- Molina Healthcare (Vancouver, WA)
- …improve our member and provider experiences. **KNOWLEDGE/SKILLS/ABILITIES** + Manages member services operations. + Ensures compliance with state and ... **JOB DESCRIPTION** **Job Summary** Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and… more
- Molina Healthcare (Vancouver, WA)
- …+ Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. + Participates in regular ... and manager . Basic understanding of managed healthcare systems and Medicare . **PREFERRED EDUCATION:** Associate's or Bachelor's Degree in Social Work, Human … more
- CareOregon (Portland, OR)
- …Primary Care/ Medicare Exemption Status Exempt Department Technical Assistance Manager Title Network Innovation Supervisor Direct Reports n/a Requisition # 24968 ... to primary care medical home improvement and practice transformation or to the Medicare Advantage performance measures such as Stars, CAHPS, HCC coding and Risk… more
- Providence (Portland, OR)
- …and much more. Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence that provides a variety ... **Description** **Senior Manager Actuarial Analytics \*Remote * Candidates residing in...+ 5 years healthcare actuarial experience; Experience working with Medicare Advantage pricing and bid development. + Experience with… more
- CareOregon (Portland, OR)
- …benefit and the Division of Medical Assistance Programs (DMAP) and the Centers for Medicare and Medicaid Services (CMS) rules and regulations + Experience with ... Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Clinical Operations Manager Department Clinical Operations Exemption Status Exempt Requisition # 24994… more
- PeaceHealth (Vancouver, WA)
- …+ Manages, maintains, and presents the Emergency Management Program for Center Medicaid/ Medicare Services (CMS) and other regulatory agencies, as well as ... safety, and emergency communications. + Ensures compliance with state laws, Center for Medicare and Medicaid Services (CMS), and regulatory bodies governing the… more
- Sanofi Group (Portland, OR)
- …This support is provided by our FRM team. The FRM is a critical field-facing member of the Sanofi Patient Support Services organization and an integral part of ... **Job Title:** Field Reimbursement Manager - Tzield -Northwest **Location** : US Remote...(1) product-specific provider reimbursement support, (2) coordination of HUB/Patients Services reimbursement services , and (3) managing payer/coverage… more
- Molina Healthcare (Vancouver, WA)
- …annually or as directed by the Centers for Medicare and Medicaid Services . * Trains grievance and appeals staff, customer/ member services department, ... Grievance and Appeals Unit that is responsible for reviewing and resolving member complaints and communicating resolution to members or authorized representatives in… more
- CareOregon (Portland, OR)
- …Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase ... care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients,… more
- CareOregon (Portland, OR)
- …care. + Performs occasional service assignments such as the annual memorial service and monthly memorial services with staff. + Participates in patient care ... Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase… more
- CareOregon (Portland, OR)
- …Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase ... care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients,… more
- CareOregon (Portland, OR)
- …Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase ... care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients,… more
- CareOregon (Portland, OR)
- …Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase ... care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients,… more
- CareOregon (Portland, OR)
- …1.0 FTE. Scheduling and service areas can be discussed with the Hiring Manager . Job Summary This position provides medical care and treatment services with ... Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase… more
- CareOregon (Portland, OR)
- …Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase ... care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients,… more
- CareOregon (Portland, OR)
- …1.0 FTE. Scheduling and service areas can be discussed with the Hiring Manager . Job Summary This position provides medical care and treatment services with ... Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase… more
- CareOregon (Portland, OR)
- …1.0 FTE. Scheduling and service areas can be discussed with the Hiring Manager . Job Summary This position provides medical care and treatment services with ... Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase… more
- CareOregon (Portland, OR)
- …Western United States. We are proving every day that in home medical services for homebound and chronically ill patients can improve health outcomes, increase ... care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients,… more
- CareOregon (Portland, OR)
- …Texas, Montana, or Wisconsin. Job Title Actuary Exemption Status Exempt Department Finance Manager Title Actuarial Services Manager Direct Reports n/a ... cost and utilization trend analysis, return on investment evaluations, Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk… more
- CareOregon (Portland, OR)
- …Requisition # 24950 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Actuarial Services Manager Department Finance Pay and ... cost and utilization trend analysis, return on investment evaluations, Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk… more