- CVS Health (Nashville, TN)
- …sales talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a ... specialized team who will focus on educating existing Medicare members on available plan offerings to help meet...members and inquiries related to utilization of their product, benefits , etc. + Cross selling applicable products to existing… more
- Lowe's (Charlotte, NC)
- …treatment to an appropriate resolution. Apply medical treatment guidelines for future Medicare -covered expenses. The candidate will work directly for a Fortune 100 ... caseload of 65 including review of claims identified for Medicare Set-Aside. **What you will do** + Manage an...Rehabilitation Registered Nurse + CDMS - Certified Disability Management Specialist + COHN - Certified Occupational Health Nurse or… more
- Providence (NM)
- **Description** **Providence is calling a Senior Charge Description Master Specialist who will work remotely within our footprint states, AK, CA, OR, WA, TX, NM, or ... the PSJH System Revenue Integrity Chargemaster (RICDM) Dept. team, the Senior CDM Specialist shall ensure that the Chargemaster (CDM) is consistent with all coding… more
- AdventHealth (Altamonte Springs, FL)
- **AdventHealth Corporate** **All the benefits and perks you need for you and your family:** . Benefits from Day One . Career Development . Whole Person Wellbeing ... we are even better. **Shift** : Monday-Friday; Full-time **Job Location** : Remote **The role you'll contribute:** Under general supervision of the Director of… more
- CareFirst (Baltimore, MD)
- …Utilizing key principles of utilization management, the Utilization Review Specialist will perform prospective, concurrent and retrospective reviews for ... clinical expertise and critical thinking skills, the Utilization Review Specialist , will analyze clinical information, contracts, mandates, medical policy, evidence… more
- McLaren Health Care (Indianapolis, IN)
- …for identification of high-risk and under and over use of services. Clarifies benefits for providers. **This position is fully remote .** **Equal Opportunity ... We are looking for a Intake Specialist to join us in leading our organization...working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier… more
- ChenMed (Miami, FL)
- …and we need great people to join our team. The Sales Call Center Specialist will engage with potential members through phone contact, scheduling VIP tours in our ... related duties as assigned. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of Medicare and Medicare Advantage programs preferred. + Proficiency with computer… more
- Avera (Wagner, SD)
- Starting rate of pay is $23.00 per hour. The Billing Specialist will be responsible for the daily billing operations for designated areas of billing and insurance ... assist in denial management and appeals. Day shift hours, Monday through Friday. Remote work is not available. General knowledge of medical terminology, Medicare… more
- Trinity Health (Mason City, IA)
- …a Licensed Practical Nurse (LPN) or Certified Medical Assistant (CMA)** . Remote worker in Iowa-will need Iowa license and certification** **Position Purpose:** The ... Population Health Annual Wellness Visit Specialist works as an integral part of an interdisciplinary...non provider portions of preventive wellness services such as Medicare 's Annual Wellness Visits. **What you will do:** 1.… more
- Molina Healthcare (Columbus, OH)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one or ... and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related...Healthcare. **Preferred Experience** + 1 year of experience in Medicare and in Medicaid. + Experience with data reporting,… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive outreach and ... do the right thing. **What we offer:** **Competitive compensation and benefits packages including medical, dental, and vision coverage** **Retirement savings account… more
- Mayo Clinic (Rochester, MN)
- …our employees, investing in competitive compensation and comprehensive benefit plans (https://jobs.mayoclinic.org/ benefits /) - to take care of you and your family, ... and provides the resources you need to succeed. **Responsibilities** The HME Specialist I position is the first of multiple career opportunities within the… more
- Molina Healthcare (NV)
- …position. Please highlight this experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Provider Quality contributes to one or more of these ... Health or Healthcare. **Preferred experience:** 1 year of experience in Medicare and in Medicaid. **Preferred license, certification, association:** + Certified… more
- Molina Healthcare (Flint, MI)
- …position. Please highlight this experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Provider Engagement contributes to one or more of these ... Health or Healthcare. **Preferred Experience** 1 year of experience in Medicare and in Medicaid. **Preferred License, Certification, Association** + Certified… more
- Molina Healthcare (West Seattle, WA)
- …any experience in Quality/HEDIS on your application. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ QI Compliance contributes to one or more ... Health or Healthcare. **Preferred Experience** 1 year of experience in Medicare and in Medicaid. **Preferred License, Certification, Association** + Certified… 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
- Vanderbilt University Medical Center (Nashville, TN)
- …other regulatory requirements. Uses Diagnosis Related Groups (DRG) methodologies, including Medicare Severity DRGs (MS-DRGs) and All Patient Refined DRGs (APR-DRGs). ... employees stay at Vanderbilt Health for professional growth, appreciation of benefits , and a sense of community and purpose. **Core Accountabilities:**… 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 ... achieve their best possible health and quality of life. Payment Control Specialist I Processes routine corporate cash receipts and adjustments. Balances daily cash… 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, ... and quality metrics. **_This position has the option to work remote ; Ohio residents preferred._** **Responsibilities** **Provider Credentialing & Data Specialist… 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