- Novo Nordisk Inc. (Philadelphia, PA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to identify business opportunities… more
- SCA Health (Pinehurst, NC)
- …guidelines and the process of collecting over the counter payments/deductibles/copay/co- insurance . Knowledge of payer contracts including Medicare , Medicaid ... Insurance Verification Representative - Pinehurst Surgery CenterJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTMLPinehurst, North… more
- BAYADA Home Health Care (Waipahu, HI)
- …Physical Therapist, PT, for a Full Time or Part Time opportunity performing home health visits. This Medicare certified office works with adult and geriatric ... care Physical Therapist, you will be an integral member of a multi-disciplinary health care team that provides rehabilitative care and skilled nursing to clients,… more
- BAYADA Home Health Care (Fayetteville, NC)
- …and coordinating the care provided by a multi-disciplinary team of home health care professionals. Processing incoming referrals. Management and mentoring of ... license. At least 2 years of nursing experience. Recent Medicare Certified Home Health Care experience. Comprehensive...holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance , 401k… more
- Mid Michigan Health (Midland, MI)
- …patient's rights in accordance with proper procedures and in compliance with HIPAA ( Health Insurance Portability Accountability Act). May be asked to perform ... care. They will assure compliance with all the policies/procedures of MyMichigan Health and follow Occupational safety and Health Administration (OSHA)… more
- CHRISTUS Health (Santa Fe, NM)
- …Responsible for day to day supervision of care coordination and population health programs. In conjunction with director will oversee planning, budget, and ... including training on HEDIS measures and annual quality abstraction to support ( Medicare Shared Savings Program). This position is responsible for the oversight of… more
- The University of Vermont Health Network (Elizabethtown, NY)
- …Knowledge/Special Skills:* Knowledge of case management standards of practice, insurance structures, Medicare and Medicaid rules, and regulations, clinical ... care setting) with similar experience required. Assessment and screening for employee health preferred.* Case management accreditation required by a nationally… more
- homeward (Auburn, MI)
- …the issues that have historically limited access and quality. Homeward supports Medicare -eligible beneficiaries by partnering with health plans, providers, and ... Homeward is rearchitecting the delivery of health and care in partnership with communities everywhere,...tangible and intangible benefits. Benefits Medical, dental, and vision insurance with 100% of monthly premium covered for employees… more
- Aveanna Healthcare (Pueblo, CO)
- …experience as a Licensed Nurse in a clinical care setting* Home health experienceOther Skills/Abilities* Attention to detail* Time Management * Effective ... participating in educational programs, continued education units, internal learning management skills and skill evaluations.Requirements* Graduate of an accredited… more
- Aveanna Healthcare (Loveland, CO)
- …experience as a Licensed Nurse in a clinical care setting* Home health experienceOther Skills/Abilities* Attention to detail* Time Management * Effective ... Aveanna Healthcare, is one of the nation's largest home health care providers in the US We are hiring...a variety of factors including education, experience, location, patient insurance , patient acuity level and other related job duty… more
- Aveanna Healthcare (Vancouver, WA)
- …teaching, and training of family membersBenefits of the Registered Nurse (RN): Health and Life Insurance *Paid Time Off Available401(k) Savings Plan with ... experience as a Licensed Nurse in a clinical care setting* Home health experienceOther Skills/Abilities* Attention to detail* Time Management * Effective… more
- NORC (Bethesda, MD)
- Principal Research Scientist - Health Care Quality Measurement: Medicare , Medicaid, & Commercial Insurance Programs Job no: 502274 Work type: Regular ... education) including at least 5 years of policy project management + Expert knowledge of Traditional Medicare ,...include, but are not limited to: + Generously subsidized health insurance , effective on the first day… more
- Highmark Health (Charleston, WV)
- …in the use of user interfaces, predicative analytic tools, and other population health management tools endorsed by Highmark. + Independently and autonomously ... STARS, Medicaid HEDIS, risk revenue value streams, and population health management **Preferred** + 7 years in...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996… more
- CVS Health (Phoenix, AZ)
- …managed care organization. + In partnership with and under the direction of the health plan Medicare Compliance Officer and other team members, this position ... program and promote compliant and ethical behavior in our Medicare Advantage health plans. Responsibilities include, but... Medicare Part C and D regulations and Medicare Advantage Managed Care + Project Management … more
- CommuniCare Health Services Corporate (Indianapolis, IN)
- …for the development and management of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our Central ... Pennsylvania, Indiana, West Virginia, Virginia, and Maryland. Since 1984, CommuniCare Health Services has provided superior, comprehensive management services… more
- Alight (TX)
- …and fully remote.** **Join our Retiree Health Solutions Team** Our team provides Medicare health insurance services to the retiree community. We work ... work you will do:** + Using your knowledge of Medicare health , prescription drug plan, vision, and...ability to self-study. + Aptitude for understanding details of Medicare insurance and complying with all CMS… more
- CVS Health (Hartford, CT)
- Bring your heart to CVS Health . Every one of us at CVS ...affordable. Position Summary As a direct of the CFO, Medicare this role will work to ensure that the ... purpose: Bringing our heart to every moment of your health . This purpose guides our commitment to deliver enhanced...to achieve its financial and strategic goals for our Medicare product lines through effective support of financial closing,… more
- CVS Health (Orlando, FL)
- …+ 2 to 3 years of business to consumer sales experience preferably in the Health Insurance business + Active Health License & CMS Required Certification ... Bring your heart to CVS Health . Every one of us at CVS ...top sales talent! At CVS/Aetna we are expanding our Medicare Sales team and are looking for candidates who… more
- CVS Health (Richmond, VA)
- …to three years of business to consumer sales experience, within the Health Insurance business. * One year Medicare or directly related experience * Active ... Bring your heart to CVS Health . Every one of us at CVS ...top sales talent! At CVS/Aetna we are expanding our Medicare Sales team and are looking for candidates who… more
- CVS Health (Richmond, VA)
- …for: + Performing pharmacy reviews and making evidence-based recommendations regarding Medicare members + Identifying opportunities within the health plan ... as optimization of medication selection, dosing, and monitoring + Experience with population health and/or disease state management + Ability to research and… more
