- CVS Health (Hartford, CT)
- …outstanding opportunity for an enthusiastic team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. Reporting to the ... Lead Director of Medicaid Risk Adjustment National Programs , this individual will work closely with risk adjustment...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Wider Circle (Baltimore, MD)
- …Wider Circle's Area Manager will be responsible for implementing and managing Medicaid programs as outlined by the Implementation and Leadership teams - ... Wider Circle is looking for a Bilingual Area Manager in Baltimore to join our circle and...vital role in running Connect for Life, our groundbreaking program that connects neighbors for better health, empowering them… more
- New York State Civil Service (West Brentwood, NY)
- NY HELP No Agency Mental Health, Office of Title Residential Program Manager 2, Pilgrim Psychiatric Center, P24650 Occupational Category Health Care, ... eligible list for the title;ORTransfer Opportunity - have permanent status as a Residential Program Manager 2 and be eligible for lateral transfer OR be eligible… more
- CenterLight Health System (Bostwick, GA)
- …Medicare, Medicaid , and PACE eligibility. + Educate referral sources, prospective participants/caregivers, and other audiences on relevant PACE program ... JOB PURPOSE: The Clinical Assessment Outreach Manager is accountable for educating referral sources and...accountable for educating referral sources and prospects about CenterLight's Program of All-Inclusive Care for the Elderly (PACE), including… more
- Universal Health Services (Reno, NV)
- …of and management of a comprehensive Care Management and Transitions of Care Program . The Clinical Manager is responsible for the implementation, and management ... and accreditation requirements for the Centers for Medicare and Medicaid Services (CMS), state Medicaid offices (as...efforts associated with the successful operation of a CM program . The Clinical Manager is responsible for… more
- Healthfirst (New York, NY)
- …including sales teams, operating teams, peers, and leaders. + Keeps up to date on Medicaid and other entitlement program issues and on changes in Medicaid ... The Manager , Medicare Benefits Enrollment oversees the activities of...workflow while maintaining the integrity of confidential information about prospective enrollees, as well as proprietary business information in… more
- CenterLight Health System (Flushing, NY)
- JOB PURPOSE: The Account Manager - Veteran will be responsible to drive growth for CenterLight Healthcare Inc.'s Program of All-inclusive Care for the Elderly ... awareness, advocacy, and strategic partnerships with referral sources. The Account Manager will directly build strategic relationships with referral partners to… more
- Fallon Health (Worcester, MA)
- …we strive to be the leading provider of government-sponsored health insurance programs -including Medicare, Medicaid , and PACE- in the region. **Brief summary ... Responsible for compiling reports and analyzing data and making program level recommendations. The Manager supports the...Premium Payment Discrepancy Report** + Collaborates with the Government Programs Eligibility Manager to review the SE… more
- Brookdale Senior Living (Richland, WA)
- …The Brookdale Bench Program will prepare you to assume the Sales Manager role at one of our communities. + Maintains and/or improves upon the occupancy ... Overview Sales Manager - Bench Brookdale Senior Living Eastern Washington...you can grow your career? Brookdale's Hire Ahead Bench program is a unique opportunity to learn Brookdale Sales… more
- Corewell Health (Grand Rapids, MI)
- …or equivalent experience with a managed care payer + Experience working with government programs including Medicare, Medicaid and FEHB + CRT - Registered Health ... Summary Responsible for management of all aspects of the Payment Integrity Program with specific expertise in healthcare payment and reimbursement. The Payment… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …job, reporting to the Office for Clinical Research (OCR). Responsible for the Prospective Reimbursement Analysis (PRA) for all studies with EHC and/or Grady billable ... CPT code. + Applies the Centers for Medicare & Medicaid National Coverage Determination (NCD) 310.1, Routine Costs in...status. Emory University does not discriminate in admissions, educational programs , or employment on the basis of any factor… more
- Erickson Living (Ashburn, VA)
- …developing and maintaining maximum census in Continuing Care by selling to prospective external and current internal residents. The Health Care Counselor interfaces ... regarding the residents. **How you will make an impact:** + Tours prospective external residents and current internal residents through Continuing Care, offering an… more
- Universal Health Services (Reno, NV)
- …the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Manager of Compliance and Risk Management is responsible for managing and ... improving the Prominence Health Plan Compliance and Risk Management Program to assure compliance with State and Federal regulations for health plan products… more
- Highmark Health (Guilderland, NY)
- …Highmark Inc. **Job Description :** **JOB SUMMARY:** Under the direction of the manager , consumer markets, the Assistant Sales Center Manager will coordinate and ... Company policies and procedures; making sales calls on current and prospective customers within the market area. **ESSENTIAL RESPONSIBILITIES:** + Meet, in… more
- CGI Technologies and Solutions, Inc. (Dallas, TX)
- …savings program , a personal financial management tool, lifestyle management programs and more. \#LI-KB5 **Skills:** + Certified Procedural Coder-US + Health Care ... **Payment Integrity Edits Manager ** **Category:** Analytics and Emerging Digital Technologies **Main...auditing in conjunction with maintaining a robust quality assurance program . Edits are developed through a well-defined process which… more
- The Salvation Army (Easton, PA)
- …that program participants have access to mainstream health and social service programs such as TANF, Medicaid , State CHIP, SSI, Food Stamps, Work Force ... Overview Position: Case Manager Location: Easton Corps, 1110 Northampton Street Availability...(training provided) 12. Participate in various community meetings and programs 13. Provide insight and program overview… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- Eglin AFB, FL, USA | Full Time Registered Nurse - Utilization Manager Onsite Position EM Key Solutions is seeking Registered Nurse (RN) for a full-time Utilization ... to the following: + Develops and implements a comprehensive Utilization Management plan/ program in accordance with the facility's goals and objectives. + Performs… more
- EM Key Solutions, Inc. (Eglin AFB, FL)
- Eglin AFB, FL, USA | Hourly | Full Time Registered Nurse - Utilization Manager Location: Eglin Hospital at Eglin AFB, Fort Walton Beach, FL. Position Type- Onsite EM ... to, the following: + Develops and implements a comprehensive Utilization Management plan/ program in accordance with the facility's goals and objectives. + Performs… more
- CareOregon (Portland, OR)
- …experience managing large-scale budget portfolios Preferred: + Experience with grant program administration + Experience with Oregon Medicaid and Coordinated ... Job Title Strategic Initiatives Portfolio Manager Exemption Status Exempt Management Level n/a Direct...of financial risks and opportunities, of existing portfolio and prospective funds. + Ensure compliance with financial regulations and… more
- Houston Methodist (Katy, TX)
- …ensure operational billing compliance with government/regulatory agencies and the Medicare and Medicaid programs . (EF) 4. Ensures optimization of timely cash ... JOB SUMMARY At Houston Methodist, the Manager Revenue Cycle position is responsible for the...care terminology and payor adjudication such as Inpatient/ Outpatient Prospective Payment Systems, etc. SUPPLEMENTAL REQUIREMENTS Work Attire Yes/No… more