- Novo Nordisk Inc. (Elmira, NY)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... (and others within the influence map) Researches, understands and tailors account plans based on stakeholders and accounts business practices Utilizes understanding… more
- The Cigna Group (Bloomfield, CT)
- …team. The leadership and strategic direction you'll provide will better educate our Medicare clients on the products we offer and give their members' access to ... role, you will serve as the primary contact for Medicare strategic initiatives and market development. You will become...This client-facing position will collaborate with our health plan account teams and clients to support client needs associated… more
- The Cigna Group (Bloomfield, CT)
- …position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This actuarial ... to provide a designated full time support to Express-Script's external client's Medicare Part D business. This role will matrix with internal leadership within… more
- Molina Healthcare (Los Angeles, CA)
- …through active participation in community events and targeted community outreach to group associations, community centers, senior centers, senior residences ... for increasing membership through direct sales and marketing of Molina Medicare products to dual eligible, Medicare -Medicaid recipients within approved… more
- BrightSpring Health Services (Bowling Green, KY)
- …Abilis Health Plan was formerly Signature Advantage* We are seeking a Sales Account Representative/Executive for our Abilis Health Plan who will work with senior ... members. You will actively market our plan to new senior care partners within a plan service area. Regional...is required. We value candidates with direct sales and account management experience, a KY or TN State Insurance… more
- Fallon Health (Springfield, MA)
- …in our service area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare benefits, including prescription ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief summary of purpose:**… more
- Prime Healthcare (Redding, CA)
- …their family. For more information, visit www.shastaregional.com . Responsibilities The Senior Medicare -Medicaid Biller/Collector is responsible for both billing ... Hospitals recognized by Watson Health and holds an 'A' Grade from Leapfrog Group , the nation's premier advocate of transparency in health care. The hospital is… more
- The Cigna Group (St. Louis, MO)
- **Product Management Senior Advisor - Medicare Solutions, Express Scripts** **Description of Position:** + The Product Management Senior Advisor provides ... will ensure their capabilities are compliant with the Center for Medicare and Medicaid Services (CMS) regulations, lead implementation of enhancements, provide… more
- The Cigna Group (St. Louis, MO)
- **POSITION SUMMARY** The Medicaid/Marketplace Client Strategy Senior Advisor serves as the primary contact for Medicaid/Marketplace strategic initiatives and market ... Express Scripts Programs and Products, and State and Federal Regulations. The Senior Advisor is responsible for contributing and driving the client strategy to… more
- ICF (Reston, VA)
- …shape and win large opportunities in partnership with capture and proposal teams. The Senior Director, Deputy CMS Account Lead role is focused on building direct ... health agencies including, but not limited to: Centers for Medicare and Medicaid (CMS), Health and Human Services (HHS)...+ Serve as the primary leader, in conjunction with Account Lead, for the market/portfolio growth plan/strategy, working with… more
- MetroLink (Los Angeles, CA)
- Senior Railroad Civil Engineer (Project Manager) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/5143076) Apply Senior Railroad Civil ... Pacific + Description + Benefits + Questions SUMMARY The Senior Railroad Civil Engineer (Limited Term) will perform project...may waive coverage if you are covered under another group health plan; you must provide proof. Once you… more
- NTT DATA North America (Plano, TX)
- …adaptable, and forward-thinking organization, apply now. We are currently seeking a Delivery Senior Manager to join our team. NTT DATA is seeking to hire a ... ** Medicare Appeals Clinical Leader** to lead service delivery engagements...with an employer contribution, flexible spending or health savings account , life and AD&D insurance, short- and long-term disability… more
- Lane County (Springfield, OR)
- Accounting Clerk, Senior Print (https://www.governmentjobs.com/careers/lanecountyor/jobs/newprint/5124378) Apply Accounting Clerk, Senior Salary $26.03 - ... required. + Working knowledge of health plan payer billing requirements for Medicare , Medicaid and Commercial plans. + Experience with Electronic Health Records… more
- Deloitte (Denver, CO)
- …with health care reform and working knowledge of the individual medical and small group markets + Experience with Medicare products, including Medicare ... - including value based care/ACO modeling + Knowledge of group insurance products including disability, long term care, etc....etc. The wage range for this role takes into account the wide range of factors that are considered… more
- New York State Civil Service (Oxford, NY)
- …included in the subject line or by mail to Human Resources Management Group , EH/90440/ Senior Health Care Fiscal Analyst, Rm 2217, Corning Tower Building, ... NY HELP Yes Agency Health, Department of Title Senior Health Care Fiscal Analyst (NY HELPS) (Veteran Homes Centralized Billing Office) - 90440 Occupational Category… more
- Prime Healthcare (Sherman Oaks, CA)
- …Fortune/Merative, holds an "A" grade in patient safety from The Leapfrog Group , Patient Safety Excellence recognition from Healthgrades, and more. For more ... Come Join a Team of Dedicated Healthcare Workers Responsibilities The Senior Government Payer Biller/Collector is responsible for both billing and collections,… more
- J&J Family of Companies (Los Angeles, CA)
- …America **Job Description:** Johnson & Johnson Innovative Medicine is recruiting for a Senior Regional Business Manager, Site of Care, to lead the West Coast region. ... sales opportunities in JBI that are hindered by reimbursement, account efficiencies and processes, or cost issues. The RBM...and appeals / grievances; practice management, as well as Medicare and Medicaid rules and regulations. The RBM will… more
- Waystar (Atlanta, GA)
- …our production infrastructure. Finally, this is an opportunity to work with a group of other passionate software professionals in an engineering-led culture to make ... systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out...Customizable benefits package (3 medical plans with Health Saving Account company match) + We offer generous paid time… more
- Fallon Health (Lowell, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief summary of purpose:** ... PACE program. The employee will manage a territory and/or group of referral source accounts, providing regular follow up...providing regular follow up and overcoming barriers with each account to drive referrals and manage these referrals through… more
- Huron Consulting Group (Chicago, IL)
- …not limited to, budget development and negotiation, sponsor invoicing, account receivable management and reconciliation, and regulatory administrative support. ... Ability to interpret and apply clinical guidelines including Centers for Medicare and Medicaid, Federal Drug Administration, National Comprehensive Cancer Network. +… more
