- CVS Health (Hartford, CT)
- …detail-oriented Senior Manager to join our team. As the Senior Manager , Complaint & Appeals ( Medicare ) you will have a demonstrated ability to ... addressing member and provider issues promptly and efficiently. The Medicare appeals team is seeking a self-motivated...success in such an environment. In partnership with our Medicare appeals leadership team, this position will… more
- Cardinal Health (Hartford, CT)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed. + Assist in obtaining insurance, prior authorization,… more
- CVS Health (Hartford, CT)
- …Qualifications** + Pharmacist + 7-10 years work experience in healthcare + Medicare and/or Medicare -Medicaid Integrated Product Experience + Experience with Part ... D Coverage Determination, Appeals and Grievances and/or Formulary Administration regulatory requirements and audit management + Experience with Part C & D reporting… more
- CenterWell (Hartford, CT)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The… more