- Fidelity TalentSource LLC (Westlake, TX)
- …continuously deepening your understanding of the client & associate experienceExperience in the Medicare or health insurance industry nice to haveYou take a ... Job Description:Squad Leader, Fidelity Medicare ServicesThe\u00A0RoleFidelity s Healthcare Group has launched a...passion for helping people solve complex problems in the health care space. The Expertise and Skills You BringCollaborate… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …or home healthOther: Hospice, Acute Care, Oncology, Critical Care, Home Health Preferred Job QualificationsPreferred Licensure or other certifications: ... Category:Nursing - Registered Nurse Work Shift/Schedule:10 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health… more
- Fidelity TalentSource LLC (Boston, MA)
- …in mind. Our comprehensive solutions encompass Health and Welfare Services, Health and Benefit Accounts, Expense Management, and Medicare Services.As an ... Job Description:Squad Leader, Health Analytics and ReportingRoleFidelity Health is...career, empowering you to thrive at work and at home . Honored with a Glassdoor Employees Choice Award, we… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia Health System is rooted in a foundation of improving the health ... care of terminally ill patients, adults in acute care medical and surgical areas/ home care. Additional experience with children and infants desired. One (1) year… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Category:Nursing - Registered Nurse Work Shift/Schedule:10 Hr Afternoon - EveningNortheast Georgia Health System is rooted in a foundation of improving the health ... care of terminally ill patients, adults in acute care medical and surgical areas/ home care. Additional experience with children and infants desired. One (1) year… more
- Staffing Now (Miami, FL)
- …IT to transmit batch claims to accounts payableCompletes all non-medical claims adjudication ( Home health services, ALF, nursing Home ) to include verifying ... is key to PACE's revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by...outpatient, dental, labs, x-ray, ambulance, DG clinic, hospital, nursing home , home health services, ALF's,… more
- Staffing Now (Miami, FL)
- …IT to transmit batch claims to accounts payable Completes all non-medical claims adjudication ( Home health services, ALF, nursing Home ) to include verifying ... is key to PACE's revenue and expense process, procuring Medicare rate tables, processing provider claims for expenses by...outpatient, dental, labs, x-ray, ambulance, DG clinic, hospital, nursing home , home health services, ALF's,… more
- Fidelity TalentSource LLC (Westlake, TX)
- …to scale. Our wide range of solutions include health and welfare services, health and benefit accounts, and Medicare services. As we generate an abundance of ... AI powered solutions to improve tough manual operations activities.\u00A0\u00A0At Fidelity Health , we empower employers and employees to make confident healthcare… more
- Russell Tobin & Associates (San Antonio, TX)
- …missing documentation required for placement and/or billing. Could include home health agencies, patients, hospital/facilities, physicians. Follow-up ... orders based on initial assessment of documentation and customer outreach Review and analyze payer specific requirements and coverage criteria to determine… more
- Careerbuilder-US (Chatham, PA)
- …accredited by the Joint Commission and Medicare . The clinical staff undergo extensive home health care training, annual competencies review , as well as ... professional development, a clinical advancement program and lifelong learning on the most cutting-edge clinical procedures. With an in-house education department, the organization brings a dedication to educational preeminence and exceptional quality. more
- Humana (Columbus, OH)
- …caring community and help us put health first** The Group Medicare Proposal Development/Contract Review Professional 2 reviews solicitations and prepares ... simple requests for proposals (RFPs)/request for renewals (RFRs). The Group Medicare Proposal Development/Contract Review Professional 2 is primarily responsible… more
- The Cigna Group (Nashville, TN)
- …areas. + Provide standard professional advice and creates initial reports/analyses for review . + Provide guidance, coaching, and direction to more junior members of ... effective and sufficient support of all Case Management activities to include review of inpatient and outpatient medical records for appropriateness of case… more
- Humana (Columbus, OH)
- …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance + Experience ... on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation… more
- Walworth County (Elkhorn, WI)
- …and assistance with set-up/planning as needed. Perform home visits to home bound consumers regarding SeniorCare or Medicare Part D issues, including ... Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply ...Elkhorn, WI Job Type Casual Job Number 2021-00139 Department Health & Human Services Division Aging & Disability Resource… more
- General Dynamics Information Technology (Fairfax, VA)
- …at work and at home + 401K with company match + Comprehensive health and wellness packages + Internal mobility team dedicated to helping you own your career ... NACI (T1) **Job Family:** Data Analysis **Skills:** Data Analysis,Healthcare Analytics, Medicare , Medicare Advantage,Researching **Experience:** 8 + years of… more
- Humana (The Villages, FL)
- … Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... our consumers. **_Face to face interactions in prospective members' home are a requirement for this position._** **Use your...help people with Medicare , or both Medicare and Medicaid, achieve their best possible health… more
- The Cigna Group (Bloomfield, CT)
- …a Band 3 Management Career Track Role. **Customer Service Senior Supervisor- Medicare ** The Government Business CTM (Complaint Tracking Module) Complaint Resolutions ... Senior Supervisor is a leadership role within the Cigna Medicare Customer & Client Service Experience (CCSE) Organization reporting to the manager of CTMs. This role… more
- Humana (Columbus, OH)
- …management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience ... on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation.… more
- GEHA (Lee's Summit, MO)
- GEHA (Government Employees Health Association, Inc., pronounced GEHA) is a nonprofit member association that provides medical and dental benefits to more than two ... to federal employees in the United States, GEHA empowers health and wellness by meeting its members where they...experience, sustained by a nimble and efficient organization. The Medicare Part D Performance Management Specialist will report to… more
- Humana (Chicago, IL)
- **Become a part of our caring community and help us put health first** Are you passionate about the Medicare population, looking for a role in management with ... Medicare Sales motivates and drives a team of Medicare Sales Field Agents who sell individual health...provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work… more
