- Merck & Co. (Orange County, CA)
- …with the in-scope customer team: Customer Team Leader, Key Account Manager , Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, ... plans in collaboration with the local team and district manager (known as the Oncology Customer Team Leader). Ask...by site or organization, with Friday designated as a remote -working day, unless business critical tasks require an on-site… more
- Merck & Co. (WA)
- …with the in-scope customer team: Customer Team Leader, Key Account Manager , Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, ... and long-term plans in collaboration with the local team and district manager (known as the Oncology Customer Team Leader).Ask insightful questions to understand… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and… more
- Sanford Health (Bismarck, ND)
- …to the work of health and healing across our broad footprint.** **Facility:** Remote ND (Bismarck) **Location:** Bismarck, ND **Address:** **Shift:** 8 Hours - Day ... Hours:** 40.00 **Salary Range:** $37.50 - $62.00 **Job Summary** The Product Manager will lead the ongoing analysis, planning, and management of their respective… more
- Molina Healthcare (St. Petersburg, FL)
- **Job Description** **Job Summary** The Distribution Manager at Molina Healthcare will be a critical team member responsible for making Molina a market leader in the ... different products that Molina offers in the Marketplace and Medicare space. This individual will be part of a...the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
- Medical Mutual of Ohio (OH)
- …office in Brooklyn, OH. However, the role is open to considering candidates who are remote as long as they live within the state of Ohio._** Founded in 1934, Medical ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....keyboard, mouse and headset. + Whether you are working remote or in the office, employees have access to… more
- Humana (Chicago, IL)
- …for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of Medicare ... coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must have a solid understanding of the market they… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …managed care benefit plans and strong knowledge of government program contracts ( Medicare and Medicaid) and benefits , preferred. + Strong written and verbal ... departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for… more
- Humana (Sanford, FL)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your… more
- Actalent (New Haven, CT)
- Job Title: Medicare Coverage Analyst Job Description We are seeking a knowledgeable Medicare Coverage Analyst with expertise in a broad range of trials, ... managing assignments to third-party vendors, ensuring that all relevant Medicare policies are adhered to and that thorough evaluations...in budget reporting. Work Environment This position is 100% remote , allowing you to work from the comfort of… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- US Tech Solutions (May, OK)
- …determination in a specialty/skilled clinical setting ie, specialty medical office or Pharmacy Benefits Manager (PBM) **Skills:** + MUST HAVE MANAGED CARE exp ... **Location: Remote ** **Duration: 6+ months contract** **Shift: Monday-Friday 9:30am-6pm...experienced with Prior Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit… more
- CVS Health (Columbus, OH)
- …an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, ... conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social Worker, and other interdisciplinary care team participants… more
- CVS Health (Columbus, OH)
- …an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, ... conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social Worker, and other interdisciplinary care team participants… more
- CVS Health (Columbus, OH)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... by connecting them with appropriate resources and support services. The Care Manager provides education and guidance to members and their families on managing… more
- CVS Health (Columbus, OH)
- …we do it all with heart, each and every day. Job Summary: The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress,… more
- Humana (Little Rock, AR)
- …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...information **Additional Information - How we Value You** * Benefits starting day 1 of employment * Competitive 401k… more
- University of Utah (Salt Lake City, UT)
- …Number** PRN43595B **Job Title** Compliance Officer **Working Title** Regulatory Compliance Manager - Hybrid/ Remote **Career Progression Track** F **Track ... RHIA ); knowledge of medical auditing, Federal healthcare program policies and requirements (including Medicare Parts A and B), and ICD -10, CPT , HCPCS , DRG… more
- Molina Healthcare (ID)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **JOB QUALIFICATIONS** **Required… more
- VetsEZ (Washington, DC)
- We are currently seeking a goal-oriented and strategic Capture Manager for a 100% remote position to drive new business opportunities within the Department of ... Services (HHS) and its sub-agencies, including the Centers for Medicare & Medicaid Services (CMS), National Institutes of Health...a plus. + Ability to obtain a Government clearance. Benefits : + Medical/Dental/Vision. + 401k with Employer Match. +… more
