- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …we need: As an integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual ... Ensures required CMS Part C organization determination reporting is accurate + Accurately plan and scope projects; keep project leads, senior consultants, and… more
- CVS Health (Irving, TX)
- …work on a variety of document types and across many contracted relationships. The Senior Analyst will also track document status and work with the team to ... for our clients and helping to make pharmaceuticals more accessible. The Senior Analyst works with multiple internal and external stakeholders to generate, red-line,… more
- CVS Health (Hartford, CT)
- …company's overall growth. The business's key product areas include Individual and Group Medicare Advantage Plans, Prescription Drug Plan , Duals, and the ... and affordable. The Vice President, Human Resources is the senior HR thought-partner to the executive leadership team of...thought-partner to the executive leadership team of the Aetna Medicare business, a business that announced a new leader… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …of the Medicare Advantage Compliance Program, in collaboration with senior management and stakeholders. Plan , execute, and finalize projects according ... manages administrative elements of the Companies' (LHSIC, HMOLA, and VHP) Medicare Advantage Compliance Program, including development and maintenance of program and… more
- Humana (Columbus, OH)
- …Humana Enterprise Architecture principles, standards, policies and methodologies. The Senior Enterprise Architect translates business needs into technical systems ... solutions and architectural roadmaps. The Senior Enterprise Architect work assignments involve moderately complex to complex issues where the analysis of situations… more
- BAYADA Home Health Care (Alexandria, VA)
- …with a recruiter to learn more about opportunities in your area.** BAYADA Senior Living offers a comprehensive continuum of care to its clients, including ... traditional home care under the Medicare Part A benefit, as well as outpatient therapy...BAYADA clinicians become a true healthcare partner in the senior living communities. Communities include assisted living, independent living,… more
- Bon Secours Mercy Health (Youngstown, OH)
- …outpatient, and inpatient situations including past due balances and offering payment plan options The Patient Access Specialist is expected to adhere to Mercy ... Explains and distributes patient education documents, such as Important Message from Medicare , Observation Forms, Consent forms, and all forms implemented for future… more
- University of Colorado (Aurora, CO)
- Advanced Practice Provider - Nurse Practitioner or Physician's Assistant Senior Instructor - 30744 Faculty **Description** **University of Colorado | CU Anschutz ... **POSITION RESPONSIBILITIES/DUTIES -** + New tasks appear continuously throughout the day, plan to check in-box continually during clinic hours and over the lunch… more
- CVS Health (Woonsocket, RI)
- …more personal, convenient and affordable. POSITION SUMMARY: The Strategic Procurement Senior Analyst Vendor Management manages Print and Direct Mail projects and ... oversight of, and engagement with; Ariba, Contracts, Third Party Risk, Medicare Compliance, AP, Sourcing, and internal/external Auditors. Lead annual supplier… more
- Humana (Columbus, OH)
- …help us put health first** Humana Healthy Horizons is a seeking a Senior Project Manager (Medicaid Network Implementation) who is accountable for working with the ... end-to-end provider-related functions in new Medicaid market implementations. The Senior Project Manager makes decisions supporting technical and operational… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Senior Attorney/Assistant Attorney Occupational Category Legal Salary Grade 25 Bargaining ... Albany State NY Zip Code 12229 Minimum Qualifications NON-COMPETITIVE MINIMUM QUALIFICATIONS: Senior Attorney: Admission to the NYS bar and two years of… more
- Humana (Columbus, OH)
- …The ** Senior Business Intelligence Engineer** will independently design, develop, document , and deploy reporting solutions. In this role you will analyze data ... utilize to reduce administrative cost and improve the customer's experience. The Senior Business Intelligence Engineer position will be supporting BI work for Group… more
- City of West Sacramento (West Sacramento, CA)
- Senior Recreation Leader SPARK Print (https://www.governmentjobs.com/careers/westsacramento/jobs/newprint/4470745) Apply Senior Recreation Leader SPARK Salary ... The City of West Sacramento is seeking professionals to serve as a Senior Recreation Leaders in the Adaptive Recreation Program, SPARK. This is a part-time… more
- New York State Civil Service (Albany, NY)
- …HELP Yes Agency People With Developmental Disabilities, Office for Title Senior Attorney/Assistant Attorney Occupational Category Legal Salary Grade 25 Bargaining ... Albany State NY Zip Code 12229 Minimum Qualifications NON-COMPETITIVE MINIMUM QUALIFICATIONS: Senior Attorney: Admission to the NYS bar and two years of… more
- University of Michigan (Ann Arbor, MI)
- Data Architect Senior Apply Now **How to Apply** All applicants must submit a cover letter and resume as a single document to be considered for this position. ... genetics, administrative (including claims and assessment files from the Center for Medicare and Medicaid Services (CMS)) and other files that may increase risks… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ... develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately complex… more
- Humana (Columbus, OH)
- …a position on the Security Configuration Management Team at Humana. The Senior Security Configuration Management Engineer ensures that assets connected to our ... mandates and security best practices such as CIS Benchmarks. The Senior Security Configuration Management Engineer work assignments involve moderately complex to… more
- MyFlorida (Gainesville, FL)
- …. Requisition No: 829915 Agency: Department of Health Working Title: SENIOR CLERK - 64001054 Pay Plan : Career Service Position ... SENIOR CLERK - 64001054 Date: May 23, 2024...Initiates and completes necessary forms to open electronic charts, document eligibility and process yearly financial eligibility updates. Uses… more
- CVS Health (Harrisburg, PA)
- …health care more personal, convenient and affordable. Position Summary The Medicare Grievance Sr. Coordinator will fully research and resolve beneficiary complaints. ... both written and oral format. Ideal candidates will have Medicare knowledge, customer service experience, attention to detail and...service phone calls and elevated issues * Ability to document resolution in written communication to members in a… more
- BAYADA Home Health Care (Tucson, AZ)
- …and adherence to policies, procedures, hospice eligibility documentation, and Medicare Conditions of Participation. Manages hospice associates, medical physicians, ... and shall provide current proof of such registration upon Hospice's request. 6. Medicare and Medicaid Eligibility: Hospice Physician is and shall always remain a… more