- Novo Nordisk Inc. (San Mateo, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... access to build and maintain business-relevant relationships with customers: prescribers, support staff, pharmacies, and clinic administrators to gain access and… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …supporting technological and data innovation, insights and analytics, delivering patient support solutions, maintaining our facilities and assuring the integrity and ... reports status and exceptions. Provides analytical and consulting services in support of delivering and executing projects related to Business Assurance.… more
- Merck & Co. (Minneapolis, MN)
- …integration with the Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and other key stakeholders to share key customer ... learnings and support customer needs. Position Qualifications : Minimum Requirements: Bachelor's...customers) will be hired at the S3 Oncology Sales Specialist level. #oncologysales #MSJR NOTICE FOR INTERNAL APPLICANTSIn accordance… more
- Daiichi Sankyo, Inc. (Seattle, WA)
- …primary purpose of this role is to serve as a field-based, product access specialist that provides appropriate reimbursement support to HCPs to help facilitate ... to DSI oncology products. The ADFR (FRM) will provide reimbursement education and support to oncologists and professional staff, and to respond appropriately to HCP… more
- Medical Mutual of Ohio (OH)
- …perform pre-employment substance abuse and nicotine testing._ **Title:** _Clinical Services Support Specialist ( Medicare UM)_ **Location:** _Ohio_ ... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Under general… more
- Elderwood (Buffalo, NY)
- …our commitment to providing exceptional care to our residents. Medical Billing Specialist ( Medicare /Managed Care) Position Overview: + Responsible for Managed ... Life Insurance, Medical, Dental, and Vision insurance Responsibilities Medical Billing Specialist ( Medicare /Managed Care): + Review remittances for potential… more
- Centene Corporation (Raleigh, NC)
- …in the ongoing oversight, analysis, review, and approval of all beneficiary-facing Medicare materials. In addition, may also support the department with ... anywhere in the Continental United States.** **Position Purpose:** Supports the Medicare Communications Compliance team in the management of regulatory requirements… more
- CVS Health (Monroeville, PA)
- …is just as important as what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at CVS Health to feel empowered by ... to patients, healthcare professionals and insurance carriers. We will support you by offering all the tools and resources...parking. **What you will do** + Timely response to Medicare audits and appeals + Research and gather the… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …discovering irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale ... Agents, Benefit Navigators, and Medicare Support Specialists are conducting activities that are in compliance with CMS/DOH and company guidelines by directly… more
- Point32Health (Canton, MA)
- …review, review of Medicare Plan Finder (MPF) for accuracy, etc. + Support other annual regulatory submissions as necessary, eg, Medicare Supplement product ... Product Implementation and Administration will have two main responsibilities: 1) support annual assessment of new product strategies in collaboration with Product… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment is ... presentations to leadership as needed + Train and develops performance improvement specialist + Develop policies and procedures with leadership surrounding mock RADV… more
- Ventura County (Ventura, CA)
- …for Medi-Cal and/or Medicare and prepares reports; + Serves as lead biller/ specialist to the department; and + Performs other related duties as required. Medical ... Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary… more
- Medical Mutual of Ohio (Brooklyn, OH)
- **_The Sourcing Specialist is a hybrid position that allows you the flexibility to work onsite 3 days a week and work at home 2 days a week as long as you reside ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s… more
- Medical Mutual of Ohio (OH)
- …Medicare Supplement, and individual plans. **Responsibilities** **Business Systems Specialist I** Works with management, external vendors, and Information Systems ... more junior staff. . Performs other duties as assigned. **Business Systems Specialist II** Works with management, external vendors, and Information Systems to… 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. Under direct supervision, ... remote; Ohio residents preferred._** **Responsibilities** **Provider Credentialing & Data Specialist I** + Categorizes returned mail and determines action needed… more
- Humana (Miami, FL)
- …and help us put health first** The Bilingual Telephonic Call Center Care Specialist / Care Coach 1 assesses and evaluates member's needs and requirements to ... the Blue Lagoon office. **Bilingual Telephonic Call Center Care Specialist / Care Coach 1:** + Inbound and Outbound...needs and hours could include weekends/holidays. + During the Medicare Annual Election Period, September to December, must be… more
- Tarrytown Rehabilitation & Nursing Center (Everett, MA)
- …Family-Like Team, and Atmosphere! We are seeking an experienced Clinical Reimbursement Specialist to support our MDS/MMQ teams in Massachusetts. The Clinical ... CLINICAL REIMBURSEMENT SPECIALIST / MULTI FACILITY We offer competitive compensation and...are not limited to: + Provides consultation, training and support concerning the MA Medicaid, Medicare , Managed… more
- New York State Civil Service (Thiells, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...in Canada AND meet the other requirements for Medical Specialist 1 or 2, you are also eligible if… more
- Humana (Tallahassee, FL)
- …and help us put health first** The Senior Program Delivery Specialist / Professional strategically identifies, develops, and implements programs that influence ... and/or improved quality metrics. Florida The Senior Program Delivery Specialist / Professional + Develops programs designed to drive value-based relationships.… more
- New York State Civil Service (Tupper Lake, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 (NY HELPS) Occupational Category Health Care, Human/Social Services Salary ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...in Canada, AND meet the other requirements for Medical Specialist 1 or 2, you are also eligible if… more
