- Marion County (Salem, OR)
- …Health Nurse Practitioner (PMHNP) or Psychiatrist), appropriateness of continued enrollment in ECS.Coordinate discharge planning with NorthWest Seniors and ... Disability Services (NWSDS) Case Manager (CM) and Providence Benedictine Nursing Care staff. Identify MH needs to be addressed at future placements; relay MH,… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …feedback and continued advocate development * Submit Daily Operations Checklist to Manager highlighting any key areas of concern * Support and communicate ... feedback in open forums/huddles with employees and provide feedback to the Manager * Escalate issues/risks that impact quality or performance relative to client… more
- AdventHealth (Altamonte Springs, FL)
- …: Altamonte Springs, FL **The role you'll contribute:** The Regulatory Licensure and Enrollment Manager , working with the Director over Regulatory Licensure and ... Advocacy and Public Policy team, the Regulatory Licensure and Enrollment Manager will proactively recommend and participate...Performs initial clean-up of existing and any newly assigned Medicare Enrollment 's (855s). . Works with facility… more
- Trinity Health (Gaithersburg, MD)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Sales and Enrollment Manager ** **Location: PACE Montgomery County MD** **Status:** Full ... regulatory agencies, including but not limited to, Center for Medicare and Medicaid Services and the State Administering Agency....sales plan. Evidence of achieving sales goals. Sales and Enrollment Manager . + Must be action-oriented, have… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/12697/ manager -of- medicare ... **Overview** **The selected candidate must have** **5+ years experience in Medicare Part D and/or EGWP programs.** **Scope of Responsibilities:** Provides oversight… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …equipment issued by Centers Plans for Healthy Living MAP and Advantage Care Medicare HMO Plan. Enrollment application process + Ensures prospective members are ... Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island,...performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling… more
- UCLA Health (Los Angeles, CA)
- …required or equivalent work experience + Minimum of 5 years' experience in a Medicare or Managed Care environment managing enrollment , claims, premium billing or ... at UCLA Health. As a key member of our Medicare Advantage Operations team, you will partner with business...of 5 years' experience with CMS processes in a Medicare or Managed Care environment required + Project Management… more
- CareFirst (Baltimore, MD)
- …(strategy, design, execution, and optimization) for products and plans in the Medicare , Medicaid, and Federal Employee Health Benefits categories. Leads the team in ... performance, forecast sales and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization of all benefits… more
- CareOregon (Portland, OR)
- …hired for remote positions must reside in Oregon or Washington. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department Finance Manager ... candidates residing in Oregon or Washington. Job Summary The Medicare Encounter Data Analyst leads the process for the...rejections; research return codes and coordinate with IS, claims, enrollment and provider data to enable complete and accurate… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** This position will support our MMP (Medicaid Medicare Population) that is part of the Community Well Services team. This position will have a ... assessments of members per regulated timelines. + Facilitates comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case… more
- Centene Corporation (New York, NY)
- …field or equivalent experience. 4+ years of experience in Sales, Healthcare, Medicare , CMS Regulations and/or Management. Experience in working with or managing ... experience is preferred. + Develops market-specific sales plans to maximize enrollment growth. + Develops, nurtures and maintains relationships with key external… more
- Baystate Health (Springfield, MA)
- …employed providers into government and commercial health plans. Under direction of the Manager , Medical Staff Services and Provider Enrollment , the position is ... responsible for a wide variety of duties related to the initial enrollment , re- enrollment and termination, of participation for BMERF, BAPO and BVS physicians… more
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** SHP Enrollment Representative **Cost Center:** 682891380 SHP- Enrollment Services **Scheduled Weekly ... for determining eligibility and performing the full range of eligibility, enrollment , and disenrollment processes for all product lines. The Enrollment… more
- Insight Global (Camden, NJ)
- …Global's large healthcare clients in Camden, NJ is looking for a Director of Enrollment and Eligibility to join their team. This individual will report to the AVP ... of Revenue Cycle Operations and have 21 direct reports, including a manager and supervisor. This role involves converting uninsured and underinsured patients,… more
- CVS Health (Trenton, NJ)
- …a member of the team to deliver purpose built configuration for the Medicare Enrollment Operations Team on the NextGeneration Platform.* Independently designs ... a Scrum Team role that will be a member of the Medicare / Medicaid Enrollment Configuration team tasked with developing purposebuilt capabilities for our NextGen… more
- CenterLight Health System (Bostwick, GA)
- …enrollees and their caregivers. + Ensure high performance and productivity of pre- enrollment verifications of Medicare , Medicaid, and PACE eligibility. + Educate ... JOB PURPOSE: The Clinical Assessment Outreach Manager is accountable for educating referral sources and...staff, with state & federal laws regarding Medicaid and Medicare Eligibility and Enrollment regulations. + Directly… more
- University of Rochester (Rochester, NY)
- …ensure all providers and upcoming sites within PBB departments are enrolled with Medicare and Medicaid. + Completes enrollment of hospital-based locations and ... and ensure timely and efficient claim submission. Manages all aspects of the enrollment process for Strong Memorial Hospital and Highland providers and facility. Has… more
- LA Care Health Plan (Los Angeles, CA)
- Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, 90017 Position ... to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product...partnerships inclusive of entry onto the Covered CA market. Medicare : Required Medicare Advantage, with experience serving… more
- MetroLink (Los Angeles, CA)
- Manager II, Contract and Compliance Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4470890) Apply Manager II, Contract and Compliance Salary ... + Benefits + Questions SUMMARY PURPOSE OF POSITION The Manager II, Contract & Compliance, will perform highly complex...you will only be allowed to enroll during Open Enrollment or within 60 days from the date on… more
- The Cigna Group (Bloomfield, CT)
- **U.S. Government Technology, Claims & Enrollment - Application Development Senior Manager ** **Position Overview:** The job profile for this position is ... Application Development Senior Manager , which is a Band 4 Management role. The...is a Band 4 Management role. The Claims & Enrollment Applications organization is looking for an experienced innovative… more
