- Novo Nordisk Inc. (Las Vegas, NV)
- …treatment of diabetes, obesity, and the reduction of adverse cardiovascular events. As part of the team, you will have frontline exposure to our portfolio vision, ... who want to do the same. In exchange, we offer the chance to be part of a truly global workplace, where passion and engagement are met with opportunities for… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary Job Description Medicare Part D Specialist is responsible for coordinating and ... performing Medicare Part D oversight and monitoring activities with both external delegated entities and internal staff to ensure the Martin's Point program… more
- Walworth County (Elkhorn, WI)
- …This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D , Medicare Part C (Advantage ... Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply...or restrict the tasks that may be assigned. Perform Medicare Part D drug assessments… more
- Northwell Health (Westbury, NY)
- …Number** 128397 Job Description Seeking RN - BSN or MSN candidates with a HCS- D - Home Care Coding Specialist -Diagnosis, COS-C Certificate for OASIS ... the documentation in the Medical Record. Job Responsibility + Audits and reviews Medicare /non- Medicare charts to ensure that proper standards are maintained in… more
- InnovaCare (Ponce, PR)
- …members, during and after natural disasters. Through the Florida MMM Line of Care, as a Part D sponsor, you will ensure that the member has adequate access to ... customer focus to the business. POSITION DESCRIPTION The Quality Specialist Nurse is responsible for monitoring quality of care...their covered Part D drugs. Orlando Family Physicians, a… more
- HighPoint (Indianapolis, IN)
- …Team Lead, Content Specialist - Spanish contributes to HighPoint by managing Medicare product workflows to ensure accurate and timely delivery of Medicare ... Team Lead, Content Specialist (Spanish) HighPoint professionals focus exclusively on helping... and Marketplace products (Parts A, B, C, and D ). + Maintain inventory of Medicare and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …+ Recent hospital experience. + Knowledge of Pathophysiology and Disease Process. + Knowledge of Medicare Part A. + Familiar with Medicare Part B. ... and serve as a leader of positive change. The **Clinical Documentation Specialist ** facilitates improvement in the overall quality, completeness and accuracy of… more
- Catholic Health Initiatives (Lexington, KY)
- …Knowledge, Skills, Abilities and Training** + Knowledge of Medicaid, Medicare Advantage plans, Medicare Part D + Knowledge of hospital revenue cycle. + ... **Job Summary / Purpose** The Patient Assistance Coordinator/Pharmacy Operations Specialist is responsible for CHI Saint Joseph Health System's Medication… more
- US Tech Solutions (May, OK)
- …exception requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. Must apply information provided through ... where needed. **Responsibilities:** + Utilizing multiple software systems to complete Medicare appeals case reviews + Meeting or exceeding government mandated… more
- J&J Family of Companies (Atlanta, GA)
- …+ Experience in hospital and large account sales, handling complex reimbursement issues, Medicare Part D , and documented history of successful sales ... Executive Oncology Sales Specialist , Solid Tumor - Atlanta North, GA -...years, diversity, equity & inclusion (DEI) has been a part of our cultural fabric at Johnson & Johnson… more
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview The Clinical Coding and Audit Specialist monitors, responds and performs the clinical coding and audit support ... need including but not limited to improvement plans as part of targeted probe and educate surveys, performance improvement...Acts as a resource and has expert knowledge of Medicare , Medicaid, ICD-10 Coding and OASIS and other applicable… more
- UNC Health Care (Chapel Hill, NC)
- **Description** Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique ... communities we serve. **We are seeking a highly organized and detail-oriented Insurance Specialist to join our team. As an Insurance Specialist , you will play a… more
- Lumeris (MO)
- …information. Thank you for your interest in Lumeris. **Position:** Correspondence Specialist **Position Summary:** Responsible for daily review and routing of all ... classified with the appropriate metadata. + Utilizes knowledge of Centers for Medicare and Medicaid Services requirements of processing times by document type to… more
- Novo Nordisk (Las Vegas, NV)
- …treatment of diabetes, obesity, and the reduction of adverse cardiovascular events. As part of the team, you will have frontline exposure to our portfolio vision, ... same. In exchange, we offer the chance to be part of a truly global workplace, where passion and...+ Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription… more
- Sanford Health (Thief River Falls, MN)
- …**Facility:** Thief River Falls Equip **Location:** Thief River Falls, MN **Address:** 1720 US-59 d , Thief River Falls, MN 56701, USA **Shift:** 8 Hours - Day Shifts ... billing, documentation, and reimbursement guidelines/issues, including but not limited to Medicare , Medicaid, other third party, and contracted payers. Balance the… more
- InnovaCare (San Juan, PR)
- …members, during and after natural disasters. Through the Florida MMM Line of Care, as a Part D sponsor, you will ensure that the member has adequate access to ... meetings with recorded minutes.36. Authorizes and/or facilitates access to specialist and therapist.37. Advocates, informs, and educates beneficiaries on...their covered Part D drugs. Orlando Family Physicians, a… more
- CenterWell (Phoenix, AZ)
- …we serve. Our care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, ... **Become a part of our caring community and help us...**Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing… more
- Trinity Health (Alexandria, LA)
- …Utilize advanced financial systems and Microsoft tools to perform essential duties. + Prepare Medicare Part D bids and assist in financial presentations for ... Full time **Shift:** **Description:** **Join Our Team: Financial Operations Specialist (ONSITE)** **Position Purpose:** As a Financial Operations Specialist… more
- Conviva (Sarasota, FL)
- …we serve. Our care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, ... **Become a part of our caring community and help us...**Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …Knowledge of CMS Medicare Prescription Drug Benefit Manuals + Preferred knowledge of Medicare Part D Improper Payment Measures + Preferred knowledge of ... multiple business units\. Provide guidance to Ethics & Compliance Specialist /Analyst by being a compliance subject matter expert\. Identifying, communicating… more
