- Prime Therapeutics (Carson City, NV)
- …decision we make. **Job Posting Title** Medicare Health Plan Operations Specialist - Remote **Job Description** The Associate Functional Business Consultant ... PBM or healthcare experience + Experience using queries + Experience with Medicare Part D **Minimum Physical Job Requirements** + Occasional non-standard hours and… more
- CVS Health (Carson City, NV)
- …make health care more personal, convenient and affordable. This is a full-time remote role open to candidates throughout the United States. Hours for this position ... Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range...+ CRC, CDMS, CRRN, COHN, or CCM certification + Medicare and Medicaid experience + Managed care experience +… more
- Highmark Health (Carson City, NV)
- …Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more
- Merck (Carson City, NV)
- …with a driven, customer-focused, and collaborative team. As an Oncology Sales Representative/ Specialist , you will be a key member partnering with customers to ... Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. **Qualifications:** **Minimum Requirements:** +… more
- Centene Corporation (Carson City, NV)
- …state of Nevada** **Position Purpose:** The Senior Quality Improvement Specialist is responsible for coordinating assigned regulatory, accreditation, clinical ... service or quality improvement Complex project management experience Experience with Medicare and/or NCQA preferred: Pay Range: $67,400.00 - $121,300.00 per year… more