- CVS Health (Boston, MA)
- …more personal, convenient and affordable. **Job Description Summary** The primary responsibility of the Medicare Part B Operations Coordinator is to ... of pharmacy and medical claims to Third Party Insurers. **Position Summary:** As a Medicare Part B Operations Coordinator, you will support the Revenue… more
- Medical Mutual of Ohio (OH)
- …supervision, administers standardized to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part C ... operational oversight overflow and any additional requests. Responds to Part D and Part B ...complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare… more
- State of Massachusetts (Boston, MA)
- …for Medicare and Medicaid (dual eligibles). The Integrated Care Operations Manager, reporting to the Special Projects and Operations Manager,isresponsible ... and program initiatives for Integrated Care. The Integrated Care Operations Manager willassistin creating, manipulating, anddisseminatingseveral recurring reports. This… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …protections from privacy laws or policy. 3. Support our Medicare Enrollment teams ( Medicare Advantage, Medex, and our Part D PDP teams) by cross training on ... the following persona(s) only: Resident (On-Site Only) What we need The Medicare Processor Control Associate will support areas within Government Programs … more
- Silicon Valley Power (Santa Clara, CA)
- …Utility Engineer candidates to fill three (3) vacancies in the Utility Operations division and Customer Development and Project Management division. The ideal ... a team environment on major construction projects. **For the Operations Division:** + This position will support SVP's Electric...(3) years experience in electric utility engineering work or b ) a Bachelor's Degree in Engineering and four (4)… more
- Central Maine Medical Center (Lewiston, ME)
- …the Nursing Director, the Nurse Leader is responsible for the day-to-day operations of assigned responsibilities and is accountable for assuring the consistent use ... note cards, etc.). Seeks out innovative ways to recognize and encourage staff. b ) Promotes team building with staff and other department managers.c) Creates and… more
- Central Maine Medical Center (Bridgton, ME)
- …recognize staff (positive emails, personal note cards, recognition at staff meetings, etc.). b ) Promotes unit level team building among all staff and shifts. c) ... methods to meet these goals and objectives l) Assumes other duties assigned Operations : a) Oversees day-to-day Unit level operations : Ensures consistent bedside… more
- Marshfield Clinic (Eau Claire, WI)
- …Service Line Medical Director - Hematology/Oncology **Cost Center:** 301081251 Systems Operations **Scheduled Weekly Hours:** 4 **Time Type:** Part time ... a. Directly involved with ensuring adherence to regulatory and accreditation standards b . Oversight of associate review process for service line physicians c. Annual… more
- Elevance Health (Richmond, VA)
- …Government Programs plan preferred + Experience with programs such as: ESRD, MSP, SSI conversions, Part A/ Part B Please be advised that Elevance Health only ... You Will Make an Impact:** + Manages the day-to-day operations of our 'Other' revenue programs in Medicare...and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …business. + Develop, refine, implement, and pull through the MTPA contracting strategy for Medicare Part D, PBMs, GPOs and Commercial + Manage all Payer ... with key customers and external groups including Commercial Payers, Medicare , Medicare Advantage plans, Part ...policy, pricing, reimbursement and access + Contract Analytics + Part D and Part B … more
- AdventHealth (Rome, GA)
- …+ Career Development + **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the ... the work environment. Actively involve all groups in shared decision-making where appropriate. b . Use skill in effective conflict management and is able to reach a… more
- New York State Civil Service (New York, NY)
- …for this title. PROMOTIONAL QUALIFICATIONS:One year of permanent competitive or 55 b /c service as an office assistant, clerical, or keyboarding title allocated to ... with one year of permanent, contingent permanent, or 55 B /C service as an Office Assistant 2. If you...Assistance & Management (FBEAM) office. The OA 2 is part of the FBEAM team responsible for securing Medicaid,… more
- Southeast Health (Dothan, AL)
- …for claim status and corrections; + Accurately determines Part A and Part B Medicare coverages and billing requirements; + Reviews correspondence ... Using internal and external computer systems and payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full resolution. Job… more
- Walgreens (Deerfield, IL)
- …able to address/understand/discuss complex reimbursement systems and flow of the healthcare dollar ( Medicare Part B /D, ACOs, GPOs, Hospitals, etc.). **This ... variety of tools, and internal resources as an integral part of the sales interaction. + Leads cross functional...experience with billing procedures for hospital, medical offices and Medicare ( B / D benefits). + Experience… more
- New York State Civil Service (Schenectady, NY)
- …with Developmental Disabilities employees with one year of permanent, contingent permanent, or 55 B /C service as an Office Assistant 1. If you have less than one ... QUALIFICATIONS: One year of permanent, contingent permanent, or 55 B /C service allocated to a Grade 6 or higher...Entitlements Assistance & Management (FBEAM). The OA 1 is part of the FBEAM team responsible for securing Medicaid,… more
- Office of the Secretary of Health and Human Services (Washington, DC)
- …Chair, the Chief Administrative Appeals Judge, the Executive Director of the Medicare Operations Division, the Executive Director for Adjudication, and ... the Appellate Division, the Civil Remedies Division and the Medicare Operations Division. Requirements Conditions of Employment...to draft the ECQs. Education Must possess JD or LL. B degree. and Licensure Applicants must be licensed and… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …a minimum of 6 semester hours of health information technology courses. ( b ) Successful completion of a course for medical technicians, hospital corpsmen, medical ... year of creditable experience equivalent to the next lower grade level; OR, ( b ) Education. Successful completion of four years of education above high school leading… more
- Catholic Health Initiatives (Bismarck, ND)
- …as required by law + Completes HealthStream FWA training on an annual basis as required for Medicare Part B and Medicare Part D + Participates ... throughout western and central North Dakota. CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing… more
- New York State Civil Service (Schenectady, NY)
- …Developmental Disabilities employees with one year of permanent, contingent permanent, or 55 B /C service as a Resources & Reimbursement Agent 1. If you have less ... QUALIFICATIONSCandidates must have one year of permanent competitive or 55- b /c status in the posted title and be eligible...with developmental disabilities live richer lives. The agent is part of the FBEAM team responsible for securing Medicaid,… more
- New York State Civil Service (New York, NY)
- …with Developmental Disabilities employees with one year of permanent, contingent permanent, or 55 B /C service as a Program Operations Specialist 1. If you have ... Candidates must have one year of permanent competitive or 55- b /c status in the posted title and be eligible...completed within time frames required by the Centers for Medicare Services and the Departments of Health and the… more