- Novo Nordisk Inc. (WA)
- …optimal health outcomes. Are you ready to realize your potential? The Position The Senior Director works on complex issues that require an in-depth knowledge of the ... could impact the pharmaceutical industry. Interactions frequently involve interactions with senior level leaders regarding matters of significance to Novo Nordisk… more
- Eisai, Inc (Nutley, NJ)
- …the US healthcare system across one or more major payer segments ( Medicare , Medicaid, Federal, and Commercial).Experience working with medical and pharmacy benefits, ... KnowledgeEisai Salary Transparency Language:The base salary range for the Senior Access & Reimbursement Manager, Birmingham, AL is from :158,900-208,500Under… more
- Humana (Charleston, WV)
- …of situations or data requires an in-depth evaluation of variable factors. The Group Medicare Senior Account Executive is the primary contact for their book of ... caring community and help us put health first** The Senior Account Executive - Group Medicare is responsible for growing membership within existing accounts and… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …cross-functional initiatives with exposure to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a ... trends. + Support complex financial analytical work related to Medicare and senior products. + Provide effective technical and non-technical business advice… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …designates medical procedures/services based on relevant regulations and determinations. The Senior Medicare Coverage Analyst applies subject matter expertise to ... any state in the US (except Hawaii).** The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical...which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies… more
- Prime Healthcare (Ontario, CA)
- …actively seeking new members to join our corporate team! Responsibilities The Senior Medicare -Medicaid Biller/Collector is responsible for both billing and ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the deficiency lists used to obtain… more
- R1 RCM (Salt Lake City, UT)
- …AI, intelligent automation, and workflow orchestration. We are seeking to expand our Medicare reimbursement team by adding a senior analyst. Working as a ... of the Government Navigation Suite service line, the Reimbursement Senior Analyst will partner with team members to work...partner with team members to work primarily on the Medicare Disproportionate Share Hospital (DSH) solution. The team works… more
- Elevance Health (Grand Prairie, TX)
- ** Medicare Risk Adjustment Advanced Analyst Senior ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... a dynamic and adaptable workplace. Alternate locations may be considered. The ** Medicare Risk Adjustment Advanced Analyst Senior ** is responsible for creating… 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 ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the deficiency lists used to obtain… more
- Providence (OR)
- …we must empower them._** **Providence Health Plan is calling an Individual and Medicare Producer Support who will:** + Be accountable for and facilitates Providence ... Health Plan's detailed benefits management support of Medicare and Individual / family lines of business + Be responsible for supporting detailed benefits… more
- CVS Health (Hartford, CT)
- …And we do it all with heart, each and every day. Summary The Senior Business Analyst acts as a technology enabler at the intersection of business, product, ... visualization tools, and collaboration platforms. Preferred Qualifications * Healthcare or Medicare Sales domain experience. * Exposure to marketing and sales… more
- CVS Health (Hartford, CT)
- …all with heart, each and every day. **Position Summary** We are seeking a Senior Business Analyst to support modernization efforts across our Medicare Sales ... verticals, including Direct-to-Consumer (DTC), B2B, and Telephony. This role will partner closely with the AVP of Application Development and additional leaders inside the Aetna Technology organization to translate business needs into actionable requirements,… more
- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... support executive decision-making. + Research and develop reports and analysis for senior management; effectively communicate results. + Assist in the preparation of… more
- Molina Healthcare (Columbus, GA)
- …License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration, Public Health, Healthcare ... Administration, etc. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Board Certification (Pediatrics, Family Practice, Ob/Gyn or Internal Medicine). **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate.… more
- Humana (Chattanooga, TN)
- …looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of ... mentor, educate, motivate and train a team of sales individuals. The Senior Manager, Medicare Sales, must have a solid understanding of the market they serve,… more
- Humana (Charleston, WV)
- …that result from the data exchange between Humana and its trading partners, Medicare and Medicaid. The Senior Encounter Data Management Professional will work ... of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission… more
- Amazon (San Francisco, CA)
- …Program Leadership: - Lead initiatives to improve the quality of care delivered for Senior Health, as measured by HEDIS, Medicare Advantage Stars, ACO REACH, and ... Description We are seeking an experienced Clinical Quality Manager for Senior Health to join Amazon One Medical. Reporting directly to the National Leader for… 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
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of ... & Marketplace Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This position is… more
- CVS Health (Columbus, OH)
- …with heart, each and every day. **Position Summary** Contributes to the Medicare Dental product portfolio, conducting market analysis and driving new product ... terminology and coding knowledge + Dental product knowledge + Medicare knowledge **Education** . Bachelor's degree preferred/specialized training/relevant professional… more
