- Battelle Memorial Institute (Homestead AFB, FL)
- …current third-party regulations and policies, with special emphasis on TRICARE and Medicare benefits and services, to identify alternative financing sources to ... line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our...and their recovery + Knowledge of community resources, patient entitlement/ benefit eligibility, and ability to access these resources to… more
- Wipfli LLP (Milwaukee, WI)
- … benefits , cell phone reimbursement, and travel rewards. Voluntary benefit offerings include critical illness & accident insurance, hospital indemnity insurance, ... a career-defining opportunity. Job Summary Under the direction of the Partner/Senior Manager leading the respective service area, region or industry, the Manager… more
- Commonwealth Care Alliance (Boston, MA)
- …Behavioral Health **Position Summary:** Commonwealth Care Alliance's (CCA) Clinical Care Manager is a registered nurse or other independently licensed behavioral ... part of the care management dyad, the Clinical Care Manager works directly with assigned CCA members to help...living, recovery, and community connections. This position allows for remote work, when possible, but does require in-person visits… more
- Commonwealth Care Alliance (Boston, MA)
- …, Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including onboarding, orientation ... strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role in helping CCA achieve its mission and… more
- Sanford Health (Dickinson, ND)
- …to the work of health and healing across our broad footprint.** **Facility:** Remote ND (Dickinson) **Location:** Dickinson, ND **Address:** **Shift:** 8 Hours - Day ... Hours:** 40.00 **Salary Range:** $37.50 - $62.00 **Job Summary** The Product Manager will lead the ongoing analysis, planning, and management of their respective… more
- Medical Mutual of Ohio (OH)
- …office in Brooklyn, OH. However, the role is open to considering candidates who are remote as long as they live within the state of Ohio._** Founded in 1934, Medical ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
- Humana (Chicago, IL)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare ... coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid understanding of the market they… more
- Humana (Orange City, FL)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- Health Care Service Corporation (Nashville, TN)
- …quality deliverables on schedule + Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager , Medicare experience + Advanced analytical skills, ... driving delivery, contingency planning, business results, and strategic planning for Medicare Part D Pharmacy consisting of multiple programs, complex projects, and… more
- US Tech Solutions (May, OK)
- …determination in a specialty/skilled clinical setting ie, specialty medical office or Pharmacy Benefits Manager (PBM) **Skills:** + MUST HAVE MANAGED CARE exp ... **Location: Remote ** **Duration: 6+ months contract** **Shift: Monday-Friday 9:30am-6pm...experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit… more
- Mayo Clinic (Rochester, MN)
- …dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (https://jobs.mayoclinic.org/ benefits /) - to take care of you ... every turn, you can build a long, successful career with Mayo Clinic. ** Benefits Highlights** + Medical: Multiple plan options. + Dental: Delta Dental or… more
- CVS Health (Lansing, MI)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... by connecting them with appropriate resources and support services. The Care Manager provides education and guidance to members and their families on managing… more
- CVS Health (Springfield, IL)
- …an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, ... conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social Worker, and other interdisciplinary care team participants… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** We are looking for an experienced Care Manager to support our Maryland Medicare enrollees. Under minimal supervision, the ... member's medical and behavioral health needs and healthcare cost drivers. The Care Manager works closely with members and the interdisciplinary care team to ensure… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN43595B **Job Title** Compliance Officer **Working Title** Regulatory Compliance Manager - Hybrid/ Remote **Career Progression Track** F **Track ... RHIA ); knowledge of medical auditing, Federal healthcare program policies and requirements (including Medicare Parts A and B), and ICD -10, CPT , HCPCS , DRG… more
- Hartford HealthCare (Norwich, CT)
- …for end of life care and symptom management. Directs staff in the Medicare Hospice Benefit guidelines * Assures the development of personnel qualifications ... is your moment. **Job:** **Management* **Organization:** **Hartford HealthCare at Home* **Title:** * Remote Weekend Hospice Clinical Team Manager (RN, Nurse) -… more
- Molina Healthcare (ID)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required… more
- VetsEZ (Washington, DC)
- We are currently seeking a goal-oriented and strategic Capture Manager for a 100% remote position to drive new business opportunities within the Department of ... Services (HHS) and its sub-agencies, including the Centers for Medicare & Medicaid Services (CMS), National Institutes of Health...a plus. + Ability to obtain a Government clearance. Benefits : + Medical/Dental/Vision. + 401k with Employer Match. +… more
- CVS Health (Springfield, IL)
- …models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... the country. **Family** **Summary/Mission** Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for … more
