- Novo Nordisk Inc. (OH)
- …current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I also interacts and ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Advantage Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los ... to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within...Advantage, with experience serving duals population. Direct experience in Medicare and Duals program administration including stars,… more
- Medical Mutual of Ohio (OH)
- …(medical drug) programs as needed. . Performs other duties as assigned. ** Medicare Pharmacy Coordinator II ** Working under general supervision, administers ... mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Medicare Pharmacy Coordinator II ** . Associate Degree in Business… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY...program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (ALD) Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services ... the safety net required to achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a… more
- Medical Mutual of Ohio (Toledo, OH)
- **_The Case Manager II position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Toledo, OH Medical Mutual ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s… more
- LA Care Health Plan (Los Angeles, CA)
- …all product lines of business (Medicaid, Medicare , and Commercial). The Account Manager II is responsible for the initial on-board training of new managed ... Provider Network Account Manager II Job Category: Provider Relations...+ Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision + Wellness Program + Volunteer Time Off… more
- LA Care Health Plan (Los Angeles, CA)
- Regulatory Operations Project Manager II Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Regulatory Operations Project Manager II manages a portfolio of complex regulatory change management and… more
- Elevance Health (Woodlawn, MD)
- ** Manager II Performance Enhancement - NGS** **Location** : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...and Medicaid Services to transform federal health programs. The ** Manager II Performance Enhancement** is responsible for… more
- BAYADA Home Health Care (Pennsauken, NJ)
- BAYADA Home Health Care is in search of a Regional Client Services Manager ll to support both the Bonsai and American Elm Regions. This role will encompass all ... duties related to the CSM II with emphasis on training and development of client...(2) years of BAYADA Home Health Care client services manager experience, within the Home Health Visits or Senior… more
- Point32Health (MA)
- …makes recommendations for course of action. + Maintains productivity levels as defined by the Manager / Supervisor for a Coding Specialist II by project type and ... , performs accurate and timely review and validation of Medicare Advantage, Commercial and Medicaid HCCs through medical record...accuracy levels as defined by the Manager / Supervisor for a Coding Specialist … more
- Hospital Sisters Health System (HSHS) (Decatur, IL)
- Summary The Medical Assistant II -Float is designated to float to clinics/departments based on the MA's competency level. Provides clinical expertise and functional ... mentor within the service area. Works closely with the manager to plan, implement, and facilitate the work activity...area to accomplish goals and objectives. The Medical Assistant II -Float is required to complete appropriate competency and cross… more
- Sutter Health (San Francisco, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... delivery of inpatient stay denials. * Assures delivery of Medicare Important Message within 48 hours of discharge/transition and...pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify… more
- Marshfield Clinic (Eau Claire, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition of employment. ... in the world!** **Job Title:** Central Service Technician I or II **Cost Center:** 301191306 ECHos-Sterilization Process **Scheduled Weekly Hours:** 40 **Employee… more
- Sutter Health (Berkeley, CA)
- …with financial counselor for delivery of inpatient stay denials. * Assures delivery of Medicare Important Message within 48 hours of discharge and no less than 4 ... and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits… more
- Tidelands Health (Myrtle Beach, SC)
- … guidelines, COBRA, FMLA, Financial Assistance, Medication Assistance Program , Medication and Pharmaceutical Indigent Programs, Transportation Resources, Short-term ... Housing Resources, Advance Directives, Power of Attorney for Health Care and Wills, and Provide emotional support, provider options and facilitate transition to Hospice and in some cases, Palliative Care, depending on where the person resides.… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Collaborates with internal ... oversight. . Assures compliance with contractual requirements of Pharmacy Benefit Manager (PBM) vendor for processing of pharmacy claims, accumulator transfers,… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s ... cross-functional Scrum team under the direction of the IT Manager . Translates user stories and customer acceptance criteria of...casual attire, including jeans. **Excellent Benefits** + Employee bonus program + 401(k) with company match up to 4%… more
- Fallon Health (Framingham, MA)
- …to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that ... by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. **About… more
- LA Care Health Plan (Los Angeles, CA)
- Compliance Advisor II Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... to achieve that purpose. Job Summary The Compliance Advisor II ensures LA Care business units are compliant with...Compliance unit, the Advisor also advises and supports the Manager , Director, and Chief Compliance Officer on other duties… more
