- The Cigna Group (Bloomfield, CT)
- …in non-compliant cases + Independently conduct thorough review of all new member and provider correspondence by analyzing all the issues presented to determine ... the position in the areas of: productivity, efficiency, accuracy, quality, member satisfaction and attendance + Adhere to department workflows, desktop procedures,… more
- Prime Healthcare (Redding, CA)
- …values of quality, compassion and community! Shasta Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons ... Health and holds an 'A' Grade from Leapfrog Group, the nation's premier advocate of transparency in health care. The hospital is Joint Commission Certified for… more
- VNS Health (Manhattan, NY)
- …Investigation Unit on issues related to Fraud, Waste, and Abuse of Medicare /Medicaid services.* Collaborates with pharmacy services to review PBM activities and ... proper communication established between prescribers, MCO and pharmacists for member medication reconciliation/review.* Ensures that Health Plan and program… more
- Corewell Health (Grand Rapids, MI)
- …- STATE_MI State of Michigan Upon Hire About Corewell Health As a team member at Corewell Health, you will play an essential role in delivering personalized health ... Beltline - Grand Rapids Department Name PH - Sales Medicare Employment Type Full time Shift Day (United States...Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health… more
- PruittHealth (Atlanta, GA)
- **JOB PURPOSE:** We have established the Member Advocate role for PruittHealth Premier to serve as a customer service liaison for our enrolled members, their ... of their insurance card and appointment packet. 16. The Member Advocate will be responsible for a...SKILLS, ABILITIES:** * Demonstrate compliance with CMS regulations regarding Medicare Advantage Plans and PruittHealth Code of Conduct. *… more
- Healthfirst (NY)
- …training/meetings. Serve as the liaison between all parties and acts as Member advocate maximizing the participants support network and obtaining needed ... program features, benefits and commitments, including explanation of the Member Handbook. -Identifies obstacles and opportunities for enrollment: Obtains feedback… more
- Somatus (Columbus, OH)
- …+ Participates in the integrated care team meetings. + Act as the patient advocate and support the member through their patient journey starting with initial ... from accessing resources to adhering to a physician's treatment plan. The CHW-Patient Advocate will work as an extension of the clinical care team, specifically… more
- Peckham, Inc. (KY)
- …preference to individuals with disabilities. Peckham Inc. - Palmetto Customer Service Advocate Position Summary: Under close supervision, as a Peckham, Inc. Customer ... Service Advocate , the Tier 1 Customer Service Representative accepts and...Service Representative accepts and responds to phone inquiries from Medicare and Medicaid providers. Minimum Hiring Requirements: + High… more
- Somatus (New Haven, CT)
- …and mental well-being + Community engagement opportunities + And more! The Patient Health Advocate -Transitions of Care, is a critical member of the care team ... Care RN to complete an assessment. + Coordinate care by serving as the advocate and resource for the patient, their family, and their provider(s). + Facilitate care… more
- Kelly Services (Albuquerque, NM)
- …easy. That's where Kelly (R) Professional & Industrial comes in. We're seeking **Customer Advocate ** to work in a temporary to hire opportunity with a Top Healthcare ... Familiarity with various lines of business, such as CDHP, Medicare , Wellness, and Disease Management. + Knowledge of medical...perks that may be available to you as a member of the Kelly Talent Community. Trust the office… more
- CVS Health (Austin, TX)
- …Health Risk Assessment (HRA). The HRA is the first step in creating the member 's Individualized Care Plan and sets the foundation for follow up care management by ... assessing a member 's medical, functional, cognitive, psychosocial, and mental health needs. Normal working hours: Monday-Friday 9:30am-6pm in your time zone, unless… more
- CVS Health (Houston, TX)
- …Health Risk Assessment (HRA). The HRA is the first step in creating the member 's Individualized Care Plan and sets the foundation for follow up care management by ... assessing a member 's medical, functional, cognitive, psychosocial, and mental health needs....health care, and the concepts of care management + Medicare /Medicaid/DSNP experience preferred + Experience with computers, including knowledge… more
- MetroLink (Los Angeles, CA)
- …you by SCRRA, which exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is reflected on your pay ... employees and 6.20 percent for employers for retirement, and 1.45* percent for Medicare hospital insurance. The maximum amount of an employee's earnings subject to… more
- Corewell Health (Grand Rapids, MI)
- …competitive, innovative products that enhance market position. + Marketing and Member Communication Collaboration: Works closely with the Medicare marketing ... executing effective strategies to achieve sustained success of Priority Health Medicare Special Needs Plans (DSNPs). Works collaboratively to align business needs… more
- MetroLink (Los Angeles, CA)
- …channel of communication of SCORE Program status with SCRRA Executive Management, Member Agencies, and other Key Stakeholders, including issues and resolutions. + ... reports and dashboards for presentations to the Board and Member Agencies. + Prepare studies, research, and analysis of...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… more
- CVS Health (Moon Township, PA)
- …The Health Equity team will be expanding on equity-based clinical and member experience initiatives leveraging existing Medicare product portfolio. Collaborate ... commutable distance from a CVS or Aetna office.** The Medicare Stars and Health Equity team is seeking a...the existing products and new product pipeline to address member SDOH needs * Facilitates ongoing market and competitive… more
- MetroLink (Los Angeles, CA)
- …testing/commissioning phases and the Third Party owned projects being constructed by Member Agencies, Cities, Caltrans, and other entities on and around the ... exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is...also include three (3) face-to-face counseling sessions per family member per six (6) month period. HEALTH ADVOCACY SERVICES:… more
- Corewell Health (Stevensville, MI)
- About Pine Ridge Pine Ridge is a 111-bed Skilled Nursing Facility that is Medicare and Medicaid Certified with 33 private rooms and 39 semi-private rooms. The ... process and development of resident MDS/Care Plans. Position will monitor Medicare and Medicaid requirements. Essential Functions + Reviews nursing chart on… more
- MetroLink (Los Angeles, CA)
- …you by SCRRA, which exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is reflected on your pay ... if needed. Services also include three (3) face-to-face counseling sessions per family member per six (6) month period. HEALTH ADVOCACY SERVICES: SCRRA offers you… more
- MetroLink (Los Angeles, CA)
- …you by SCRRA, which exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is reflected on your pay ... if needed. Services also include three (3) face-to-face counseling sessions per family member per six (6) month period. HEALTH ADVOCACY SERVICES: SCRRA offers you… more