- Cambia Health Solutions, Inc (Renton, WA)
- Medicare Stars Transformation Consultant SRWork from home (telecommute or tele-flex) within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our ... system. Who We Are Looking For: Every day, Cambia's dedicated team of Medicare Stars Transformation Consultants are living our mission to make health care easier… more
- SelectQuote, Inc. (Fargo, ND)
- …life insurance, and now, we also help people find home insurance, auto insurance, senior health insurance and more. Our quick and easy process saves consumers both ... unmatched.About the Role:Job Summary:As a sales agent with SelectQuote Senior , you must currently hold an active Accident &...extensive needs analysis with these customers, and sell the Medicare products that meet their needs. You will also… more
- U of C NORC (Chicago, IL)
- …collection and analysis, program evaluation, and policy analysis. NORC seeks a Senior Manager (Health Policy) to manage research, policy, and data analysis projects ... inform clients' policy positioning, business strategy, and external thought leadership. The Senior Manager will have strong subject matter or technical expertise in… more
- Careerbuilder-US (Atlanta, GA)
- Job Title: Senior Professional Coder Location: Newark, NJ, 07105 (Remote) Job Duration: 3 months+ with possible extension Shift Time: 8:30 AM - 5PM - 5 Days a week. ... Job Description: . The Senior Professional Coder provides services to perform code abstraction...programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit),… more
- The Rogosin Institute (New York, NY)
- …conducts research in these areas. RI is seeking to hire an experienced Senior Accountant who will be responsible for the preparation of financial reports, execution ... projects related to accounting and financial reporting * Assisting with the preparation of the Medicare and Medicaid cost reports * Assisting with 1099 tax filing more
- Globe Life Inc. (Mckinney, TX)
- Senior Managing Actuary - Health Pricing (Hybrid) Primary Duties & Responsibilities As a member of the Globe Life Health Pricing team the position will develop and ... successful candidate will work on is broad including individual and group Medicare supplement, cancer, critical illness, accident, disability income, and a range of… more
- Option Care Health (Chicago, IL)
- …fully vaccinated, or your employment will be terminated.Job Description Summary:The Senior Manager, Compliance Auditing, Monitoring and Analytics is responsible for ... abuse, including but not limited to HIPAA, Anti-Kickback, Stark, Medicare /Medicaid reimbursement. Experience evaluating information to determine compliance with… more
- Globe Life Inc. (Mckinney, TX)
- …successful candidate will work on is broad including individual and group Medicare supplement, cancer, critical illness, accident, disability income, and a range of ... moderate problems independently.Clearly articulate work efforts and outcomes to senior management.Development of pricing models.Prepare and file various regulatory… more
- Creative Financial Staffing (Indianapolis, IN)
- Senior Bookkeeper Are you a skilled bookkeeper with a passion for the healthcare sector? We have an exciting opportunity for a Bookkeeper to join a prestigious ... Knowledge of healthcare-specific compliance regulations, such as HIPAA and Medicare /Medicaid guidelines. Excellent attention to detail and accuracy in financial… more
- Seabrook Village by Erickson Senior Living (Tinton Falls, NJ)
- Location:Seabrook Village by Erickson Senior LivingSeabrook is a beautiful 98-acre continuing care retirement community located in the picturesque Monmouth County ... Shore. We're part of a growing network of communities developed and managed by Erickson Senior Living, a national provider of senior living and health care with… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …organization expert on CMS regulatory changes and will make recommendations to senior management related to proposed changes. Takes the lead for the organization's ... current with updated coding and billing regulations.Prepares, monitors, and files Medicare and Medicaid Cost Reports assuring maximization of reimbursement from… more
- Cardinal Ritter Senior Services (St. Louis, MO)
- …Dental, and Vision eligible for full and part-time positions\*\**Cardinal Ritter Senior Services, one of South County's largest independent, assisted living, skilled ... nursing and rehabilitation nonprofit senior living communities, seeks compassionate and experienced Registered Nurses (RNs) and Licensed Practical Nurses (LPNs) to… more
- Cambia Health Solutions, Inc (Portland, OR)
- …Qualifications: Bachelor's degree in a related fieldMinimum 5 years of Medicare Advantage or Commercial risk adjustment experience includingMinimum 4 years of ... of contact for assigned key provider engagements across Commercial and Medicare lines of businessCoordinate outreach, communication, training, and education for… more
- EDI Staffing (Lynbrook, NY)
- …includes submissions to the NYS Medicaid, Managed Care, and CMS for Medicare claims. Duties and Responsibilitiesinclude the following. Other duties may be assigned. ... 5. Communicates internally and externally with all levels of employees including senior management 6. Identifies issues and facilitates problem resolution 7. Serves… more
- Spectraforce Technologies Inc (Rancho Cordova, CA)
- Registered Nurse Senior 6 months Remote in California Hrs/Wk: 40.00 Your Knowledge and Experience * Requires a current CA RN License * Requires at least 5 years of ... prior experience in nursing, healthcare or other related fields * Knowledge of Medicare and Medi-Cal and benefit reviews * Knowledge of CPT, ICD-10, HCPCS and… more
- JSSA (North Bethesda, MD)
- …plan of care).* Have sufficient knowledge of third-party reimbursement, especially Medicare /Medicaid, to interpret to the patient and family the availability and/or ... backgrounds, races and ethnicities, helping the youngest child to the most fragile senior , from individuals to entire families. JSSA provides services and support to… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** This is a virtual position, the ideal candidate will live within 50 miles of an ... to transform federal health programs. The **Audit and Reimbursement Senior ** , will support our Medicare Administrative...and Reimbursement Senior ** , will support our Medicare Administrative Contract (MAC) with the federal government (The… more
- Humana (Columbus, OH)
- …with an emphasis on Medicare Advantage strategy development. As a Senior Medicare Strategy Professional, you will deconstruct issues and challenges, perform ... the country. **Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises… more
- Prime Healthcare (Inglewood, CA)
- …Responsibilities The Senior Medicare ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/166137/ senior - medicare -medicaid-biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management Inc… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …we need: As an integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual ... + Accurately calculate and identify risks, formulate recommendations, and escalate to senior leaders for decision making + Apply their clinical knowledge when… more
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