- The Computer Merchant, LTD. (West Mclean, VA)
- …corrective actions to team leads and management Domain knowledge of Medicare , Medicaid, or healthcare verticals preferred Preferred Qualifications: Understanding of ... the application performance preferred JOB DESCRIPTION The role of the Systems Analyst, Senior is to work under minimal supervision with wide latitude for managing… more
- Methodist Hospital Stone Oak (Schertz, TX)
- …to shape the future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare Methodist Hospital Stone Oak ... in the entire nation. The hospital is 1 of only 102 hospitals to receive Medicare .govs 5-star rating. Join our team to be part of the innovation. If this opportunity… more
- Health Care Service Corporation (Chicago, IL)
- …company that will invest in your professional development. **Job Summary** The Medicare Senior Business Consultant is responsible for providing internal ... including senior management. This position supports the prioritization of Medicare activities and tracks progress to goals. **Required Job Qualifications:** +… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …and designates medical procedures/services based on relevant regulations and determinations.The Senior Medicare Coverage Analyst applies subject matter expertise ... The Medicare Coverage Analyst (MCA) is responsible for reviewing...and which should be billed to the study sponsor.The Medicare Coverage Analyst determines whether proposed clinical research studies… more
- Humana (Chicago, IL)
- …looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of ... mentor, educate, motivate and train a team of sales individuals. The Senior Manager, Medicare Sales, must have a solid understanding of the market they serve,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... not directly reporting to the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into a format that can… more
- Geisinger (Danville, PA)
- Job Summary We are seeking a detail-oriented professional with expertise in Medicare and Pennsylvania Medicaid cost reporting to join our team. The ideal candidate ... will have a strong understanding of Medicare settlement processes, compliance requirements, and hospital reimbursement regulations. This role requires the ability to… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** We're seeking a Senior Clinical Pharmacist in Medicare Formulary Strategy. In this critical role, you will plan, coordinate and manage the ... industry challenges. + Manage the requirements for the organization's participation in Medicare Part D. **What You Bring** + Bachelor's degree or advanced degree… more
- Prime Healthcare (Redding, CA)
- …their family. For more information, visit www.shastaregional.com. Responsibilities The Senior Medicare -Medicaid Biller/Collector is responsible for both billing ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the deficiency lists used to obtain… 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
- UCLA Health (Los Angeles, CA)
- Description We're seeking a strategic Senior Product Manager to lead the design, development, and implementation of our Medicare Advantage products. In this ... role, you'll partner with the Director of Medicare Product Development and Bids to guide the annual...throughout the member lifecycle. Key Responsibilities: + Lead end-to-end Medicare Advantage product development. + Support and help manage… more
- Bausch + Lomb (Bridgewater, NJ)
- …prescription portfolio, with a focus on Commercial insurance plans, PBMs, and Medicare . The Senior Manager collaborates cross-functionally to support brand ... leading the advancement of eye health in the future. **Overview** The ** Senior Manager, Payer Marketing** role supports the market access strategic marketing efforts… more
- Humana (Boise, ID)
- …BSS, claims operations, and other business teams involved in the administration of Medicare business at Humana. The Senior Business Intelligence Engineer will ... a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer… more
- Molina Healthcare (TX)
- …to ensure reporting work is well-organized, clearly defined, and delivered accurately. The Senior Analyst helps bring structure to reporting efforts and serves as a ... and client-server concepts **Preferred Experience** + Experience in healthcare, Medicare , or other regulated reporting environments + Experience coordinating… more
- Rhythm Pharmaceuticals (Boston, MA)
- …access and coverage for Rhythm's portfolio across key commercial self-insured employers and Medicare Part D payers. The Senior NAD will develop and maintain ... learn, and our tenacity to overcome barriers, together. Opportunity Overview The Senior National Account Director (NAD) will be a field-based strategic leader… more
- Humana (Tallahassee, FL)
- …for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Senior Stars Improvement, Clinical ... situations or data requires an in-depth evaluation of variable factors. The Senior Stars Improvement, Clinical Professional is responsible for a provider assignment… more
- Elevance Health (Independence, OH)
- …Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare... Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A… more
- AgeOptions (Oak Park, IL)
- …This role provides strategic and operational leadership for core programs including Senior Medicare Patrol, Adult Protective Services, Long-Term Care Ombudsman, ... Keyword: Program Management, Fraud prevention programs, scam prevention, financial exploitation, legal assistance, senior medicare patrol, SMP, From: AgeOptions more
- Humana (Orange City, 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...Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to… more
- CenterWell (Arlington, TX)
- …+ Develop and nurture relationships with brokers and intermediaries specializing in senior healthcare, Medicare Advantage, and value-based care models. + ... healthcare and value-based care models. + Deep understanding of Original Medicare , Medicare Advantage, and other senior healthcare insurance products. +… more
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