- Clever Care Health Plan (Arcadia, CA)
- …with senior citizens and low-income individuals. Experience in and knowledge of Medicare and Medicaid and other government health programs/ income assistance ... 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
- Eisai, Inc (Boston, MA)
- …specific strategies to meet objectives for assigned regional payer accounts including Commercial, Medicare and Medicaid (State Medicaid agencies, managed ... and contract strategy/negotiation experience across all payer channels.Experience working with commercial, Medicare , and Medicaid accounts and a proven record of… more
- Bryan Health (Lincoln, NE)
- …admitting physicians and staff. Serves as an internal and external resource regarding Medicare / Medicaid rules, regulations and policies; 3 rd party and managed ... and external resource regarding appropriate level of care; admission status/classification; Medicare / Medicaid rules, regulations, and policies; 3 rd party and… more
- Bryan Health (Kearney, NE)
- …by effective communication at all levels. General knowledge of criteria for Medicare , Medicaid , HMO and private insurance coverage. Handle case assignments, ... Social Work Licensure. BLS required within 6 months of hire. General knowledge of criteria for Medicare , Medicaid , HMO and private insurance coverage preferred. more
- LE Cox Medical Centers (Monett, MO)
- …for coordinating all new patient referrals and have good knowledge of Medicare , Medicaid , and Third party Insurance reimbursement guidelines.Education: ▪ ... Required: High School Diploma or Equivalent ▪ Preferred: Graduate of an accredited respiratory program Experience: ▪ Required: 1 year managerial/supervisory experience ▪ Preferred: 1 year experience in the home medical equipment field Skills: ▪ Demonstrates… more
- Lundbeck (Orlando, FL)
- …dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid , Commercial) using Lundbeck resources. Pharmaceutical ... Environment/Compliance - Apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED… more
- Lundbeck (Schenectady, NY)
- …dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid , Commercial) using Lundbeck resources. Pharmaceutical ... Environment/Compliance - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products.… more
- Lundbeck (Massapequa, NY)
- …key internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid , Commercial) using Lundbeck resources. Local Market & ... Therapeutic Area Expertise - Gather and validate key trends and dynamics in the market, map account linkages, and apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Demonstrates a clear and detailed understanding of the… more
- Eisai, Inc (Houston, TX)
- …of the US healthcare system across one or more major payer segments ( Medicare , Medicaid , Federal, and Commercial).Experience working with medical and pharmacy ... benefits, coverage policies, and reimbursement.Proven performance in earlier role.As a condition of employment and an essential function of this field-based position, applicants must be able to engage in person with HCPs and other third parties at their… more
- Home Care Evolution (Vienna, VA)
- …field staff to resolve them in a timely manner. Ensure adherence to Medicare , Medicaid , and agency-specific policies and procedures. Maintain accurate, timely ... license in Virginia Minimum 1 year of home health experience Familiarity with Medicare regulations and OASIS Previous QA or documentation review experience is a plus… more
- Genmab (Berkeley Heights, NJ)
- …(IV and oral) product reimbursement, including but not limited to Medicare , Medicaid and commercial insurance carriers, Prior Authorization ... submissions/appealsUnderstanding of the healthcare industry, including both private and government payer landscapeUtilize critical thinking to problem-solve access challengesApply emotional intelligence and empathetic listening to all interactionsExcellent… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …forecast gross to net components including but not limited to Managed Care, and Medicare Part D, Medicaid as well as current and future Healthcare Reform ... key rebate categories included but not limited to Commercial, Medicare Part D, Coverage Gap, and Medicaid ...Commercial, Medicare Part D, Coverage Gap, and Medicaid Demonstrated analytical skills via MS Excel and presentation/communication… more
- Aveanna Healthcare (Princeton, MN)
- …RN experience in a health care setting HHH As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... An active RN License in the state of application Valid CPR and Drivers License Preferred: Medicare Skilled Nursing experience Basic understanding of Oasis 1-year… more
- Aveanna Healthcare (Appleton, WI)
- …RN experience in a health care setting HHH As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... Holidays Requirements: An active RN License in the state of application' Valid CPR Preferred: Medicare Skilled Nursing experience Basic understanding of Oasis 1-year… more
- Aveanna Healthcare (Experiment, GA)
- …drivers licesne and proof of automobile insurance HHH As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related ... and caregivers on hospice philosophy and services. Maintain compliance with Medicare , Joint Commission, and agency standards. Support community outreach and program… more
- Aveanna Healthcare (Mukwonago, WI)
- …RN experience in a health care setting HHH As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... Holidays Requirements: An active RN License in the state of application Valid CPR Preferred: Medicare Skilled Nursing experience Basic understanding of Oasis 1-year… more
- Aveanna Healthcare (Raeford, NC)
- …RN experience in a health care setting HHH As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... Holidays Requirements: An active RN License in the state of application Valid CPR Preferred: Medicare Skilled Nursing experience Basic understanding of Oasis 1-year… more
- Aveanna Healthcare (Birmingham, AL)
- …experience preferred. Valid CPR and Drivers license HHH As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related ... a respectful, professional and courteous manner. Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, Hospice and Professional… more
- Accessia Health (Midlothian, VA)
- …case management. In-depth knowledge of private and public health insurance plans ( Medicare , Medicaid , COBRA, Marketplace) and related terminology. Ability to ... obtain Certified Case Manager (CCM) credential within one year of hire. Strong customer service, active listening, and interpersonal skills with the ability to address complex questions and present to diverse audiences. Proven organizational skills to manage… more
- Reveal Health Tech (New York, NY)
- …Health Records (EHR) systems Medical coding standards such as FHIR, ICD, CPT Medicare / Medicaid data (payer and/or provider side) UX Design principles and tools ... like Figma Web application architecture or software engineering Data Warehouse ETL data pipelines or data transformation processes Business Intelligence tools, particularly Power BI Benefits Why Join Us? Contribute to impactful projects at the forefront of… more
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