- 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
- 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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …to keep senior management informed of the performance of the Medicare Advantage network. + Conduct ad hoc analyses of membership, provider, and performance ... + Conduct competitive intelligence research to inform the strategic direction of the Medicare Advantage Network Performance work. *This document is not an… more
- Elevance Health (Columbus, OH)
- …synergy with growth partners, providers, regulators, legislators, and thought leaders. + Document requirements from Health Plan contracts with states (SMACs) and ... you a check, or ask you for payment as part of consideration for employment. ** Medicare Duals Management Director - Ohio** + Job Family: BUS > Strategy, Planning &… more
- Elevance Health (Woodland Hills, CA)
- …synergy with growth partners, providers, regulators, legislators, and thought leaders. + Document requirements from Health Plan contracts with states (SMACs) and ... you a check, or ask you for payment as part of consideration for employment. ** Medicare Duals Management Director - CA** + Job Family: BUS > Strategy, Planning &… more
- University of Michigan (Ann Arbor, MI)
- Population Health Senior Analyst Apply Now **Summary** This position focuses on providing a combination of strategic and analytic support for the Michigan Medicine ... the state of Michigan who take part in a Medicare -sponsored program to improve quality of care for traditional...reportsand graphical representations of datafor multiple audiences ranging from senior leaders and clinicians to the public + Deliver… more
- ChenMed (Greensboro, NC)
- …new patient growth. + Schedules one-on-one sales meetings, referral relationships with Plan agents, independent brokers and the senior community to delivers ... sales leads and membership by nurturing productive relationships with senior citizens, key local community partners and senior...separate tiers as part of the overall MGC Success Plan and growth career path at ChenMed. The incumbent… 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
- The Cigna Group (Bloomfield, CT)
- **Technical Support Senior Analyst Job Description** Cigna is a health services company committed to helping our nation's Medicare and Medicaid beneficiaries ... and efficient workforce. **Primary Duties** + Ability to gather and document system requirements, create test scenarios for new and/or existing applications… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The ... Senior Product Manager work assignments involve moderately complex to...of variable factors. Be a part of Membership & Plan Services (MPS) Product Management space with a focus… more
- Corewell Health (Farmington Hills, MI)
- …Advance Directive information, educating and providing information as necessary. Collect and document Medicare Questionnaire, issue Medicare Letter as ... visits on EPIC. + Scrutinize patient insurance(s), identifies the correct insurance plan , selects appropriately from the EPIC and documents correct insurance order.… more
- EssilorLuxottica (Mason, OH)
- Senior Analyst - Business Data (Reporting Design) Date: Apr 15, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 841486 ... with America's fastest growing vision benefits company. **GENERAL FUNCTION** The Senior Analyst is responsible for implementing, executing and supporting routine and… 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
- 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
- Highmark Health (Harrisburg, PA)
- …inbound phone sales inquiries and make outbound follow-up calls to perspective Highmark Medicare and DSNP members. + Document outcomes accurately in sales ... record of meeting/exceeding individual and business unit targets. + Knowledge of Medicare markets including plan offerings + Sales background **LICENSES AND… more
- MyFlorida (Gainesville, FL)
- …. Requisition No: 828180 Agency: Department of Health Working Title: SENIOR CLERK - 64065368 1 Pay Plan : Career Service ... SENIOR CLERK - 64065368 1 Date: Apr 26,...Initiates and completes necessary forms to open electronic charts, document eligibility and process yearly financial eligibility updates. Uses… more
- Humana (Richmond, VA)
- …part of our caring community and help us put health first** As a Senior Technology Business Management Analyst (aka Senior Business Intelligence Engineer), you ... and data model in Apptio. + Configure, test, and document Apptio and Cloudability dashboards and reports to meet...per yearThis job is eligible for a bonus incentive plan . This incentive opportunity is based upon company and/or… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …meetings and on organizational project teams, and frequently interact with senior leaders, and/or functional peer group managers. + Develop business requirements ... + Developing PowerPoint presentations, policy cases and policy summary briefs *This document is not an exhaustive list of all responsibilities, skills, duties,… more