Eligibility & Financial Redetermination Representative Job at InnovAge (Lakewood)

Eligibility And Financial Redetermination Representative

The Eligibility & Financial Redetermination Representative is responsible for as...

Location

United States , Salem

Salary:

Not provided

InnovAge

Expiration Date

Until further notice

Requirements

Current knowledge of the Medicaid system/benefits in addition to community resources that are available to seniors and their families
High School diploma or GED required
Requires a valid state issued driver's license, personal transportation, good driving record and auto insurance as required by law

Job Responsibility

Completes all re-determinations for InnovAge PACE participants assigned 30 days before case due date
Monitors the Medicaid aging report and works to clear aged items in a timely manner
Communicates the policies and procedures of Long Term Medicaid, Spousal Impoverishment, and Trusts to participants
Performs home visits and/or Day Center visits to complete all Medicaid redeterminations
Assists participants, families and caretaker(s) in completing necessary paperwork for Medicaid re-determination
Documents work and outcomes in the Participant Tracking System Record of Contact Notes
Organizes case load and working area
Completes disenrollment forms for HMO's
Processes participant/Intake/social worker housing forms

What we offer

medical insurance
dental insurance
vision insurance
short and long-term disability
life insurance and AD&D
supplemental life insurance
flexible spending accounts
401(k) savings
paid time off
company-paid holidays

Fulltime

Eligibility and Financial Redetermination Supervisor

The Eligibility and Financial Redetermination Supervisor provides oversite to th...

Location

United States , Richmond; Charlottesville; Salem; Newport News

Salary:

60000.00 - 74000.00 USD / Year

InnovAge

Expiration Date

Until further notice

Requirements

3+ yrs hand-on with Medicaid long term care system and benefits
2+ yrs supervising staff
Bachelors Degree
Requires a state issued driver’s license, personal transportation, good driving record and auto insurance as required by law.

Job Responsibility

Provides leadership and assistance to the Eligibility and Financial Redetermination Team in completion of the monthly redeterminations and meeting with them on a consistent basis regarding status of their caseloads.
Provides leadership and assistance to the Eligibility and Financial Redetermination Team in all other aspects of their job duties. This includes oversite of SHF’s, Medicaid Mail and distribution thereof, 10 day notices and denial notices.
Provides guidance and offers assistance when and where necessary.
Heavily involved in tracking and conducting audits of redeterminations ready to be sent to the County.
Vast knowledge regarding Long Term Care Medicaid so that they can offer alternatives, options and steps that can be taken to solve and remedy Medicaid issues.
Will be part of the overarching plan to improve quality, tracking, communication, and processes in the Medicaid Department as growth and systems dictate.
Back up for staff on an as needed basis and delegating as necessary.
Keeps current on updates of Federal and State rules and regulations pertaining to Medicaid eligibility and informs Redetermination Representatives of information that affects their jobs.
Effectively supervises and manages direct reports and provides, by example and leadership, motivation and direction to employees of the organization.
Carries out supervisory responsibilities in accordance with the organization's policies and applicable state and federal employment laws.

What we offer

medical/dental/vision insurance
short and long-term disability
life insurance and AD&D
supplemental life insurance
flexible spending accounts
401(k) savings
paid time off
company-paid holidays

Fulltime

Eligibility & Financial Determination Specialist

The Eligibility & Financial Determination Specialist works in conjunction with t...

Location

United States , Denver

Salary:

55000.00 - 61000.00 USD / Year

InnovAge

Expiration Date

Until further notice

Requirements

3+ yrs total related experience
1+ yr with CBMS Medicaid systems and knowledge of Medicaid system and benefits
High School diploma or GED
Requires a valid state issued driver’s license, personal transportation, good driving record and auto insurance as required by law.

Job Responsibility

Reviews applications from the Enrollment Representative Group and works closely with them in obtaining necessary documentation needed for Medicaid approval
Works as the primary contact for the enrollment representative for ongoing training and best practices
Tracking system in place and provided to the Medicaid Controller showing applications received and the status of each application from first submission to approvals
Ensures compliance with all State Medicaid Rules and Regulations with applications being submitted by Innovage to the County Agencies
Fulfilling this by keeping current on updates of Federal and State rules and regulations that pertain to Medicaid, Straight Medicaid, LTC, Spousal Impoverishment and Trusts, Food Stamps, Old Age Pension (OAP) and other Medicaid programs for which IGCP participants may be eligible
Works with Accounts Receivable and the Medicaid Controller/Analyst to track on a monthly basis Medicaid issues with IGCP participants
Tracking private pay clients and instrumental in obtaining a smooth transition to Medicaid eligibility
Ensures that all IGCP Medicaid staff acquires and maintain the necessary Medicaid knowledge needed for the position in collaboration with the Medicaid Redetermination Manager and the Medicaid Controller
Immediate attention to 10 day notices and denial notice or any other adverse notices of action received on new applications that were submitted to the county technicians
Troubleshoots difficult cases with Enrollment Representatives and Eligibility & Financial Determination Specialists

What we offer

medical/dental/vision insurance
short and long-term disability
life insurance and AD&D
supplemental life insurance
flexible spending accounts
401(k) savings
paid time off
company-paid holidays

Fulltime

New

Construction Structural Supervisor

We are seeking a Construction Structural Supervisor coordinates all construction...

Location

China , Qidong

Salary:

Not provided

Airswift Sweden

Expiration Date

Until further notice

Requirements

Bachelor’s Degree in Engineering, Construction Management, or related discipline
Strong experience in construction and commissioning, particularly within structural disciplines
Exposure to hull/topsides, modularized facilities, or fabrication yard environments is an advantage
FSO/FPSO related project experience is a plus

Job Responsibility

Ensure all construction & commissioning activities are carried out at site according to the approved plans, specifications and project schedule, in compliance with HSSE & Quality regulations and standards
Supervise the daily operations at site including workforce management, material handling, and equipment usage and ensuring the site team is working with latest project drawings, specifications and procedures
Enforce HSSE protocols and procedures to ensure all construction activities comply with company regulations and standards
Coordinate between the construction team, project management, and other stakeholders to resolve issues or conflicts
Provide guidance and resolving challenges to achieve seamless transitions and handovers
Implement changes to the construction plan or scope, assessing impacts on the project
Prepare and submit reports to the project management team, highlighting key achievements, challenges, and recommendations

Fulltime

New

District Support Pharmacist

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Montgomery

Salary:

60.00 - 76.00 USD / Hour

CVS Health

Expiration Date

September 22, 2026

Requirements

Active Pharmacist License in the state where the Store is located
Active National Provider Identifier (NPI)
Not on the DEA Excluded Parties list
Ability to travel within a reasonable radius to support market staffing as business needs require
Regular and predictable attendance, including nights and weekends
Ability to complete required training within designated timeframe
Attention and Focus: Ability to concentrate on a task over a period of time
Ability to pivot quickly from one task to another to meet patient and business needs
Ability to confirm prescription information and label accuracy, ensuring patient safety
Customer Service and Team Orientation: Actively look for ways to help people, and do so in a friendly manner

Job Responsibility

Living our purpose by helping to manage and improve patient health through safe and appropriate dispensing, counseling, and immunizing practices
Traveling the district to fill pharmacist shifts as scheduled by the District Performance Coordinator (DPC)
overseeing the pharmacy and serving as the Pharmacy Manager’s proxy during bench shifts without overlap
Supporting safe and accurate prescription fulfillment by following—and directing the pharmacy team to follow—pharmacy workflow procedures and utilizing the safety guardrails at every workstation
Assumes Pharmacy Manager’s day-to-day duties when serving as the only or the primary pharmacist-on-duty
Contributing to positive patient experiences by showing empathy and genuine care and coaching the pharmacy team to do the same: demonstrating compassionate care, collaborating with the patient’s total healthcare team, and proactively resolving insurance and/or medication issues
Proactively offering and delivering immunizations to keep patients healthy
engaging and supporting Pharmacy Technicians to learn to immunize
Supporting the effective management of pharmacy inventory in all pharmacies worked by following—and guiding the pharmacy team to follow—all inventory best practices, with a special focus on protecting cold chain products for our patients and our business
Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic

What we offer

dental
vision
wellness resources
employee discounts
access to certain voluntary benefits

Parttime

New

Electrical Engineer

Electrical Engineer - Engineering, Commissioning & Start-Up. We are working with...

Location

Qatar , Doha

Salary:

Not provided

Airswift Sweden

Expiration Date

Until further notice

Requirements

Bachelor's degree in electrical engineering
Minimum 15 years relevant post graduate experience, of which 10 years in Oil & Gas industry with an international reputable Operating company
Experience in operations and maintenance is mandatory
Skill/knowledge of International, Shell DEPs and/or client standards related to his area of expertise and Design Software related to Electrical Engineering such as ETAP, CYME Model, etc
Possess sound fundamentals in his discipline area
Shall possess very good technical skills in his discipline
Possess good communication, presentation skills and fluent in English language

Job Responsibility

Responsible for provision of the required quality technical support in the area of Electrical engineering expertise through all stages of the project
Verify and review technical designs, documents and bids in accordance with approved standards and to meet Operations, Maintenance, Asset and Pipeline Integrity and HSE requirements
Ensure Scope Preparation Completeness Review and hands-on experience in HV/LV Sub-stations, switchgears, Motors, CP system, Small power and lighting, earthing, VSDS, All other motors, Batteries and protection relays
Plan and coordinate between Operations, Maintenance and Asset Integrity teams to ensure project requirements are met and aligned
Identifies potential hazards during Engineering activities (as applicable) such as Document Review, Design Safety Review workshop, SAFOP, HAZID, ENVID, HAZOP, QRA, FERA, etc., participates in technical meetings, commissioning activities, SAT, Plant pre-start up safety audits, performance tests raises punch lists and provide support to operations and maintenance teams in various stages of project activities
Coordinate with Engineering, Project execution departments and Operations & Maintenance teams during projects’ FEED and EPIC stages to align Operations and Maintenance, Asset Integrity and HSE requirements
Coordinate with all relevant stakeholders and resolve relevant technical issues, punch lists during pre-commissioning and commissioning stages until the projects are successfully commissioned and handed over
Support Lead engineer or supervisor to ensure that all applicable environmental, process and safety technical policies are fully integrated and implemented
Ensure SIMOPS, Various Project Interfaces so that Shutdown Activities are properly planned for effective execution
Support development of Qatari team

New

Pharmacy Technician

At CVS Health, we are focused on transforming health care for our customers and ...

Location

United States , Martinsville

Salary:

16.50 - 25.00 USD / Hour

CVS Health

Expiration Date

August 22, 2026

Requirements

Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
State-level licensure and national certification requirements vary by state, click here to learn more
Regular and predictable attendance, including nights and weekends
Ability to complete required training within designated timeframe
Attention and Focus: Ability to concentrate on a task over a period of time, Ability to pivot quickly from one task to another to meet patient and business needs, Ability to confirm prescription information and label accuracy, ensuring patient safety
Customer Service and Team Orientation: Actively look for ways to help people, and do so in a friendly manner, Notice and understand patients’ reactions, and respond appropriately
Communication Skills: Use and understand verbal and written communication to interact with patients and colleagues, Utilize active listening by giving full attention to what others are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times
Mathematical Reasoning: Ability to use math to solve a problem, such as determining the total number of tablets to dispense, day’s supply, and/or number of full bottles and additional bottles needed to fill a prescription

Job Responsibility

Support the pharmacy team in delivering operational and service excellence within your store
Assist the pharmacy team to ensure that pharmacy operations run smoothly, our patients’ prescriptions are filled promptly, safely, and accurately, and we are providing caring service that exceeds patient expectations
Operate as part of the pharmacy team through consistent application of Standard Operating Procedures (SOPs), best practices, and effective communication
Contribute to safe and effective operations of the pharmacy
Living our purpose by following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
Contributing to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone
keeping patients healthy by offering immunizations and other services at the register and over the phone
and demonstrating compassionate care by solving or escalating patient problems
Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team, such as accurately putting away medication deliveries and completing cycle counts, returns-to-stocks, waiting bin inventories, etc.

What we offer

Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs

Fulltime

New

Senior Manager Canadian Operations

Location

Canada , Saint-Augustin-de-Desmaures

Salary:

Not provided

Biscuits Leclerc Ltd

Expiration Date

Until further notice

Requirements

University degree in engineering (industrial, mechanical, or electrical), production operations management, or any other combination of education and relevant experience
Minimum of five (5) years in a senior director role within a manufacturing environment
Demonstrated experience in multi-site management, ideally across several Canadian provinces
Significant experience in the manufacturing industry, preferably in the agri-food sector or in a high-volume, high-speed production environment
Recognized certification (e.g., Black Belt or other) or equivalent experience in the knowledge, implementation, and management of Lean and continuous improvement principles
Mobilizing leadership: ability to engage teams, demonstrate courage in decision-making, and inspire trust
Superior analytical skills and well-developed ability to synthesize information
Excellent organizational, planning, and priority management skills
Strong interpersonal, communication, persuasion, and negotiation skills
Solid problem-solving skills and ability to make quick, informed decisions

Job Responsibility

Participate in the development of the organization’s overall strategies by integrating operational realities
Lead a culture of proactive problem solving by deploying Lean tools and methodologies to identify root causes, eliminate waste, and implement sustainable solutions across all plants
Identify, develop, and lead the implementation of improvement processes designed to increase the efficiency of manufacturing operations
Stay abreast of market best practices and measure operational performance against available benchmarks
Develop, plan, execute, and control the actions required to achieve the objectives under their responsibility
Structure operations within their area to ensure the efficiency and performance of invested resources
Ensure the implementation and monitoring of the health and safety plan, as well as compliance with applicable rules and regulations in Quebec and Ontario
Promote the adoption of Lean principles (Kaizen, 5S, value stream mapping) and ensure the transfer of continuous improvement knowledge across the organization
Plan, lead, and support operational activities at the highest management level with the assistance of plant managers
Lead, advise, and support teams assigned to major investment and improvement projects

What we offer

Evolving in a clean, temperate environment with the latest technology
Starting a new job with paid and adapted training
Benefit from a complete benefits program (drug and dental insurance, 1 week of sick leave [conditions apply], telemedicine, group RRSP with employer participation and more)
Enjoy quality meals at low prices in the cafeteria (unlimited coffee, tea, cookies and bars)
Enjoy free use of the sports facilities (basketball court, training room and cardio room)
Save on our delicious products and discover exclusive novelties
Take advantage of job security and opportunities for advancement within the company
Integrate a rich company culture (Christmas, birthday and maternity gifts, use of the Poka platform and more)

Fulltime

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Eligibility & Financial Redetermination Representative

Job Description

Job Responsibility

Requirements

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What we offer

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