- CVS Health (New Albany, OH)
- …personal, convenient and affordable. **Position Summary** In support of the Chief Medicare Officer, the candidate has responsibility for ensuring that the local ... Medicare business is compliantly and effectively operating in the...in the market. As such, the Lead Director of Medicare Operations supports MAPD and SNP initiatives and implements… more
- Select Medical (Camp Hill, PA)
- **Overview** ** Medicare ** **Exhaust Specialist** (On-site/Hybrid) **Starting at $17.50/hr** **Why work at Select Medical?** **We are committed to your growth and ... Medical family. **Responsibilities** + Reviews in-house patient's use of Medicare days to determine the date Medicare ...of Medicare days to determine the date Medicare will exhaust. Notifies facility staff as to the… more
- Medical Mutual of Ohio (OH)
- …remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare ... to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part...with the Medicare Part D (pharmacy) and Medicare Part C (medical drug) benefit programs. Configures, implements,… more
- Centene Corporation (Austin, TX)
- …million members. **Position Purpose:** This position will be a member of Medicare & Compliance Senior Leadership, chairs Centene's Medicare Compliance Committee, ... the organization with a commitment to service leadership. + Leading the Medicare Compliance team with a collaborative mindset and demonstrated commitment to… more
- CareOregon (Portland, OR)
- …Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Sr Vice President, Medicare Department Medicare Administration Exemption Status Exempt Requisition # ... 24745 Direct Reports Medicare Leadership Team Manager Title Chief Financial Officer Pay...is responsible for strategy, growth, and oversight of the Medicare Advantage line of business. Time is focused on… more
- AdventHealth (Altamonte Springs, FL)
- …with the preparation of work papers for the filing of the annual Medicare , Medicaid, and Champus/Tricare cost reports, audit preparation and other cost report ... of accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for...System's hospitals . Assist with the coordination of the Medicare , Medicaid and other State or Federal agency cost… more
- CommuniCare Health Services Corporate (Indianapolis, IN)
- Medicare Biller The CommuniCare Family of Companies currently owns/manages over 130 World-Class Nursing and Rehabilitation Centers, Specialty Care Centers, and ... of adult living communities. CommuniCare Health Services is currently recruiting a Medicare Biller for our Central Billing Office in Cincinnati, OH. PURPOSE/BELIEF… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... our members achieve their best possible health and quality of life. ** Medicare Sales Operations Specialist** Executes all end-to-end functions relating to the… more
- AdventHealth (Altamonte Springs, FL)
- **Senior Medicare Data & Finance Analyst** **Location:** Virtual **All the benefits and perks you need for you and your family:** + Benefits from Day One + Career ... Monday - Friday **The role you'll contribute:** The Senior Medicare Data & Finance Analyst is responsible for serving...needs across operations and finance in support of risk-based Medicare ventures. This role will include leveraging data from… more
- CVS Health (Hartford, CT)
- …health care more personal, convenient and affordable. **Position Summary** As the Medicare Reporting Lead Director, you will be responsible for the management ... of monthly, quarterly, and annual financial results for the Medicare segment. This role will allow you to own...role will allow you to own the creation of Medicare consolidated financial materials during the forecasting & planning… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Medicare Billing and Follow-up Representative are responsible for the compliant, accurate and timely billing and follow-up of all hospital Medicare and ... daily basis, but not limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both electronic and paper claims ( UB -04 and 1500)… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY...they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and ... Medicare Line of Business, maintains relationships, services our existing...in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Implements and manages ... the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance-related activities for the Company's Medicare Advantage… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Facilitates and supports ... to work remote or hybrid; Ohio residents preferred._** **Responsibilities** ** Medicare Advantage Customer Experience Strategist** + **Facilitates projects to enhance… more
- Highmark Health (Harrisburg, PA)
- …models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office ... based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement in value… 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. The Medicare ... an integral role in the product development of the Medicare Advantage. This role supports Medicare product...of the Medicare Advantage. This role supports Medicare product management by evaluating data trend experience, creating… more
- Walworth County (Elkhorn, WI)
- Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply Medicare Specialist (HHS) Salary $18.70 Hourly ... Equal Opportunity Employer Position Summary This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D, … more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and… more
- Humana (Miramar, FL)
- …part of our caring community and help us put health first** The VP Medicare Regional President will be responsible for the development and expansion of Humana's ... business presence and financial success in Medicare 's Florida market. The Regional Market President manages the...well as external providers who provide care to Humana's Medicare and Medicaid members. Will manage a team of… more
- Centene Corporation (Jefferson City, MO)
- …management concerning state and federal legislation with a focus on Medicare Advantage and Prescription Drug plans, regulations and other requirements applicable ... and interpretation of specific healthcare policies and regulations with a focus on Medicare . + Provides legal advice to Centene entities to define and develop… more
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