- Strategic Staffing Solutions (Detroit, MI)
- …of our largest clients in Detroit, MI! Job Title: Registered Nurse-Medical Policy Specialist Duration: 6 months W2 contract engagement , no C2C. Location: ... foundation in medical terminology, medical coding and billing, CMS Medicare regulations, and clinical practices are necessary. *Health Insurance...(RN) to join our team as a Medical Policy Specialist . As a key member of our… more
- Pair Team (Sacramento, CA)
- …nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks Collaborates on care issues with ... Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group,… more
- Commonwealth Care Alliance (Boston, MA)
- …accurate, compliant, and timely reimbursements within the scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims ... Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare , and commercial payment methodologies and supports audit, compliance, and provider … more
- Humana (Petersburg, VA)
- …part of our caring community and help us put health first** The Community Engagement Specialist (known within Humana as Community Engagement Professional 2) ... active engagement with community members. The Community Engagement Specialist work assignments are varied and...Managed Care or Health Insurance + Prior experience with Medicare & Medicaid recipients. + Knowledge of community health… more
- Magellan Health Services (Albuquerque, NM)
- …Presents the program and offerings in group settings. Consistently achieves member engagement strategies while meeting quality performance standards. + ... with individuals with adverse childhood experiences. General Job Information Title CISC Member , Caregiver and Stakeholder Engagement Manager Grade 23 Work… more
- CVS Health (Atlanta, GA)
- …to meet performance and productivity metrics, including call volume, successful member engagement , and state/federal regulatory requirements. + **Professional ... every day. **Job Purpose and Summary** As an essential member of our Special Needs Plan (SNP) care team,...Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the… more
- Novant Health (NC)
- …+ Our team members are part of an environment that fosters team work, team member engagement and community involvement. + The successful team member has ... benefits What You'll Do: + The Coding Audit Response Specialist position responds to external and internal audits for...By engaging the strengths and talents of each team member , we ensure a strong organization capable of providing… more
- Novant Health (NC)
- …+ Our team members are part of an environment that fosters team work, team member engagement and community involvement. + The successful team member has ... benefits What You'll Do: + The Coding Audit Response Specialist position responds to external and internal audits for...By engaging the strengths and talents of each team member , we ensure a strong organization capable of providing… more
- University of Oregon (Eugene, OR)
- …Student Specialist Apply now (https://secure.dc4.pageuppeople.com/apply/726/gateway/default.aspx?c=apply&lJobID=535689&lJobSourceTypeID=831&sLanguage=en-us) Job ... to have an opening for a Senior Staff Therapist/Psychologist: Latinx Student Specialist in the Counseling Services department in the University of Oregon's… more
- Novant Health (Charlotte, NC)
- …+ Our team members are part of an environment that fosters team work, team member engagement and community involvement. + The successful team member has ... Job Summary AMBULATORY CARE MEDICATION MANAGEMENT SPECIALIST (Hybrid role) Novant Health is seeking a...essential tasks and meet deadlines + Basic understanding of Medicare , STAR ratings + Requires knowledge of prescription assistance… more
- Novant Health (Salisbury, NC)
- …+ Our team members are part of an environment that fosters team work, team member engagement and community involvement. + The successful team member has ... cost of Medicare and Medicaid). In 2022, Novant Health community engagement contributed more than $1.9 million in charitable contributions to community partners… more
- State of Colorado (Pueblo, CO)
- Health Care Technician III - Employment First Specialist - Pueblo Regional Center Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5016259) Apply ... Health Care Technician III - Employment First Specialist - Pueblo Regional Center Salary $1,769.60 - $2,124.00...Job About the Position: + Exists as a collaborative member of the individual Team in the assessment, development,… more
- Elevance Health (Ottumwa, IA)
- …**Work Schedule : Monday - Friday 8am - 5pm CST** The **Outreach Care Specialist ** is responsible for ensuring that appropriate member treatment plans are ... **Outreach Care Specialist ** **Location** : This field-based role enables associates...ensures flexibility, responsiveness to client needs, and direct, hands-on engagement . Seeking candidates that reside in the following counties… more
- Elevance Health (Irving, TX)
- **Be Part of an Extraordinary Team** _A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and ... specialty pharmacies, our infusion centers, and the home setting._ **Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals, Insurance) - Paragon… more
- Avera (Sioux Falls, SD)
- …service to all members according to the plan guidelines. The Enrollment Specialist performs ongoing quality assurance functions to ensure compliance with all ... client specifications and applicable regulations including, but not limited to, Medicare Secondary Payer Rules, COB Order of Determination, COBRA Administration and… more
- Intermountain Health (Murray, UT)
- …It follows an annual strategy to retain members to increase sales and member engagement . This position coordinates and implements marketing promotion, which ... implements the promotion of health insurance products and services, including Medicare Advantage, Medicaid, Large and Small Group, Dental, Wellness, and Individual… more
- Grifols Shared Services North America, Inc (Flint, MI)
- …110 countries and regions. **Overview:** Primary responsibility of the therapeutic specialist is to represent the Grifols plasma portfolio with identified ... relationships. The Immunology/Neurology SSR will focus on sales performance and engagement with the account and targets. Current immunology call points are:… more
- Corewell Health (Grand Rapids, MI)
- …others while conveying current performance against goals and objectives. + Develop member and provider engagement strategies, including the use of value-based ... a system strategy for risk adjustment, including strategies for provider engagement , compliance and IT system capabilities. Strategy, planning and end-to-end… more
- CVS Health (Atlanta, GA)
- …impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... it is needed most. **Position Summary** The Health Survey Specialist plays a critical role within the DSNP team....The HRA is the first step in creating the member 's Individualized Care Plan and sets the foundation for… more
- Novant Health (Winston Salem, NC)
- …time. + Our team members are part of an environment that fosters teamwork, team member engagement and community involvement. + The successful team member has ... By engaging the strengths and talents of each team member , we ensure a strong organization capable of providing...processes such as petitioning for guardianship and navigating the Medicare appeals process. + Willingness to cross train between… more
