- Novo Nordisk Inc. (Denver, CO)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... Nordisk Way selling model with external customers and during company sponsored meetings: Strategic Planning- Pre-Call Planning Creates Customer...in this job family are as follows: Diabetes Care Specialist I - $84,000 to $103,000 Diabetes Care … more
- Merck & Co. (Memphis, TN)
- …systems meet the goals of the patients in their communities.Our company 's Oncology organization is dedicated to delivering breakthrough innovations that extend ... who need medicines have access to them. At our company , our focus is on innovation and launch execution...environment and are driven to succeed. The Oncology Sales Specialist (OSS) is a key member of our customer… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …and home office stakeholders. External relationships include Managed Care & Medicare customers, Market Access and System Vendors. Essential Functions Assists ... is no longer good enough to aspire to be the best company in the world. We need to aspire to be the best company for the world and we know that this is only… more
- Medical Mutual of Ohio (OH)
- …help our members achieve their best possible health and quality of life. ** Medicare Sales Operations Specialist ** Executes all end-to-end functions relating to ... and other fulfillment needs identified for the business area. **Sr. Medicare Sales Operations Specialist ** Executes end-to-end functions relating to… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Team Lead, Medicare Specialist ** you will help ensure Medicare credits ... health systems and medical groups. We are the one company that combines the deep expertise of a global...what you will experience working as a Team Lead, Medicare Specialist :** + Prepare Medicare … more
- Robert Half Finance & Accounting (Bridgewater, NJ)
- Description + Handle billing for Medicare patients, ensuring all claims are submitted correctly and promptly + Review and resolve any denials or underpaid claims + ... Research, correct, and resubmit rejected and/or denied claims + Communicate with Medicare and patients about any discrepancies or issues with billing + Understand… more
- VNS Health (Manhattan, NY)
- OverviewThe Medicare Enrollment Specialist educates consumers who...at 30 days of paid time off and 9 company holidays + Health insurance plan for you and ... who contact VNS Health Plans via website about VNS Health Plans Medicare products. Qualifications Licenses and Certifications: + NYS Health Insurance License,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Quality Specialist II is responsible for examining and evaluating the accuracy of transactions in accordance with ... regulations, and company guidelines. Fairly and consistently reviews team interactions with both internal and external parties to ensure accuracy and support success… more
- Owens & Minor (Austin, TX)
- …& Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 350+ facilities across the US and 22,000 teammates in over 90 countries, we ... state or local law. Owens & Minor (O&M) is a global healthcare company providing innovative products and solutions across the continuum of care. Our integrated… more
- Point32Health (Canton, MA)
- …business performance needs of each market. All responsibilities extend to any new Medicare markets should Point32Health choose to expand its footprint in the future. ... questions that may arise during desk review, review of Medicare Plan Finder (MPF) for accuracy, etc. + Support...business functions, etc. + Oversee or collaborate with Product Specialist to manage Benefit Adjudication Committee meetings and other… more
- UCLA Health (Los Angeles, CA)
- …can do all this and more at UCLA Health. As member of the Medicare Advantage Risk Adjustment leadership team, the Assistant Director of Risk Adjustment is ... presentations to leadership as needed + Train and develops performance improvement specialist + Develop policies and procedures with leadership surrounding mock RADV… more
- NJM Insurance (Hammonton, NJ)
- …PIP Claims Representatives, PIP Supervisors, and other team members. The lien specialist also interacts with the Medicare Liaison, NJM policyholders, associated ... The PIP Lien Specialist supports the PIP Department by following the...best practices associated with managing all aspects of the Medicare recovery process and healthcare liens more effectively and… 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 ... status as a mutual company means we are owned by our policyholders, not...health and quality of life. **Responsibilities** **Medical Coding Compliance Specialist I** Optimizes/reviews documentation for the application of risk… more
- Medical Mutual of Ohio (OH)
- …possible health and quality of life. **Responsibilities** **Medical Record Retrieval Specialist ** Supports the company 's risk adjustment projects by ... projects. . Performs other duties as assigned. **Sr. Medical Record Retrieval Specialist ** Under limited supervision, supports the company 's risk adjustment… 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 ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans....individual plans. Medical Mutual' s status as a mutual company means we are owned by our policyholders, not… more
- Medical Mutual of Ohio (Brooklyn, OH)
- **_The Client Accounting Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Brooklyn, OH Medical ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....individual plans. Medical Mutual' s status as a mutual company means we are owned by our policyholders, not… more
- MetroLink (Los Angeles, CA)
- Finance Specialist I, Grants Finance (Limited Term) Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4709470) Apply Finance Specialist I, ... the Metrolink passenger rail service, is seeking a Finance Specialist I who will perform a wide variety of...exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is… 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 ... status as a mutual company means we are owned by our policyholders, not...best possible health and quality of life. **Document Services Specialist ** Executes database records, monitors and coordinates changes to… more
- Medical Mutual of Ohio (Brooklyn, OH)
- … Medicare Supplement, and individual plans._** **Responsibilities** **Cash Recovery Specialist ** Reviews and research routine to moderately complex refunds and ... . Performs other duties as assigned. **Senior Cash Recovery Specialist ** Reviews and research moderately complex to complex refunds...and Compensation: + Employee bonus program. + 401(k) with company match up to 4% and an additional … 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. _Collaborates with ... & Certifications** + **Strong knowledge of the MarketPlace and Medicare within a managed care insurance industry.** + **Knowledge...and Compensation: + Employee bonus program. + 401(k) with company match up to 4% and an additional … more
