- SCAN (Long Beach, CA)
- …Hybrid Medical Benefits Paid Sick Time Excellent 401(k) Retirement Saving Plan Robust employee recognition program An opportunity to become part of a team that ... SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in...healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented,… more
- Novo Nordisk Inc. (San Mateo, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... and legal requirements. Manages discretionary territory budget and marketing promotional program budget to support territory sales goals Demonstrates a clear and… more
- Texas Workforce Commission (Austin, TX)
- …Vocational Rehabilitation Division (TWC-VRD) is seeking a Long Term Services and Supports Program Specialist VI to join the Vocational Rehabilitation Program ... relocate to Texas. About the Role TWC-VRD seeks a Long Term Services and Supports Program Specialist VI (PSVI) to lead Long Term Services and Supports (LTSS)… more
- Oxford Global Resources (Dallas, TX)
- Summary: The CDI Coding Specialist uses clinical knowledge to serve as an advisor to providers and staff regarding complete and accurate documentation supporting ... coding trends and maintains up to date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI...Supports monitor, and report key performance indicators (KPIs) to Senior Management Monitor trends in the CDI process and… more
- University of Southern California (Los Angeles, CA)
- …excellence, and private and public sector engagement, is looking for a Senior SAS Research Programmer to provide programming support on research projects examining ... health behavior research and related health policy topics. The Senior SAS Research Programmer will serve as lead programmer and technical specialist on research… more
- CenterWell Primary Care (Morrow, GA)
- …services within the Center. *Participates in the local primary care "on-call" program of CenterWell Senior Primary Care. *Assures personal compliance with ... Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across… more
- Banner Health (Wickenburg, AZ)
- …that aren't available at other agencies - a field preceptor, an IT specialist , a dedicated scheduler, a nurse preceptor during orientation (available every day to ... than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This...This is a requirement of the Whole Family Counseling Program held at this specific facility. Employees working in… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** ... Eligibility & Marketplace Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to ... related field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing Manager… more
- UCHealth (Fort Collins, CO)
- Description Patient Access Specialist Sr , Rehab Services Location: UCHealth Harmony Campus 2121, US:CO: Fort Collins Department: PVH Rehab Services At Harmony ... physician. Verifies insurance eligibility for governmental insurance payors (ie Medicaid, Medicare , Tricare, etc.). May complete Medicare Secondary Payor… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** The Sr Specialist , Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality ... meetings and action plans. Addresses practice environment challenges to achieve program goals and improve health outcomes. Tracks engagement activities using… more
- University of Rochester (Rochester, NY)
- …drugs (HazD) in compliance with USP 800 standards, Centers for Medicare and Medicaid Services┐ Conditions of Participation, Department of Health regulations, ... development and implementation of a quality assurance and control program that collects and reports relevant data for adherence...health system. Documents the review of the quality assurance program and findings on at least annually in the… more
- UCHealth (Steamboat Springs, CO)
- …+ Verifies insurance eligibility for governmental insurance payors (ie Medicaid, Medicare , Tricare, etc.). May complete Medicare Secondary Payor Questionnaire ... to 5 years. Nationally recognized for its innovative intergenerational program since 1981, you can trust your little ones...& Fun * Winter Adventures: o Employee Ski Pass Program : Hit the slopes with complimentary access to Steamboat… more
- UCHealth (Colorado Springs, CO)
- …+ Verifies insurance eligibility for governmental insurance payors (ie Medicaid, Medicare , Tricare, etc.). May complete Medicare Secondary Payor Questionnaire ... a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program ! UCHealth provides employees with free assistance navigating the PSLF program… more
- Sharp HealthCare (San Diego, CA)
- …**Preferred Qualifications** + 3 Years experience with managed care, PBM and/or Medicare Part D, Medicaid, Commercial Health Insurance. + Experience with Oncology ... support and performance improvement recommendations for Sharp's Patient Assistance Program .Assisting Management with supervisory responsibilities such as hiring, terminating,… more
- Commonwealth Care Alliance (Boston, MA)
- …Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, compliant, and timely ... reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director...issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject matter expert on… more
- Ochsner Health (Jefferson, LA)
- …coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare , Medicaid and other third-party payer guidelines to ensure receipt of accurate ... Completion of American Health Information Management Association (AHIMA) accredited coding program with certification. **Work Experience** Required - 3 years coding… more
- Ochsner Health (Jefferson, LA)
- …coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare , Medicaid and other third-party payer guidelines to ensure receipt of accurate ... Management Association (AHIMA)/American Association of Professional Coders (AAPC) coding program with certification **Work Experience** Required - 3 years of… more
- Medtronic (Los Angeles, CA)
- …to innovation in a more connected, equitable, and compassionate world. The ** Sr . Health Economics & Outcomes Research Specialist ** will provide strategic ... products in Diabetes Operating Unit (OU). In addition, the Sr . HEOR specialist will generate evidence that...payers across all books of business including, Commercial, Medicaid, Medicare Advantage, as well as those of CMS. +… more
- Molina Healthcare (Vancouver, WA)
- **Job Description** **Job Summary** The Sr Specialist , Member & Community Interventions oversees and implements new and existing clinical quality member ... and/or collaboratively with other departments. **Job Duties** + Acts as a lead specialist to provide project, program , and/or initiative related direction and… more
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