- 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 ... fully remote with the ocassional time onsite as needed.** The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed… more
- Prime Healthcare (Ontario, CA)
- …Responsibilities The Senior Medicare ... Full Time Shift Days Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209056/ senior - medicare -medicaid-biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management Inc… more
- Humana (Geneva, IL)
- …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 (Oklahoma City, OK)
- …looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales motivates and drives a team of ... educate, motivate, train, and discipline a team of sales individuals. The Senior Manager, Medicare Sales must have a solid understanding of the market they… more
- Independent Health (Buffalo, NY)
- …that fosters growth, innovation and collaboration. **Overview** The Training and Product Specialist- Medicare , Senior will be responsible for the design and ... development of training and educational programs in connection with Medicare programs for the organization. They will support constituents of the Government Sales… more
- Corewell Health (Grand Rapids, MI)
- Job Summary This Senior Marketing Specialist Medicare Member Acquisition is responsible for supporting the development and execution of strategic marketing ... initiatives that drive Medicare member acquisition, with a strong focus on lead...who understands how to build campaigns that connect with Medicare -eligible consumers and guide them through the decision-making journey,… more
- RVO Health (New York, NY)
- **AT A GLANCE** RVO Health is looking for a Senior Product Manager - Medicare to play a key role in shaping innovative multi-channel customer journeys and ... enhancing customer service for millions of healthcare consumers. In this role you`ll be responsible for overseeing machine learning-driven voice experiences, managing the product roadmap for contact center technology and driving continuous improvements. We are… more
- Molina Healthcare (Syracuse, NY)
- …Degree or equivalent combination of education and experience **Preferred Experience** + Medicare and dual background + 3-5 years of formal training in Project ... Management (Jira) + Experience working with complex, often highly technical teams + Intermediate to advanced SQL To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina… more
- Prime Healthcare (Redding, CA)
- …Responsibilities The Senior Medicare ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the deficiency lists used to obtain… 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
- CVS Health (Hartford, CT)
- …formulary and manufacturer rebate contracting strategy across Aetna and Silverscript's Medicare Part D and other government services pharmacy business. Use clinical ... formulary strategy protects financial integrity and prevents anti-selection within the Medicare business. Forecast formulary impacts to pricing and profitability of… more
- CVS Health (Atlanta, GA)
- …exciting and growing government services pharmacy business. The primary focus is the Medicare Part D product strategy and pricing of MAPD, SNP and PDP Products. ... role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support...to ensure business strategy achieve optimal outcomes within the Medicare Advantage and PDP Markets. The colleague will work… 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
- Molina Healthcare (Madison, WI)
- …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
- CVS Health (St. Louis Park, MN)
- …Summary** The Senior Analyst, Project Management will support the Minnesota Medicare market with coordination and management of key projects in support of ... operational excellence for the Allina Health | Aetna Medicare plan. The Senior Analyst will facilitate project teams to prioritize work, meet deadlines, identify… more
- Humana (Salem, OR)
- …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
- Centene Corporation (Jefferson City, MO)
- …corrections reporting that provides meaningful trend analysis for business stakeholders and senior leadership on new, in progress and closed issues as well as ... regulatory sanctions. + Supports management in the development and maintenance of corrections processes and tools designed to effectively remediate compliance issues in a timely manner, ensure timely escalation and sustainable resolutions. + Educates,… more
- BAYADA Home Health Care (Cranford, NJ)
- …the position of **RN Patient Care Manager/Clinical Manager** for our Cranford, NJ Medicare Certified Senior Living home health office. This office provides ... best-in-class care to adult and geriatric clients living in Senior Living Communities. **As an RN Nurse Manager your...more years of experience as an RN + Recent Medicare Certified Home Care experience. + Comprehensive knowledge of… more
- CVS Health (Woonsocket, RI)
- …have the opportunity to lead our client acquisition and retention strategy for our Medicare specific products. The Senior Manager will work within the existing ... with heart, each and every day. **Position Summary:** The Senior Manager of Client Management - Care Management Product...be focused on the successful management of our growing Medicare product business. You will be focused on identifying… more
- Molina Healthcare (Worth, IL)
- **Molina Healthcare** is hiring for a ** Medicare Community Engagement Specialist** in the **Cook County/Chicagoland** area. This role is field-based, candidates can ... while positively impacting the communities we live in and serve. The Medicare Community Engagement Specialist is responsible for increasing membership through direct… more
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