- PharmaCord (Jeffersonville, IN)
- …and/or outlined in the patient insert. Leverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as needed. ... Talent Acquisition team immediately at ###@pharmacord.com This is a hybrid/ remote eligible role. Candidates may be eligible for a...When you join the team as an Executive Case Manager , you'll have the opportunity to make a difference… more
- Clever Care Health Plan (Huntington Beach, CA)
- Job Details Job Location Huntington Beach Office - Huntington Beach, CA Remote Type Fully Remote Position Type Full Time Description Are you ready to make a ... the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth. Who… more
- Wipfli LLP (Milwaukee, WI)
- … benefits , cell phone reimbursement, and travel rewards. Voluntary benefit offerings include critical illness & accident insurance, hospital indemnity insurance, ... budgets and forecasts as requested. + Demonstrate a thorough understanding of Medicare and Medicaid reimbursement systems. + Ensure client accounting engagements are… more
- RELI GROUP INC (Baltimore, MD)
- Job Details Job Location Windsor Mill, MD Remote Type Fully Remote Position Type Full Time Education Level 4 Year Degree Description About Us: At RELI Group, our ... Summary: RELI Group is seeking a highly skilled Program Manager to lead the execution of the Information Security...Privacy Support Services (MSSPSS) contract for the Centers for Medicare & Medicaid Services (CMS), Center for Consumer Information… more
- Wipfli LLP (Milwaukee, WI)
- … benefits , cell phone reimbursement, and travel rewards. Voluntary benefit offerings include critical illness & accident insurance, hospital indemnity insurance, ... client operational budgets and forecasts + Demonstrate a thorough understanding of Medicare and Medicaid reimbursement systems + Familiarity with coding accuracy for… more
- Wipfli LLP (Milwaukee, WI)
- … benefits , cell phone reimbursement, and travel rewards. Voluntary benefit offerings include critical illness & accident insurance, hospital indemnity insurance, ... client operational budgets and forecasts + Demonstrate a thorough understanding of Medicare and Medicaid reimbursement systems + Collaborate with internal and client… more
- Boost Home Health (Dallas, TX)
- Responsive recruiter Benefits : Bonus based on performance Competitive salary Health insurance Inspired by nurses, Boost Home Healthcare makes it easier for patients ... healthiest and happiest state of being possible. The Clinical Manager is a Registered Nurse (RN) who has graduated...our team: We value our employees. We offer health benefits ; paid time off; performance incentives; ongoing training or… more
- Commonwealth Care Alliance (Boston, MA)
- …Alli-Care Management **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral ... part of the care management dyad, the Clinical Care Manager works directly with assigned CCA members to help...living, recovery, and community connections. This position allows for remote work, when possible, but does require in-person visits… more
- Somatus (San Diego, CA)
- …+ Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being + Community engagement ... offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position...care team, specifically under the guidance of RN Care Manager and act as an advocate guiding them through… more
- Commonwealth Care Alliance (Boston, MA)
- …, Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including onboarding, orientation ... strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role in helping CCA achieve its mission and… more
- Somatus (Mclean, VA)
- …+ Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being + Community engagement ... help facilitate their overall wellbeing. This position is a remote -based position. Responsibilities + Works under the guidance of...under the guidance of physicians and/or a nurse care manager . + Follow-up with health management plans and goals.… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Behavioral Health Case Manager - Medicare Advantage Location: Remote Career Area: Health ... join us. The Impact You Will Have The Case Manager is a critical component of BCBSMN Care Management...Place of Work Remote Requisition ID 2491 Job Type Full Time Job Benefits - Application Link… more
- The Cigna Group (Bloomfield, CT)
- This position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. ... Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager (PBM) / Healthcare / pharmaceutical...secure. That's why you'll enjoy a comprehensive range of benefits , with a focus on supporting your whole health.… more
- Medical Mutual of Ohio (OH)
- …office in Brooklyn, OH. However, the role is open to considering candidates who are remote as long as they live within the state of Ohio._** Founded in 1934, Medical ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
- Molina Healthcare (Houston, TX)
- …apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer ... (EOE) M/F/D/V. Pay Range: $88,453 - $206,981 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. more
- AmeriHealth Caritas (Detroit, MI)
- …of Medicare LTSS Care Coordination Operations. Under the supervision of the Manager LTSS, the Supervisor, Medicare LTSS Operations is responsible to provide ... to closely follow quality standards. + Decision making skills. **Our Comprehensive Benefits Package** Flexible work solutions including remote options, hybrid… more
- Centene Corporation (New York, NY)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... journeys, renewing member journeys, aligned dual member experience, getting care, benefit usage, digital tool interaction and Call Center experience) by analyzing… more
- Sanford Health (MN)
- …dedicated to the work of health and healing across our broad footprint.** **Facility:** Remote MN **Location:** Remote , MN **Address:** **Shift:** 8 Hours - Day ... Hours:** 40.00 **Salary Range:** $37.50 - $62.00 **Job Summary** The Product Manager will lead the ongoing analysis, planning, and management of their respective… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
