- Clever Care Health Plan (Arcadia, CA)
- …the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth. Who ... game-changing organization that celebrates diversity and innovation. Job Summary The Medicare Benefit Consultants (Field Sales) is responsible to generate Clever… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is currently hiring ** Medicare Provider Service Representatives.** The Medicare Provider Service Representative is responsible for taking ... compliance with BroadPath, Client, and HIPAA regulations **Qualifications** + Minimum 6 months of Medicare experience (within the last 4 years) + At least 1 year of… more
- Luke Staffing (Butner, NC)
- …Proficient in database software. . Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited to: . Medicare ... . Medicare Outpatient Prospective Payment System . Medicare Ambulatory Surgical Center Payment Rates . Medicare Part B Physician Fee Schedule . Medicare … more
- Stanford Health Care (Palo Alto, CA)
- …and regulatory reports to government agencies, including but not limited to: - Medicare and Medi-Cal cost reports -Financial disclosures to the Department of Health ... timely and accurate filing of annual government cost reports, including Medicare , Medi-Cal, and HCAI submissions. + Maintain comprehensive knowledge of federal… more
- Home Care Evolution (Gaithersburg, MD)
- …and Assessment Information Set), and demonstrating a comprehensive understanding of Medicare Home Health regulations. The RN will be responsible for delivering ... Ensure compliance with OASIS documentation standards and maintain up-to-date patient records. Medicare Home Health Compliance: Stay current on Medicare Home… more
- Eisai, Inc (Boston, MA)
- …to meet objectives for assigned regional payer accounts including Commercial, Medicare and Medicaid (State Medicaid agencies, managed Medicaid, and select client ... of Eisai product portfolio (as applicable). Coordinate with all Commercial and Medicare National Account Directors and National Account Executives to work with… more
- Kizen (New York, NY)
- …for a hands-on Account Manager with a history of building strategic relationships in the Medicare space as we bring our next-gen platform to the world. This is an ... maintaining a high level of client satisfaction. The ideal candidate understands Medicare Advantage, Medicare Supplement, and prescription drug plans. Key… more
- Tidelands Health (Myrtle Beach, SC)
- …ensure timely and accurate reporting of all regulatory financial information to Medicare & Medicaid. This position requires the ability to manage strict deadlines, ... is not limited to: IRS Form 990 Schedule H; Medicare , Medicaid & Tricare Cost Reports; Medicaid DSH; Joint...Annual Reports. + Coordinate and manage external audits from Medicare & Medicaid as necessary. + Prepare monthly contractual… more
- Commonwealth Care Alliance (Boston, MA)
- …and/or regulatory compliance requirements. + Maintain a solid understanding of Medicare and Medicaid reimbursement methodologies for assigned services. + Conduct ... methodologies and health care financing required. + Solid understanding of Medicare and Medicaid reimbursement methodologies and particular expertise in Medicare… more
- Staffing Solutions Organization (Albany, NY)
- …& Marketplace Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This position is ... regarding Medicaid enrollment and premium reimbursement. + Understand the Medicare Savings Program as it applies to NY Medicaid....from a variety of sources such as Centers for Medicare and Medicaid Services (CMS), Insurance Carriers, and others.… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …forecast gross to net components including but not limited to Managed Care, and Medicare Part D, Medicaid as well as current and future Healthcare Reform related ... in forecasting of key rebate categories included but not limited to Commercial, Medicare Part D, Coverage Gap, and Medicaid Demonstrated analytical skills via MS… more
- Commonwealth Care Alliance (Boston, MA)
- …to achieve high performance on CCA's Population Health goals; including Medicare Star measures, Medicaid- Medicare Plan withhold measures, quality performance ... CAHPS, HOS) and value-based contract performance metrics + Experience with Medicare Advantage, Medicaid; and dually eligible populations **Desired Experience** +… more
- Boost Home Health (Frisco, TX)
- …ideal candidate will possess knowledge of OASIS, PDGM, QAPI functions, Medicare Conditions of Participation, and state regulations Strong computer skills, meticulous ... third-party payer requirements; complete audits and billing in compliance with Medicare regulations. Supervise team members in line with company policies,… more
- Stanford Health Care (Palo Alto, CA)
- …actual revenue and contractual allowances for all payors including managed care, Medicare , Medi-Cal, commercial, and self pay payors. Oversee the regulatory filings ... and reporting of Medicare and Medi-Cal Cost Reports, OSHPD reports, and other...to reimbursements. Oversee the handling of external audits by Medicare , Medi-Cal and other government agencies. Provide support to… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Value-based program oversight and performance tracking - ... learn new systems and databases that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Demonstrated skills in Excel and PowerPoint -… more
- Sun Pharmaceuticals, Inc (Syracuse, NY)
- …establish alternate sites of care to support patient options. + Possess expertise in Medicare policies and the variations within all parts of Medicare + Ensure ... of adjudication within Commercial and Government payers, buy and bill model, Medicare , Tricare , Medicaid and National and Regional Commercial payers. Experience… more
- Stony Brook University (Stony Brook, NY)
- …billing processes and troubleshooting billing questions according to NYS DOH, Medicare , Medicaid and patient insurance regulations. d. Monitors the Reference Lab ... bills (invoices). Ensures tests are ordered, performed, and billed per Medicare /OIG regulations. f. Audits all test credits performed in Specimen Receiving… more
- Somatus (Phoenix, AZ)
- …+ Educate patients on their insurance options including Group Health Plans (GHPs), Medicare , Medicaid, and managed care plans. Serve as a liaison between patients, ... + Maintains a customer/client focus. + Strong understanding of insurance, Medicare , Medicaid, patient payment processes. + Strong interpersonal skills to effectively… more
- Staffing Solutions Organization (Augusta, ME)
- …and technicians representing various coverage plans + Educate MaineCare Members regarding various Medicare Part D plans and how to choose a plan, how the plan ... pays benefits, etc. + Educate MaineCare Members on Medicare Savings Program/ Medicare buy-in plans and how to choose a plan, how the plan pays benefits, etc. +… more
- Aveanna Healthcare (Princeton, MN)
- …License in the state of application Valid CPR and Drivers License Preferred: Medicare Skilled Nursing experience Basic understanding of Oasis 1-year RN experience in ... a health care setting HHH As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant… more
Related Job Searches:
Actuarial Analyst Medicare Remote,
Corporate Medical Director Medicare,
Customer Service Representative Medicare,
DOD Skillbridge Fellowship Medicare,
Medical Director Medicare,
Medical Director Medicare Grievances,
Medical Director National Medicare,
Medicare Grievances Appeals Corporate,
Medicare Sales Field Agent,
Sr Actuarial Analyst Medicare