- Cambia Health Solutions, Inc (Portland, OR)
- …Options - Must reside in ID, OR, UT or WAWHO WE NEEDThe Product Implementation Manager (I or II) ensures that new Medicare Advantage products and product ... to be proficient in the competencies listed below:Product Implementation Manager I:Bachelor's degree in business administration, healthcare administration… more
- Everence (Goshen, IN)
- …team responsible for incoming and outgoing customer services for members, consultants , and others as related to Everence health products.RESPONSIBILITIES AND ... policy and strive to retain membership.Provide coverage options for Medicare Supplement products including pricing.Maintain an understanding of Everence third-party… more
- Intermountain Health (Las Vegas, NV)
- …overall responsibility to achieve the budgeted membership sales goals for SelectHealth Medicare lines of business for the assigned territory. Establishes strong ... relationships with brokers, agents and employers. Educates on the SelectHealth Medicare lines of business . Implements and acts on strategic broker plans to… more
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Account Manager is responsible for enrolling Medicare members through group and in-home sales ... presentations. Must demonstrate the ability to create and maintain effective business relationships with local businesses, agencies, and organizations focused on the… more
- BlueCross BlueShield of North Carolina (NC)
- …and tactical aspects of all Medicare related PBM (Pharmacy Benefit Manager ) activities, new initiatives, and other ongoing business deliverables in ... with PBM related deliverables. Collaborates closely with project team members, business owners and sponsors to develop and successfully implement projects/programs.… more
- CVS Health (Trenton, NJ)
- …documents prior to configuration.* Supports reviews of all configuration built by other Business Consultants .* Supports Leads with coaching / mentoring for other ... Team role that will be a member of the Medicare / Medicaid Enrollment Configuration team tasked with developing... Business Consultants performing configuration within the system.Required… more
- CVS Health (Dover, DE)
- …more personal, convenient and affordable. Position SummaryThe Revenue Integrity (RI) Sr. Manager , Business Consultant (Risk Adjustment) is responsible for ... maximize RA activities and initiatives for the designated market/territory. Specifically, the Business Consultant will be responsible for increasing market level… more
- Fairview Health Services (Minneapolis, MN)
- …Analyst will serve as the Solid Organ Transplant primary internal consultant responsible for providing critical analytical support for regulatory and financial ... implications of the Transplant components of the Medicare Cost Report (MCR). **Responsibilities Job Description** The Sr Financial Analyst maintains current… more
- State of Colorado (Denver, CO)
- Nurse Consultant RN, Acute Services Care - HFEMS FAA02056 Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4295262) Apply Nurse Consultant ... time of applying. CLASS CODE & CLASSIFICATION DESCRIPTION: Nurse Consultant (C7E1XX) Be BOLD and make a real difference...and guidelines as set forth in the Centers for Medicare and Medicaid Services (CMS) and State regulations, Principles… more
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** Compensation Consultant (Remote) **Cost Center:** 101651125 Human Resources **Scheduled Weekly Hours:** 40 ... Mon-Fri; day shifts (United States of America) **Job Description:** The Compensation Consultant works as a key resource within the Human Resources department… more
- Public Consulting Group (Columbus, OH)
- …facilities for individuals with intellectual disabilities (ICF-IID) . Serves as project manager and subject matter expert on community LTSS programs within the ... and regulation. . Reviews and is an expert in business operations for service and efficiency improvements. . Develops...ladder innovation. + Experience partnering with the Centers for Medicare and Medicaid Services (CMS) for the approval of… more
- CVS Health (Plantation, FL)
- …Behavioral Health), along with Patient Safety Events across all lines of business (Commercial, Medicare , and Medicaid). Independently coordinates the clinical ... Monday-Friday, 8am-5pm (ET) with flexibility to work outside of business hours, as needed. Candidates may reside in any...the Potential Quality of Care (PQOC) nurse investigator team manager . This position is responsible for the review and… more
- Raymond James Financial, Inc. (Ridgeland, MS)
- …retirement plans, risk management, estate planning, education funding, and small business planning. Continuously gains knowledge of the financial industry and ... new products (as appropriate). Responsibilities will include, staying up-to-date on Medicare , Social Security, Tax Regulations, and other relevant factors to provide… more
- Highmark Health (Guilderland, NY)
- …Highmark Inc. **Job Description :** **JOB SUMMARY:** Under the direction of the manager , consumer markets, the Assistant Sales Center Manager will coordinate and ... provide sales consultation for all activity flowing through the Medicare Center. This person will work closely with the benefit consultants , delivery crews, and… more
- MetroLink (Los Angeles, CA)
- Manager I, Human Resources Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4396193) Apply Manager I, Human Resources Salary $87,290.00 - ... + Benefits + Questions SUMMARY PURPOSE OF POSITION The Manager I, Human Resources will identify needs, set the...+ Conduct and respond to salary surveys. + Oversee consultants working on agency-wide classification and compensation study. +… more
- Glenview Wellness and Rehabilitation Center (Richland Hills, TX)
- …Experience in a Skilled Nursing Home Required Objective Direct the overall Business Office activities in accordance with current applicable federal, state, and local ... and as directed by the Administrator, to assure that Business Office tasks are done correctly and on schedule,...that the Centralized Statement process is followed. + Manages Medicare ADRs and appeals per established procedure. + Ensures… more
- Universal Health Services (Reno, NV)
- …2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage, Accountable Care Organizations, and commercial payer ... the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Manager of Compliance and Risk Management is responsible for managing and… more
- Keystone Lab (Asheville, NC)
- …Collections Manager is responsible for managing the Accounts Receivable Business Office teams accountable for the collection of reimbursement information and ... Laboratory Billing Manager Keystone Laboratory Inc. - Asheville, NC An...Inc. / Keystone Laboratory Inc., has been in the business of drug detection and workplace protection for nearly… more
- Universal Health Services (Reno, NV)
- …in all matters related to pharmacy benefits across all lines of business including Commercial fully-insured, self-insured, and Medicare Advantage products. The ... position will regularly interface with vendors (including the pharmacy benefit manager ), consultants , pharmacies, provider offices, brokers, and members. The… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …for internal and external use. Designated staff may focus primarily on supporting the Medicare Advantage line of business . **NATURE AND SCOPE** + This role does ... manage people + This role reports to this job: MANAGER , PROVIDER REIMBURSEMENT + Necessary Contacts: In order to...reimbursement programs for traditional and managed care programs and Medicare Advantage. Contact other plans, consultants , and… more
