- Fidelity TalentSource LLC (Westlake, TX)
- …to help build and grow a business that could impact millions of Americans!Our Medicare Specialists are licensed health insurance professionals who have a passion ... questions from clients and confirming their eligibility for MedicareExplaining the benefits and features of various Medicare Advantage, Medigap and… more
- Marion County (Salem, OR)
- …operational plans to achieve desired outcomes. Serve as a policy advisor to executive leadership to formulate recommendations, policy decisions and strategic ... to the position. NECESSARY SPECIAL REQUIREMENTSMust be either 1) licensed by the Oregon Board of Licensed ...from participation in the federal health care programs (Medicaid, Medicare and other federally funded programs that provide health… more
- Centers Plan for Healthy Living (Bronx, NY)
- …with the guidance and plans they need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor - Medicare Sales, Maintains relationships, services ... Licensed Benefits Advisor (Field...in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and… more
- WTW (Houston, TX)
- …you will be required to complete an extensive background check in order to be licensed as a Benefit Advisor . **Work from home requirements: Equipment ... We design and deliver solutions that manage risk, optimize benefits , cultivate talent, and expand the power of capital...Learn more at wtwco.com . **Job Description** As a Benefit Advisor , you will have the rewarding… more
- CommonSpirit Health (Houston, TX)
- …**This is a remote position, and we prefer at this time that you be licensed in the state of Texas. Candidates licensed in other states will be ... considered for future openings.** As the Utilization Management Physician Advisor II, the Physician Advisor (PA) conducts clinical case reviews referred by case… more
- Dignity Health (Gilbert, AZ)
- …Twitter (https://twitter.com/ChandlerRegiona) . **Responsibilities** **Job Summary:** The Physician Advisor plays a critical role in promoting evidence-based ... of claims denials. + Provide compliance element for Centers for Medicare and Medicaid Services (CMS)Conditions of Participation (COP) by performing secondary… more
- CommonSpirit Health (Englewood, CO)
- …out in the community. **Responsibilities** **This is a remote position and we prefer you be licensed in the state of CA. You must have flexibility to work up to one ... week, or five 8-hour shifts per week.** As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred by case management staff… more
- Sutter Health (Emeryville, CA)
- …site of care delivery. Focusing on patient-related safety issues, is a trusted advisor in leading the evaluation of this information to identify causes, and ... proactive culture of safety. **Job Description** : **Education** Required + Licensed Clinical Professional (MD, DO) Preferred + Certified Professional in Healthcare… more
- Robert Half Legal (Rancho Cucamonga, CA)
- …You will be joining a large legal team and become a Managed Care expert ( MediCare ). You will advise on regulatory and compliance issues, and a critical HIPAA ... advisor . You will manage outside counsel with respect to...and recommend effective courses of action. The company handles Medicare , Medical, & Covered California. + Stay ahead of… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient ... case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need for issuing… more
- AmeriHealth Caritas (Newark, DE)
- …a current and unrestricted MD license in DE and any other state they are licensed within. Your career starts now. We are looking for the next generation of health ... who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other… more
- SSM Health (St. Louis, MO)
- …minority populations. General Duties: This faculty member must be a licensed physician and neurologist with experience in headache treatments and will ... treatment. This opportunity has competitive compensation and a robust benefit package of health, dental and vision, and life...a rich history and wonderful attractions. You'll enjoy the benefits of the Arch, MLB Cardinals and NHL Blues,… more
- SSM Health (Madison, WI)
- …10 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, an insurance company, a technology company and an Accountable ... Wisconsin since 1912. St. Mary's is an acute-care hospital licensed for 440 beds and offers full scope of...office during times of service. + Acts as an advisor and consultant in the establishment of operational policies… more
- Ascension Health (Nashville, TN)
- …We have quarterly in person meetings. Previous experience with the Medicare population is preferred. Care/Case Management experience preferred. Experience in patient ... preferred. Technologically agile, multi-tasking in multiple online platforms and portals ** Benefits ** Paid time off (PTO) Various health insurance options & wellness… more