- Centene Corporation (Cheyenne, WY)
- …competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose: This Program Manager II will support AZ Complete Health** as ... needs and strategic objectives. The ideal candidate for this Program Manager II role will...operations (emphasis on claims and configuration), with expertise in Medicare and Marketplace programs. They should be skilled in… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY...program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to blue. Reports to the Associate Director of Project Portfolio Management. The Program Manager of Production Operations will direct a Production Operations team ... + Knowledge of federal legislative, regulatory changes, and industry trends impacting Medicare including Medicare Part D program + Knowledge of health plan… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER II , FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4762503) Apply ... MANAGER II , FACILITIES OPERATIONS AND CRAFTS, ENVIRONMENTAL...Opening Date 12/16/2024 + Description + Benefits + Questions Position/ Program Information EXAM NUMBER Y6686I TYPE OF RECRUITMENT Open… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Under limited supervision, ... **Education and Experience:** + Graduate of a registered nursing program approved by the Ohio State Nursing Board. Bachelor's...60 days of date of hire. + Certified Case Manager (CCM) or other industry recognized certification preferred (required… more
- Centene Corporation (Columbia, SC)
- …you will plan, support implementation and oversight of various Medicaid and Medicare initiatives by utilizing cross functional teams to deliver defined requirements, ... on operations by possessing industry-specific expertise related to Medicaid and Medicare . + Support business department initiatives that promote, quality, safety and… more
- Elevance Health (New Albany, IN)
- ** Manager II GBD Special Programs, LTSS/Service Coordination - RN, LSW, LCSW, LMHC** **Location:** **State of Indiana - South East Indiana Area.** The ideal ... ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Manager II GBD Special Programs, LTSS/Service Coordination** will be… more
- Abbott (Abbott Park, IL)
- …Opportunity** We are looking for a **Field Health Economics & Reimbursement, Associate Manager II ,** to support our Cardiac Rhythm Management division. This ... (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program and FreeU… more
- Amazon (San Francisco, CA)
- …among clinical and operational teams to eliminate avoidable harm. As the RN Program Manager , you will leverage your clinical and patient safety backgrounds ... Description Amazon One Medical is seeking an experienced RN Patient Safety Manager to ensure the organization's systems and processes align with regulatory standards… more
- Tucson Electric Power (Tucson, AZ)
- **Benefits Analyst - I, II , Senior or Lead** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **6015** **About Us** UNS Energy Corporation ... andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Benefits Analyst - I, II , Senior or Lead** **Position Overview** The Benefits Analyst is responsible… more
- State of Colorado (Denver, CO)
- PHARMACY TECHNICIAN II - CMHH at Fort Logan Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4973016) Apply PHARMACY TECHNICIAN II - CMHH at ... picking up pharmaceuticals and paperwork from the units, process Medicare Part D claims, coordinates pickup and removal of...establish an eligible list for referral to the hiring manager for final consideration. Be sure the "Work Experience"… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …is expected and required. + Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) + Acts as the go-to person along ... train new staff. Level III (in addition to Level II Accountabilities) + Identifies issues, patterns and/or trends generated...normal channels. + Acts as a backup to Account Manager when individual is out of the office. +… more
- Beth Israel Lahey Health (Boston, MA)
- …Smith Center for Outcomes Research at BIDMC is seeking a Biostatistician II . The Smith Center for Outcomes Research (https://smithcenter.bidmc.org) is devoted to ... registries, administrative claims data, survey-based data, and EHR data. The Biostatistician II will engage in a variety of collaborative research projects working… more
- Fallon Health (Framingham, MA)
- …to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that ... by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. **About… more
- LA Care Health Plan (Los Angeles, CA)
- Compliance Advisor II Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Compliance Advisor II ensures LA Care business units are compliant with...Compliance unit, the Advisor also advises and supports the Manager , Director, and Chief Compliance Officer on other duties… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet… more
- Marshfield Clinic (Marshfield, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition of employment. ... exciting missions in the world!** **Job Title:** Retail Pharmacy Technician I, II , III or Senior **Cost Center:** 201351246 Mfld-Pharmacy **Scheduled Weekly Hours:**… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II (MCLA) Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: ... net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of care… more
- State of Colorado (Fremont County, CO)
- DINING SERVICES II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4985491) Apply DINING SERVICES II Salary $19.72 - $27.61 Hourly ... the functions of the job. + Provide feedback to the Food Service Manager on proficiency of new employee Other Duties as Assigned Minimum Qualifications,… more
- Cedars-Sinai (Los Angeles, CA)
- …optimal reimbursement and the highest quality data possible Duties of this Coder II include: + Performs accurate and timely coding (CPT, ICD-9, ICD-10, HCPCS, ... modifiers). + Maintains familiarity with issues like HCFA coding regulations, Medicare rules, visits and procedures on the same day, consultation vs. referral,… more