• Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #266 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and...events. + Requires the ability to carry marketing table, materials , give-away items and boxes. + Requires a proactive… more
    Centers Plan for Healthy Living (04/30/24)
    - Save Job - Related Jobs - Block Source
  • Product Solutions Manager II ( Medicare )

    LA Care Health Plan (Los Angeles, CA)
    …teams including assistance with benefit trainings, explanation of benefit design, member materials development and distribution, sales and marketing collateral, ... Product Solutions Manager II ( Medicare ) Job Category: Administrative, HR, Business Professionals Department:...and specific strategic initiatives in support of optimizing the member experience while managing the ongoing evolution and strategic… more
    LA Care Health Plan (04/18/24)
    - Save Job - Related Jobs - Block Source
  • Customer Solution Center Member Navigator…

    LA Care Health Plan (Los Angeles, CA)
    …at other Community Resources Center locations as needed. Duties Coordinate multi-departmental ( Member Services, PNO, Claims, UM, Sales, Medicare enrollment and ... to follow through on all cases forwarded to other areas for assistance; C. Document all transportation services provided to each member . Ensure to confirm… more
    LA Care Health Plan (03/27/24)
    - Save Job - Related Jobs - Block Source
  • Materials Management Associate

    Atlantic Health System (Morristown, NJ)
    Responsible for assisting in the materials management of the assigned department. Coordinates purchasing, shipping, restocking, distribution, receiving and inventory ... control of materials . Responsible for safe and proper storage of ...applications, understands and properly utilizes all inventory applications to document work completed. Basic working knowledge of Microsoft Outlook,… more
    Atlantic Health System (05/23/24)
    - Save Job - Related Jobs - Block Source
  • Licensed Benefits Advisor (Field Based)

    Centers Plan for Healthy Living (Bronx, NY)
    …need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and...events. + Requires the ability to carry marketing table, materials , give-away items and boxes. + Requires a proactive… more
    Centers Plan for Healthy Living (04/30/24)
    - Save Job - Related Jobs - Block Source
  • Plant Utilities Assistant (NY Helps), Capital…

    New York State Civil Service (Albany, NY)
    …machinist mate, or engineman with the US Navy;Or 5. Must have a Merchant Mariner's Document (MMD) and have been a qualified member of the engine department ... NYS Retirement programsBackground checks will be required.Additional Comments:1. Medicaid and Medicare : In some agencies, in order to be eligible for appointment… more
    New York State Civil Service (04/30/24)
    - Save Job - Related Jobs - Block Source
  • Prior Authorization and Payer Reimbursement…

    University of Colorado (Aurora, CO)
    …reports to professional, State and Federal requirements; including but not limited to Medicaid, Medicare , case logs, and drug logs as required. + Follow up on denied ... reports to professional, State and Federal requirements; including but not limited to Medicaid, Medicare , case logs, and drug logs as required. + Follow up on denied… more
    University of Colorado (04/12/24)
    - Save Job - Related Jobs - Block Source
  • Customer Solution Center Even MORE Service Liaison…

    LA Care Health Plan (Los Angeles, CA)
    …(call, web, email) consistently and accurately. The Liaison will proactively identify, document , investigate, and resolve member issues in a timely and ... for Health Risk Assessments for CalMediConnect members and SPD members. Facilitate member choice assignment and fulfillment of materials in the appropriate… more
    LA Care Health Plan (04/19/24)
    - Save Job - Related Jobs - Block Source
  • Clinical Pharmacy Specialist - Drug Information

    Lancaster General Health (Lancaster, PA)
    …supporting the Pharmacy and Therapeutics Committee structure by preparing materials (monographs, annual reviews, medication use evaluations, agenda/minute prep, etc) ... therapy evaluations as requested. Active participation in Care Management Teams. + Document drug use patterns, detect and evaluate adverse drug effects, evaluate… more
    Lancaster General Health (05/25/24)
    - Save Job - Related Jobs - Block Source
  • Division Manager - Employee Benefits

    El Paso County (Colorado Springs, CO)
    …depending on the needs of the department/office and the particular assignment. Changes to this document may only be made by a member of the Human Resources ... notices. + Manages the annual preparation and dissemination of notices regarding Medicare Part D Creditable Coverage to all eligible plan participants. Ensures… more
    El Paso County (05/10/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse Specialist RN II

    LA Care Health Plan (Los Angeles, CA)
    …status. Generates approval, modification and denial communications, to include member and provider notification of referral determination. Actively monitors for ... and concurrent review, and collaborates with onsite staff, physicians, providers, member /family interaction to develop and implement a successful discharge plan.… more
    LA Care Health Plan (05/07/24)
    - Save Job - Related Jobs - Block Source
  • Temp Aide (Kitchen Supervisor - Corr Supp Trades…

    State of Colorado (Grand Junction, CO)
    …rejection of your application. Applicants are responsible for ensuring that application materials are received by the appropriate Human Resources office before the ... pat searches are conducted by a same sex staff member , except in the case where a juvenile identifies...stated preference in accordance with DYS Policy 13.9. Identify, document and seize contraband as directed or appropriate. Actively… more
    State of Colorado (05/23/24)
    - Save Job - Related Jobs - Block Source
  • Health Plan Enrollment Specialist

    Apex Health Solutions (Houston, TX)
    …in managed care or healthcare customer service, eligibility, finance, or member services; commercial and Medicare experience preferred Knowledgeable of ... with external entities to resolve any questions. Processes updates to member eligibility and demographics per information from brokers, employer human resources… more
    Apex Health Solutions (05/26/24)
    - Save Job - Related Jobs - Block Source
  • Medical/Health Care Program Analyst

    MyFlorida (Tallahassee, FL)
    …families across the state, AHCA invites you to apply to become an essential member of our team. As one of Florida's leading state agencies, AHCA's diverse workforce ... encounter submissions, and provider enrollment. - Remain informed about Medicare policies, national Medicaid-related research and demonstration projects, Medicaid… more
    MyFlorida (05/23/24)
    - Save Job - Related Jobs - Block Source
  • Engineering Aide (Electric)

    Silicon Valley Power (Santa Clara, CA)
    …hardware and software, including word processing, spreadsheet, and database programs * Document control, retrieval, and filing systems Ability to: * Prepare neat and ... Select and use appropriate drafting, and duplicating equipment and materials * Read, interpret and apply engineering terminology and...formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20%… more
    Silicon Valley Power (05/23/24)
    - Save Job - Related Jobs - Block Source
  • Customer Solution Center Appeal and Grievance…

    LA Care Health Plan (Los Angeles, CA)
    …processing timeliness and accuracy of loading members, timeliness of ID Card and member materials , outbound health risk assessment (HRA) calls for Seniors and ... This position will complete targeted, focused and random audits related to member interactions and outcomes to ensure all elements are compliant. These results… more
    LA Care Health Plan (05/21/24)
    - Save Job - Related Jobs - Block Source
  • Pharmacy Benefit Specialist II

    CareOregon (Portland, OR)
    …staff about the CareOregon formularies and pharmacy benefit policies. + Document all customer service activities according to organization requirements. + Follow ... unit protocols. + Perform data entry into the claims processing system, document management systems, databases and spreadsheets as assigned. + Clerical Assistance… more
    CareOregon (05/18/24)
    - Save Job - Related Jobs - Block Source
  • Advanced Practice Provider - Nurse Practitioner…

    University of Colorado (Aurora, CO)
    …in order to obtain full prescriptive authority and DEA registration. + Medicare /Medicaid credentials. + Unrestricted DEA license and current CPR license. + National ... on patient care and administrative issues. + Able to document history, physical examinations, assessments and treatment plans for...office problems. + Ability to participate effectively as a member of a team. + Ability to simultaneously perform… more
    University of Colorado (04/18/24)
    - Save Job - Related Jobs - Block Source
  • Advanced Practice Provider - Nurse Practitioner…

    University of Colorado (Aurora, CO)
    …in order to obtain full prescriptive authority and DEA registration. + Medicare /Medicaid credentials. + Unrestricted DEA license and current CPR license. + National ... on patient care and administrative issues. + Able to document history, physical examinations, assessments and treatment plans for...office problems. + Ability to participate effectively as a member of a team. + Ability to simultaneously perform… more
    University of Colorado (04/17/24)
    - Save Job - Related Jobs - Block Source
  • Personal Care Connector (Remote) Charleston area…

    AmeriHealth Caritas (Charleston, SC)
    …effective service specialist responsible for supporting the daily operations of Medicare Member Services (Personal Service Program), integrated care management, ... assigned local teams, providing members with problem resolutions and educational materials , and carrying out strategies to increase healthcare adherence to reduce… more
    AmeriHealth Caritas (05/25/24)
    - Save Job - Related Jobs - Block Source