday through Friday schedule with opportunities for career growth through tuition reimbursement and certification support. The position is appealing due to the organization's strong focus on employee well-being, including access to wellness programs and safety initiatives, within a collaborative, locally owned healthcare system.

This entry-level Patient Care Technician role supports the dialysis healthcare team in delivering safe hemodialysis therapy under nurse supervision. The position involves operating dialysis machines, performing vascular access cannulation, monitoring patient vitals, and managing treatment documentation. A key appeal is the comprehensive 12-week paid training program for candidates with no prior dialysis experience, alongside opportunities for professional growth within a nationally recognized renal care provider. The role offers a supportive culture recognized as a top workplace, with potential for tuition reimbursement and a collaborative environment focused on patient well-being and quality improvement.

This field-based Sr. Manager role within Eisai's Patient Services team supports the Neurology business unit by ensuring patient access to innovative medicines in neurology and oncology. The position involves serving as the primary point of contact for healthcare professionals regarding insurance coverage, reimbursement policies, and patient support programs. Key responsibilities include triaging access issues, developing regional strategies to maintain treatment availability, and delivering training to sales teams on payer trends and billing procedures. The role appeals to candidates seeking to make a direct impact on patient care within a mission-driven pharmaceutical company. It offers the opportunity to work in a fast-paced environment with significant autonomy, requiring regular in-person engagement with healthcare providers across the Milwaukee region.

The Area Therapy Advancement Manager leads the Johnson & Johnson MedTech Electrophysiology team across the Pacific Coast region, overseeing a field-based group of regional managers. Key responsibilities include recruiting and developing top talent, executing strategic marketing plans to expand patient access to cardiac care, and collaborating with hospital leadership to advocate for advanced treatment programs. The role involves driving business growth through strategic alignment with sales teams and ensuring compliance with industry regulations. This position offers the opportunity to work within a culture of healthcare innovation that prioritizes improving patient outcomes for complex heart conditions. The field-based role requires significant travel across Oregon, California, Alaska, Hawaii, and Nevada, providing a dynamic environment for professionals passionate about cardiovascular medicine and team leadership.

This remote Hernia Sales Specialist role is based in the Little Rock or Memphis territory and focuses on driving clinical excellence and market growth for Medtronic's hernia portfolio. The position involves developing strategic account plans, fostering relationships with key healthcare stakeholders, and leading initiatives to integrate robotic surgery into hernia procedures. The role appeals to professionals seeking a mission-driven career where they can help alleviate pain and restore health while working with cutting-edge medical technology. The position offers the flexibility of a remote setup with the requirement to travel within the assigned region, supported by a culture that values innovation, mentorship, and professional growth.

The Registration Receptionist role at Chambersburg Hospital serves as the primary point of contact for patients across inpatient, surgical, and emergency departments. Key responsibilities include conducting patient interviews to verify demographic and insurance details, estimating costs, and managing collections for out-of-pocket expenses. The position also involves scheduling procedures, handling switchboard communications, and ensuring compliance with hospital safety and disaster protocols. This opportunity appeals to individuals seeking a supportive environment grounded in core values of integrity and compassion, offering a chance to contribute directly to patient care operations. The role is based on-site in Chambersburg and provides a collaborative setting where team members can develop their communication and administrative skills while maintaining a clean, organized workspace.

The Patient Services Associate role within the Behavioral Health Service Line at the University of Arkansas for Medical Sciences supports the General Adult Inpatient Unit as a member of the clinical care team. This position combines clerical duties, such as processing medical records for admissions and discharges, with direct patient care support under the supervision of nursing staff. Key responsibilities include communicating patient needs to registered nurses, assisting visitors, and executing care plans using a multidisciplinary approach. The role is appealing for its opportunity to work within a collaborative healthcare environment that champions diversity and research. Employees benefit from comprehensive health coverage, retirement matching, and educational discounts. This is a regular night shift position based on the main campus.