- Aveanna Healthcare (Gloucester County, VA)
- …Pay Employee Stock Purchase Plan with 15% discount Employee Relief Fund *Benefit eligibility can vary and is dependent upon employment status and employment location ... diverse backgrounds to apply. xrbllit As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- Astiva Health, Inc (San Jose, CA)
- …between Providers and internal teams to quickly resolve questions about eligibility , benefits, contracts, claims, and referrals via phone, voicemail, and email. ... strongly desired. Skills & Competencies . Strong working knowledge of Medicare, Medicaid and HMO health plan required. . Strong critical thinking and independent… more
- Oregon State University (Portland, OR)
- …Oregon Health Authority ( OHA ). DURM supports the Oregon Fee-for-service Medicaid program by administering the OHA's Pharmacy & Therapeutics (P&T) Committee, ... drug utilization, offering drug information and policy analysis, and providing Medicaid provider education and drug therapy consultations. This agreement furthers… more
- Lundbeck (Knoxville, TN)
- …and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. **Pharmaceutical Environment/Compliance** - Apply ... and proficiency for the role. Salary Pay Range $108,000 to $125,000 and eligibility for a sales incentive target of $39,000. Benefits for this position include… more
- Wipfli LLP (Spokane, WA)
- …especially related to assigned product line + Assist team with Medicare and Medicaid /Medi-cal Cost Report Reimbursement team! What You will Gain + Experience the ... as demonstrated by college GPA; Preferred 3.0 GPA or higher + Working towards eligibility to sit for CPA exam upon graduation + Preferred coursework in Data… more
- National Health Care Associates (Bloomfield, CT)
- …management or supervisory responsibilities + Thorough knowledge of Medicare, Medicaid , Pending, Applied Income, and Managed Care reimbursement regulations + ... + Proficiency in office software including Excel, Word, Outlook, and billing/ eligibility software solutions (Point Click Care, Inovalon and RFMS) **-** **We… more
- Lundbeck (Joliet, IL)
- …and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. **Pharmaceutical Environment/Compliance** - Ability ... and proficiency for the role. Salary Pay Range: $117,000 - $137,000 and eligibility for a sales incentive target of $39,000. Benefits for this position include… more
- Wipfli LLP (Milwaukee, WI)
- …reviewing skilled nursing Medicare cost reports, understanding the skilled nursing Medicaid reimbursement systems for assigned states, assisting clients with cost ... including Medicare cost reports + Gain an understanding of the skilled nursing Medicaid reimbursement systems for the assigned states and assist clients with cost… more
- Organon & Co. (Plymouth Meeting, PA)
- …ensure compliance and identify areas for improvement. + Audit contract eligibility , contract pricing, payments, and performance-based metrics to ensure customer and ... audit support related to Purchase-Based contracting, pricing, and customer eligibility . + Support new product launches through contract strategy implementation.… more
- Lundbeck (Dallas, TX)
- …available from Lundbeck + Advise on patient prescription status and program eligibility + Educate providers and key stakeholders on payer processes and procedures ... + Previous experience working directly with payers in the Medicaid and commercial segments **TRAVEL:** + Ability to travel...the role. Salary Pay Range: $160,000 - $190,000 and eligibility for a 15% bonus target based on company… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …all notification obligations _Eligibility Confirmation_ + Confirm member eligibility for requested authorizations, including obtaining identification numbers for ... processing authorizations + Assist with complaints and appeals related to eligibility and claims, documenting information accurately in the utilization management… more
- Alameda Health System (San Leandro, CA)
- …care, as defined by The Joint Commission (TJC), Centers for Medicare and Medicaid Services, and AHS and Behavioral Health Department of Alameda County Utilization ... process with Behavioral Health Department of Alameda County and AHS Admissions/ Eligibility /Enrollment services for uninsured patients. 7. Works with patient care… more
- Centers for Independence (Milwaukee, WI)
- …to new ICs as needed. + Works effectively with participants in maintaining financial eligibility by keeping record of when Medicaid reviews are due and by ... assisting participants in completing forms, making copies of verification items, and submitting paperwork to the Income Maintenance (IM) department. + Attends and participates in regularly scheduled phone conferences and face-to-face team meetings as required… more
- Katmai (Usaf Academy, CO)
- …to identify high-risk/high-cost patients within MTF population. + Determines eligibility for healthcare coordination/case management services. + Coordinates with ... worker license in good standing. + Extensive knowledge of TRICARE, Medicare/ Medicaid services and benefits is mandatory. + Knowledge of professional care… more
- Lundbeck (Phoenix, AZ)
- …and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. **Pharmaceutical Environment/Compliance** - Ability ... and proficiency for the role. Salary Pay Range: $125,000 - $145,000 and eligibility for a sales incentive target of $39,000. Benefits for this position include… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- …Commercial and Government payers, buy and bill model, Medicare, Tricare , Medicaid and National and Regional Commercial payers. Experience working in Dermatology ... from time to time, including but not limited to terms and conditions regarding eligibility . If hired, employee will be in an at-will position and the Company… more
- HCA Healthcare (Webster, TX)
- …Do you want to join an organization that invests in you as a Bilingual Medicaid Eligibility Advocate? At HCA Houston Healthcare Clear Lake, you come first. HCA ... the opportunity to make a difference. We are looking for a dedicated Bilingual Medicaid Eligibility Advocate like you to be a part of our team. **Job Summary and… more
- HCA Healthcare (Georgetown, KY)
- …purpose and integrity. We care like family! Jump-start your career as a Medicaid Eligibility Advocate today with Parallon at GEORGETOWN COMMUNITY HOSPITAL. ... for benefits may vary by location._** Come join our team as a Medicaid Eligibility Advocate. We care for our community! Just last year, HCA Healthcare and our… more
- HCA Healthcare (Gallatin, TN)
- …of each individual is recognized. Submit your application for the opportunity below: Medicaid Eligibility Advocate with Parallon at Sumner Regional Medical Center ... Eligibility for benefits may vary by location._** We are seeking a Medicaid Eligibility Advocate for our team to ensure that we continue to provide all… more
- Genesis Healthcare (NH)
- …we serve. Responsibilities Do you have a knack for navigating the complexities of Medicaid eligibility ? Then join us as a Regional Floating Medicaid ... geography, you will improve the quality of all revenue cycle management Medicaid Eligibility related functions, from patient pre-admission to discharge, to… more
