- CVS Health (Moon Township, PA)
- …variety of enrollment questions or concerns. Maintains enrollment data in eligibility systems to ensure compliance with CMS guidance requirements. Required ... Supervisor + Keep a positive attitude as changes occur Preferred Qualifications + Medicare industry experience. + Familiarity with Medicare Enrollment systems +… more
- Elevance Health (Columbus, OH)
- …ask you for payment as part of consideration for employment. **Marketing Manager - Medicare Strategy Consultant ** + Job Family: MKT > Marketing, Prog/Proj & ... work and 1-2 days in office per week. The **Marketing Manager - Medicare Strategy Consultant ** is responsible for developing enterprise marketing strategies and… more
- CareOregon (Portland, OR)
- …on strategies to impact rates. + Oversee and coordinate external actuarial consultant 's work preparing the annual Medicare Advantage bid; advise internal ... or Wisconsin. Job Title Actuarial Services Manager - Medicaid and Medicare Exemption Status Exempt Department Finance Manager Title Director, Actuarial Services… more
- CVS Health (Phoenix, AZ)
- …make health care more personal, convenient and affordable. Position Summary As a Sr Eligibility Consultant Ops you will be responsible for production of member ... the business process. Preferred Qualifications - Understanding of CMS guidelines and Medicare Part D or previous experience in a regulated environment. - Health… more
- CVS Health (Tallahassee, FL)
- …or concerns. Maintains enrollment databases and coordinates transfer of non-electronic eligibility data. Additional Responsibilities to include but not limited to ... the following: + Responds, researches, and resolves eligibility and/or billing related issues involving member specific information; Works directly with clients,… more
- WellSense (Boston, MA)
- Provider Relations Consultant (Boston/Northeast MA) - $5000 sign on bonus! WellSense Health Plan is a nonprofit health insurance company serving members across ... Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25...no matter their circumstances. As a WellSense Provider Relations Consultant , you'll act as the primary liaison between WellSense's… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Elderly Waiver Policy Consultant ** **Job Class: Human Services Program Consultant ** **Agency: Human Services Department** + **Who May Apply** : ... workforce dedicated to creating a better Minnesota. The Elderly Waiver Policy Consultant will manage and coordinate the Elderly Waiver (EW), Consumer Directed… more
- Adecco US, Inc. (Woonsocket, RI)
- …assisting a local client, recruiting for Quality Management Registered Nurse Consultant working from home. For instant consideration, Apply Now! Requires an ... unrestricted active license 3 years of clinical experience required- Managed Care/ Medicare experience required.( This experience is not negotiable ) Schedule: M-F… more
- Elevance Health (Cincinnati, OH)
- …or ask you for payment as part of consideration for employment. **Group Underwriting Consultant Sr.** + Job Family: UND > Group Underwriting + Type: Full time + ... work and in office days 1-2 times per week. The **Group Underwriting Consultant Sr.** is responsible for determining acceptability of insurance risks and appropriate… more
- MyFlorida (Tallahassee, FL)
- …of SSA benefits received, other public assistance (food stamps, TANF), Medicare /Medicaid, and eligibility for program participation. Maintenance, access and ... GOVERNMENT OPERATIONS CONSULTANT II - 48004046 Date: Apr 17, 2024...827362 Agency: Department of Education Working Title: GOVERNMENT OPERATIONS CONSULTANT II - 48004046 Pay Plan: Career Service Position… more
- MetroLink (Los Angeles, CA)
- …for professional services task orders; manage contract task orders and oversee consultant scope of work. + Monitor expenditures during design and prepare reports ... if he/she is covered under a SCRRA health plan. Eligibility begins the first of the month following hire...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… more
- MetroLink (Los Angeles, CA)
- …with a Commuter/Passenger or Class 1 Freight Railroad or as a consultant or contractor working on long-term assignments involving Commuter/Passenger or Class 1 ... if he/she is covered under a SCRRA health plan. Eligibility begins the first of the month following hire...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… more
- Silicon Valley Power (Santa Clara, CA)
- …communication skills; a proven record of preparing and administering consultant contracts and agreements; experience preparing construction documents; experience ... for water and sewer projects. As well as procures consultant and construction contracts for the design and construction...law requires all employees to provide verification of their eligibility to work in this country. Please be informed… more
- Silicon Valley Power (Santa Clara, CA)
- …track record of designing and delivering utility projects and administering consultant and construction contracts. The qualified candidate will have experience ... systems * Provide construction management, construction contract administration, and consultant contract administration for public works projects * May prepare… more
- HCA Healthcare (Brentwood, TN)
- …but are not limited to: MACRA/MIPS, 21st Century CURES, Centers for Medicare and Medicaid Innovation (CMMI) projects; Accountable Care Organizations (ACO); Advanced ... Alternative Payment Models (AAPM); Medicare Advantage; and commercial payer value programs. This position...the evaluation and management of provider and entity (TIN) eligibility for government and other payer programs. This position… more
- SUNY Upstate Medical University (Syracuse, NY)
- … Enrolled with Medicare Identification Number (or PTAN) OR be eligible for Medicare Enrollment within 6 months of hire ( eligibility criteria for NP requires ... their scope of practice. TEACHING AND STAFF DEVELOPMENT 1. Acts as a consultant to nursing staff and when appropriate participates in inservice training for the… more
- NHS Management, LLC (Mobile, AL)
- …other business office related tasks, including but not limited to: + Medicaid, Medicare and/or secondary billing + Assist with evaluation and selection of all ... application process and timely submission to prevent delays in the attainment of eligibility and payment. Process to include: + Meeting with family and or resident… more
- Virginia Mason Franciscan Health (Silverdale, WA)
- …FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility , and more! **Responsibilities** **Franciscan Medical Group, a part of ... up of the patient's primary care provider, a psychiatric consultant and, when available, other providers in the primary...hire. + Eligible to be credentialed and enrolled in Medicare and private payers for reimbursement. **Pay Range** $35.28… more
- MyFlorida (Fort Pierce, FL)
- …Ensures that any applicable hierarchy of payer sources is used appropriately. Screens for Medicaid eligibility , PAC Waiver eligibility , Medicare A, B, and D ... HIV/AIDS Program Office. This position reports to the Operations Management Consultant II (Ryan White Case Management Supervisor). Completes comprehensive Needs… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s ... important information through the company from a client, broker or a consultant perspective related to elevated, previously unresolved, complex situations, as well… more