- Lundbeck (Waco, TX)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - ... Apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED EDUCATION, EXPERIENCE and… more
- Lundbeck (Fort Wayne, IN)
- …internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid, Commercial) using Lundbeck resources. Local Market & Therapeutic ... Area Expertise - Gather and validate key trends and dynamics in the market, map account linkages, and apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Demonstrates a clear and detailed understanding of the disease state… more
- Lundbeck (Joliet, IL)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - ... Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED EDUCATION,… more
- Novo Nordisk Inc. (Traverse City, MI)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... Requirements, Step Therapy, Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …of all channels of managed care environment in the US (commercial, Medicare , Medicaid, etc.); preferredSufficient understanding of financial matters to challenge and ... pressure-test assumptions (eg pricing, GTN, etc.). preferred Trave lAbility: to travel up to 10% | Some limited travel for meetings and/or conferences.Daiichi Sankyo, Inc. is an equal opportunity/affirmative action employer. Qualified applicants will receive… more
- Novo Nordisk Inc. (WA)
- …Tax, Trade, Intellectual Property, Supply Chain, Private Health Insurance, Medicare , Medicaid, Reference Pricing, Pricing / Price Increases, Reimbursement, Privacy, ... Labor / Employment Develop NNI's policy positions, in line with Enterprise Strategy Clearly communicate with federal agencies on NNI's positions Educate and enable broader Market Access and Public Affairs Teams, Corporate Tax team, and other NNI colleagues, on… more
- Guidehouse (San Antonio, TX)
- …days from home. Essential Job Functions Account Review Appeals & Denials Medicare /Medicaid Insurance Follow-up Customer Service Billing UB-04 & CMS 1500 Complete all ... business-related requests and correspondence from patients and insurance companies. Responsible for working on 40-70 Accounts Per Day Complete all assigned projects in a timely manner. Assist client and patients in all requested tasks. Communicate to… more
- Avamere Health Services (Seattle, WA)
- …of skilled nursing insurance billing including but not limited to Medicare , Medicaid, private insurance, HMOs, and co-insurances. Stays current with facility ... always maintained. 2 years medical billing experience required, SNF preferred, including Medicare , Medicaid, Must have, as a minimum, three (3) years' experience in… more
- Belong Health (New York, NY)
- Hello, we're Belong. We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products. With a dual focus on data-driven, proactive ... Belong has completely reimagined health insurance for seniors and other Medicare -eligible individuals who have been disregarded and deprioritized for far too… more
- Integrity Marketing Group (Clearwater, FL)
- …to 30 wpm with accuracy and clarity of content. Previous health/ Medicare /prescription claims adjudication experience a plus. Must have organizational and decision ... year related experience required. Experience in medical/insurance preferred. Experience with Medicare Supplement preferred. Schedule: Monday to Friday 37 hour work… more
- UnitedHealth Group (Eden Prairie, MN)
- …Optum Care National Risk Adjustment Healthcare Economics team , we support Medicare Advantage Care Delivery organizations by ensuring the accuracy and reliability of ... is ideal for someone with strong SQL skills, a solid understanding of Medicare Advantage Risk Adjustment, and a passion for data driven problem-solving. You'll enjoy… more
- MetroPlusHealth (New York, NY)
- …including, but not limited to, New York State Medicaid Managed Care, Medicare , Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, ... enable New Yorkers to live their healthiest life. The Medicare Sales Representative II provides greater access to health...to health insurance, by providing education and assistance to Medicare individuals. The Medicare Sales Representative II… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- Ready to help us transform healthcare? Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of ... Medicare Risk Adjustment and Analytics. This role will manage...changes, market dynamic forces, and new competitive threats around Medicare revenue and risk adjustment Assess new proposals or… more
- Integrity Insurance and Financial Services (Frisco, TX)
- Outside Medicare Sales Exclusive General Agent for Blue Cross Blue Shield of Illinois and Texas (Frisco Market) Integrity Insurance & Financial Services Inc., 2013 ... or changes *Attend Agent meetings and sales training Qualifications for Medicare Sales Agent *Strong communication and interpersonal skills *Ability to work… more
- Marshall Dennehey (Philadelphia, PA)
- …to our corporate, insurance and individual clients, is seeking a Workers' Compensation and Medicare Attorney with one (1) to four (4) years of experience to join our ... growing Medicare Compliance group within our Workers' Compensation Department. In...will include: Consulting with employers, adjusters and attorneys on Medicare issues relative to workers' compensation cases and all… more
- RVO Health (Charlotte, NC)
- AT A GLANCE RVO Health is looking for a Senior Product Manager - Medicare to play a key role in shaping innovative multi-channel customer journeys and enhancing ... customer service for millions of healthcare consumers. In this role you`ll be responsible for overseeing machine learning-driven voice experiences, managing the product roadmap for contact center technology and driving continuous improvements. We are seeking a… more
- PIH Health (Whittier, CA)
- …Care HMO Plans. Review of Medi-Cal and Managed Care HMO secondary to Primary Medicare and or Commercial Insurances. Using PM software and tools provided to read and ... with Commercial third party and Government billing requirements. Understanding of Medicare CMS rules and regulations related to accurate claims submission. Knowledge… more
- Molina Healthcare (Las Vegas, NV)
- …for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved ... product features and differences. Enroll eligible individuals in Molina Medicare products accurately and thoroughly complete and submit required enrollment… more
- Accident Fund Holdings, Inc. (Lansing, MI)
- …compensation files for hearing. Assist Manager with docket management and case assignment MEDICARE SPECIFIC TASKS: Manage MSAs through the Center for Medicare & ... as directed by attorney. Perform special assignments as requested by the Medicare attorneys. Retrieve and analyze information from CMS, vendors, and Workers'… more
- Optum (San Juan, PR)
- …business hours of 7:00am - 10:00pm CST. Primary Responsibilities: Assist Medicare -eligible individuals telephonically in the following ways Answer incoming phone ... calls from prospective members and identify the type of assistance and information the customer needs with the goal to convert the caller to a qualified lead and ultimately sale Ask appropriate questions and listen actively to identify specific questions or… more
