• U of C NORC (Chicago, IL)
    …of policy issues facing public health insurance programs such as Medicaid, Medicare , and Marketplace coverage.Our subject matter experts employ a variety of methods ... notes at meetings and prepare initial draft of minutes.Develop project materials , such as report outlines, visual exhibits for reports, and serving… more
    JobGet (05/08/24)
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  • Mindlance (Gallatin, TN)
    …patient medication therapy monitoring and disease state management counselling. . Document pharmacist interventions within the electronic medical record. . Assist ... . Assist in the development and presentation of educational materials for patients and providers. . Respond to phone...other initiatives. . Participate in patient rounds as a member of the multidisciplinary care team where applicable. Retail… more
    JobGet (05/04/24)
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  • 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)
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  • 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)
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  • 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)
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  • Product Communications Specialist

    Centene Corporation (St. Louis, MO)
    …policies. Position supports Medicare Solutions portfolio nationwide with presale and member enrollment materials + Works within materials automation ... with minimal direction. + Ensure that all business processes that support Medicare document development and Production functions are completed with a… more
    Centene Corporation (05/10/24)
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  • Product Solutions Manager II

    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, ... Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, 90017 Position Type: Full… more
    LA Care Health Plan (04/18/24)
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  • 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)
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  • Public Works Maintenance Lead Worker (Wastewater)

    City of La Mesa, CA (La Mesa, CA)
    …required for jobs assigned; prepare estimate of cost as necessary; requisition materials as required. Electronically organize and document estimates in the ... City's Public Works file folders. + Monitor inventory of materials and supplies; order materials and supplies...an efficient and timely manner. + Serve as a member of the Public Works Safety Committee; instruct safety… more
    City of La Mesa, CA (04/30/24)
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  • 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)
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  • 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)
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  • 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 (04/25/24)
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  • 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)
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  • 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)
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  • 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 (02/25/24)
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  • Government Operations Consultant III

    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 (05/06/24)
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  • 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 (02/22/24)
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  • 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 (02/20/24)
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  • Program Operations Specialist 1

    New York State Civil Service (New York, NY)
    …executive ranks in OPWDD. With this position, we are looking for a supportive team member who is organized, eager to learn, and has a strong sense of responsibility ... regularly seek out opportunities for professional development, and become a valued member of the Executive Office of Diversity, Equity, and Inclusion. Duties include… more
    New York State Civil Service (04/30/24)
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  • Health Care Nurse Surveyor

    Commonwealth of Pennsylvania (PA)
    …care field. You may be assigned to function independently, with a partner, as a member of a team, or as the designated team coordinator during on site surveys. This ... training and Test (SMQT) provided by the Centers for Medicare and Medicaid Services or an equivalent certifying body...the posting closing date. Late applications and other required materials will not be accepted. + Failure to comply… more
    Commonwealth of Pennsylvania (05/14/24)
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