- Novo Nordisk Inc. (San Mateo, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... and legal requirements. Manages discretionary territory budget and marketing promotional program budget to support territory sales goals Demonstrates a clear and… more
- SCAN (Long Beach, CA)
- …holiday Excellent 401(k) Retirement Saving Plan with employer match Robust employee recognition program Tuition reimbursement An opportunity to become part of ... SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in...healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented,… more
- Yamhill County, OR (Mcminnville, OR)
- …steps 1-4 Yamhill County has two regular part-time (19 hours/week) position for a Senior Office Specialists to work in the Family & Youth Division. Your duties in ... not be excluded from participation in federal health care programs (Medicaid, Medicare , and other federally funded programs that provide health benefits); and Must… more
- Coast Community College District (Costa Mesa, CA)
- …special landscaping or public use areas. Distinguishing Career Features The Grounds and Landscape Specialist - Senior is the third and skilled level within a ... campus. GWC offers over 60 Associate degrees, a strong university transfer program , more than 40 Career and Technical Education certificates, community education,… more
- Hackensack Meridian Health (Hackensack, NJ)
- …serve as a leader of positive change. The Physician Practice Compliance Specialist is responsible for assuring on-going compliance by actively participating in the ... Compliance Program for Hackensack Meridian Health and for affiliated services....regulatory requirements including but not limited to those of Medicare , Medicaid and the State of New Jersey. Responsibilities… more
- SCAN (Long Beach, CA)
- …401(k) Retirement Saving Plan with employer match and contribution Robust employee recognition program Tuition reimbursement An opportunity to become part of ... Sales Operations Specialist Full-Time About SCAN SCAN Group is a...SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 300,000 members in… more
- Oxford Global Resources (Albuquerque, NM)
- Summary: The CDI Coding Specialist uses clinical knowledge to serve as an advisor to providers and staff regarding complete and accurate documentation supporting ... coding trends and maintains up to date knowledge of Medicare rules and regulations regarding diagnosis coding and CDI...Supports monitor, and report key performance indicators (KPIs) to Senior Management Monitor trends in the CDI process and… more
- HCA Healthcare (San Antonio, TX)
- …Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program ... regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist ) to ensure the medical records reflect compliance with medical necessity,… more
- County of San Mateo, CA (San Mateo, CA)
- …crises and/or homeless outreach mental health programs throughout the county, supervising the program specialist for the Crisis and Outreach Team, and conducting ... train, and evaluate multi-disciplinary staff; work collaboratively with other senior professionals in planning and implementing program ...03 Describe your experience as a supervisor or a program specialist of mental health staff and/or… more
- Molina Healthcare (Atlanta, GA)
- …the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Manage ... for all Medicare lines of business the annual Medicare and Medicare -Medicaid Plan Applications and Plan Benefit Package design, as well as provide… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** ... Eligibility & Marketplace Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to ... related field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing Manager… more
- UCHealth (Fort Collins, CO)
- Description Patient Access Specialist Sr , Rehab Services Location: UCHealth Harmony Campus 2121, US:CO: Fort Collins Department: PVH Rehab Services At Harmony ... physician. Verifies insurance eligibility for governmental insurance payors (ie Medicaid, Medicare , Tricare, etc.). May complete Medicare Secondary Payor… more
- Molina Healthcare (Syracuse, NY)
- **Job Description** **Job Summary** The Sr Specialist , Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality ... meetings and action plans. Addresses practice environment challenges to achieve program goals and improve health outcomes. Tracks engagement activities using… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** We are looking for a Sr . ML Specialist Application Engineer who will be responsible for developing, designing, and maintaining ... systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out...programs, including adoption assistance and fertility support + 401(K) program with company match + Pet insurance + Employee… more
- University of Rochester (Rochester, NY)
- …drugs (HazD) in compliance with USP 800 standards, Centers for Medicare and Medicaid Services┐ Conditions of Participation, Department of Health regulations, ... development and implementation of a quality assurance and control program that collects and reports relevant data for adherence...health system. Documents the review of the quality assurance program and findings on at least annually in the… more
- UCHealth (Steamboat Springs, CO)
- …+ Verifies insurance eligibility for governmental insurance payors (ie Medicaid, Medicare , Tricare, etc.). May complete Medicare Secondary Payor Questionnaire ... to 5 years. Nationally recognized for its innovative intergenerational program since 1981, you can trust your little ones...& Fun * Winter Adventures: o Employee Ski Pass Program : Hit the slopes with complimentary access to Steamboat… more
- UCHealth (Colorado Springs, CO)
- …+ Verifies insurance eligibility for governmental insurance payors (ie Medicaid, Medicare , Tricare, etc.). May complete Medicare Secondary Payor Questionnaire ... a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program ! UCHealth provides employees with free assistance navigating the PSLF program… more
- Sharp HealthCare (San Diego, CA)
- …**Preferred Qualifications** + 3 Years experience with managed care, PBM and/or Medicare Part D, Medicaid, Commercial Health Insurance. + Experience with Oncology ... support and performance improvement recommendations for Sharp's Patient Assistance Program .Assisting Management with supervisory responsibilities such as hiring, terminating,… more
- Commonwealth Care Alliance (Boston, MA)
- …Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, compliant, and timely ... reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director...issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject matter expert on… more
