- Novo Nordisk Inc. (San Mateo, CA)
- …current co-promotion partners. Internally, the DCS reports to the District Business Manager of the specific sales territory. The DCS also interacts and collaborates ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY...program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER II , FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4762503) Apply ... MANAGER II , FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL...Opening Date 12/16/2024 + Description + Benefits + Questions Position/ Program Information EXAM NUMBER Y6686I TYPE OF RECRUITMENT Open… more
- Elevance Health (Scottsburg, IN)
- ** Manager II GBD Special Programs, LTSS/Service Coordination (RN, LSW, LCSW, LMHC) - South East Indiana** **Location:** **State of Indiana - South East Indiana ... ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Manager II GBD Special Programs, LTSS/Service Coordination** will be… more
- Abbott (Abbott Park, IL)
- …Opportunity** We are looking for a **Field Health Economics & Reimbursement, Associate Manager II ,** to support our Cardiac Rhythm Management division. This ... (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program and FreeU… more
- Amazon (San Francisco, CA)
- …among clinical and operational teams to eliminate avoidable harm. As the RN Program Manager , you will leverage your clinical and patient safety backgrounds ... Description Amazon One Medical is seeking an experienced RN Patient Safety Manager to ensure the organization's systems and processes align with regulatory standards… more
- Sutter Health (Goleta, CA)
- …& LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time to acquire within 2 ... delivery system: including but not limited to: Centers for Medicare and Medicaid Services (GR) Grouper (CMS), Department of...pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify… more
- Tucson Electric Power (Tucson, AZ)
- **Benefits Analyst - I, II , Senior or Lead** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **6015** **About Us** UNS Energy Corporation ... andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Benefits Analyst - I, II , Senior or Lead** **Position Overview** The Benefits Analyst is responsible… more
- Sutter Health (Tracy, CA)
- …in an integrated delivery system: including but not limited to: Centers for Medicare and Medicaid Services (GR) Grouper (CMS), Title 22, CHA Consent Manual, ... and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits… more
- Elevance Health (Durham, NC)
- ** Manager II Grievance/Appeals** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... an accommodation is granted as required by law._ The ** Manager II Grievance/Appeals** responsible for management oversight...regulated audits. + Oversight of the IRE portions of Medicare audits and universe production. + Serves as a… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …is expected and required. + Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Acts as the go-to person along ... train new staff. Level III (in addition to Level II Accountabilities) + Identifies issues, patterns and/or trends generated...normal channels. + Acts as a backup to Account Manager when individual is out of the office. +… more
- Fallon Health (Worcester, MA)
- …to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that ... by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. **About… more
- Marshfield Clinic (Weston, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition of employment. ... exciting missions in the world!** **Job Title:** Central Service Technician II **Cost Center:** 301691306 WesHos-Sterilization Process **Scheduled Weekly Hours:** 40… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet… more
- Elevance Health (Louisville, KY)
- **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... as required by law._ The **Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible for completing projects...to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make… more
- Marshfield Clinic (Marshfield, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition of employment. ... most exciting missions in the world!** **Job Title:** Pharmacy Technician I, II , III or Senior - Specialty Pharmacy **Cost Center:** 201351300 Mfld-Specialty… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …community-based organization meetings as required/complement or collaboration with Community Engagement Program Manager . * Gain Subject Matter Expertise (SME) ... and community events. Essential Accountabilities: Level I * Educates Medicaid, Medicare , and Commercial members on healthcare benefits, and community resources… more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is responsible for the management and oversight activities associated with LA… more
- Marshfield Clinic (Marshfield, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition of employment. ... exciting missions in the world!** **Job Title:** Voice Engineer II - Local Hybrid/Remote within MCHS locations **Cost Center:**...one or more of the following: + Cisco Communications Manager + Cisco Contact Center Enterprise + Cisco or… more
- Rush University Medical Center (Chicago, IL)
- …vary depending on the circumstances of each case. **Summary:** The Care Management Navigator II is part of a care management team that is responsible for promoting ... and care coordinator experience with Comprehensive knowledge of multiple aspects of the program to provide coverage as needed for missing navigators * 2 years of… more
