- Cambia Health Solutions, Inc (Renton, WA)
- …Cambia policies and procedures to achieve appropriate levels of visibility for Regence Medicare efforts.Provides active support of the Regence Medicare ... MEDICARE SALES BROKER MANAGER (HEALTHCARE)Telecommute Option - Must...and achieving membership goals? We're searching for a talented Medicare Sales Broker Manager to join our team!As a… more
- Fidelity TalentSource LLC (Westlake, TX)
- …either as a broker or carrier representativeIf you re not already AHIP certified, we'll support you while you complete the AHIP Medicare training and work to ... Job Description: Medicare specialistRoleYou will help our customers navigate the...yours. You can take advantage of flexible benefits that support you through every stage of your career, empowering… more
- Fidelity TalentSource LLC (Westlake, TX)
- …part of the Carrier Management Team as we look to help millions of Americans make Medicare decisions. You will support our team as we look to expand our business ... business objectives, research on insurance carriers and state regulations, assisting in support to our sales team, sales team onboarding, updating guides, cheat… more
- U of C NORC (Bethesda, MD)
- …surveys, interviews, focus groups, and site visits; secondary data such as Medicare anRESPONSIBILITIES:Play a lead role in growing NORC's portfolio in the area ... consultative policy analysis, evaluation expertise, and operational and technical support for federal clientsDesign and conduct quantitative and qualitative research… more
- Cambia Health Solutions, Inc (Renton, WA)
- Provider Performance Director, Medicare Advantage (HEALTHCARE)Telecommute or Tele-Flex Options (Depending on location) - Must reside in ID, OR, UT or WAWHO WE ... performance improvements in critical objectives such as population health management, Medicare Stars, and Risk Adjustment.Here are some of the exciting… more
- CHRISTUS Health (Santa Fe, NM)
- …practices including training on HEDIS measures and annual quality abstraction to support ( Medicare Shared Savings Program). This position is responsible for ... the oversight of the Mayo Clinic E-consult, E-boards data support . Enhanced Oncology Care Model CMS, Transition of Care...conjunction with Medical Director of Ambulatory Quality. Supervision and support of Mayo Clinic Care Network as it relates… more
- Accounting Now (Pinellas Park, FL)
- …documenting related account activities, posting adjustments and collections of Medicare , Medicaid, Medicaid Managed Care, and commercial insurance payers. The ... collection specialist must possess critical thinking skills and understanding of Medicare , Medicaid eligibility requirements as well as commercial insurance payer… more
- The Armes Family Cancer Care Center (Findlay, OH)
- PURPOSE OF THIS POSITION The Clinical Support Associate is responsible for the smooth and effective operations of the clerical, billing, admission/registration and ... administration experience. Knowledge of Medical Billing and ICD-10 codes. Medicare experience. Electronic Medical Records (EMR) experience. PHYSICAL DEMANDS This… more
- Duke Health (Efland, NC)
- …the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, ... are provided to the patient. Maintain up to date knowledge of Medicare /Medicaid/JCAHO standards thru inservices and workshop attendance. Assesse the severity of… more
- Sentara Health (Glen Allen, VA)
- …5+ years of relevant experience without a degree Responsible for day-to-day support and optimization of software applications, including support and maintenance. ... problem, incident, and change management and service requests. Provides daily on-call support to the customer base for application-related issues. Works within a… more
- U of C NORC (Chicago, IL)
- …Care Programs team provides a wide array of services and expertise to support federal and state government and foundation clients in addressing health system ... of policy issues facing public health insurance programs such as Medicaid, Medicare , and Marketplace coverage.Our subject matter experts employ a variety of methods… more
- Mindlance (Atlanta, GA)
- …responsibilities of the BSA role include: . Design, develop, documents, test or support modification of computer programs and/or systems . Researches and assists in ... Analyst - Healthcare - Health Insurance - EDI, HL7, Medicare / Medicaid - IT - Information Technology Job...Experience running SQL queries . Healthcare / Health Insurance - EDI, HL7, Medicare / Medicaid . Healthcare claims… more
- Option Care Health (Springfield, IL)
- …advisor to our Business Teams providing strategic guidance and support on compliance-related matters, including regulatory and policy requirements, implementation ... compliance including, but not limited to fraud, waste and abuse; Medicare & Medicaid billing requirements; and interactions with healthcare professionals.Understand… more
- ICONMA (Atlanta, GA)
- …adjustment model regulations. . This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the ... annual Risk Adjustment life cycle for the Medicare , Medicaid, and Commercial lines of business. . Can...ICD-9/ICD 10-CM and other standard classification coding systems. . Support the collection and distribution of documentation and coding… more
- Merck & Co. (North Wales, PA)
- …Organized Customer Access and Reimbursement teams to inform the strategies to support current indications and launch future indications.- This role will report to ... agency partners and focus on customer segments (eg health plans, Medicare , Medicaid, federal, pharmacy, hospital, Group Purchasing Organization s, etc.). Primary… more
- Duke Health (Chapel Hill, NC)
- …the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, ... care. The visiting nurse and the case managers they support will work together to provide excellent care to...to the patient. Maintain up to date knowledge of Medicare /Medicaid/JCAHO standards thru inservices and workshop attendance. Assesses the… more
- Insmed Incorporated (Bridgewater, NJ)
- …them to appropriate to resources and escalating vendor or other complex issues. Support the implementation, roll out and delivery of new benefits/programs, and ... documentation; communicate leave of absence policies to employees and managers; support Workday absence and leave configuration for statutory requirements; maintain… more
- Novo Nordisk Inc. (Valdosta, GA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... access to build and maintain business-relevant relationships with customers: prescribers, support staff, pharmacies, and clinic administrators to gain access and… more
- Option Care Health (Hayward, CA)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...services that are available through Option Care and provides support to sales professionals on an ongoing basis. Supervisory… more
- Duke Health (Morrisville, NC)
- …the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, ... are provided to the patient. Maintain up to date knowledge of Medicare /Medicaid/JCAHO standards thru inservices and workshop attendance. Assesse the severity of… more
