- Point32Health (Canton, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Manager of Product Implementation and Administration will have two main ... filings, new benefit implementation, and product/vendor management processes. The Senior Manager will support annual assessment of new product strategies by… 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 ... mock RADV audits and compliance audits with the compliance officer and the manager of coding and education. The Assistant Director of Risk Adjustment will oversee… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …Healthcare System. The incumbent serves as the Community Care Assistant Chief/Business Manager (Supervisory Program Specialist ) which is aligned under the Chief ... and requires a high level of self-direction. Responsibilities The Supervisory Program Specialist (Assistant Chief/Business Manager ), is responsible for a wide… 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 ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Intake Specialist to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care ... working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier...+ Physician office experience + Experience and knowledge of Medicare , HMO, PPO, TPA, PHO and Managed Care functions… 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 ... best possible health and quality of life. Provider Contract Support Specialist Under general supervision, supports provider contracting department by developing and… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Financial Management (OFM), Accounting Management ... Group (AMG). As a Health Insurance Specialist , GS-0107-13, The incumbent serving as a project leader is responsible for developing, analyzing, implementing, and… more
- HonorHealth (Phoenix, AZ)
- …The position's competencies include operations, coding/billing compliance, Medicare coverage analysis/budgeting, contracting, Clinical Trial Management Systems, ... finance and accounting principles. The successful Associate Clinical Trials Operations Specialist will support business activities of the Honor Health Research… more
- Healthfirst (NY)
- …reporting on providers' clinical quality & financial performance, working with their manager and other internal departments to create strategic improvement plans. + ... impact on Healthfirst, its Members, and Providers **Minimum Qualifications:** + Medicare and/or Medicaid managed care experience + Excellent oral and written… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Medicare ... Drug Rebate & Negotiations Group (MDRNG). As a Operations Specialist , GS-0301-9, you will be the central operations person and perform a wide variety of… more
- The Arc Erie County NY (Williamsville, NY)
- …and resources. Our Position: We are currently seeking a Benefits / Entitlement Specialist for our corporate office located in Williamsville, NY to serve as ... to individual benefits including, but not limited to, SSI, Social Security Assistance, Medicare , food stamps, and health insurance. This position is also the liaison… more
- Hackensack Meridian Health (Neptune, NJ)
- …and serve as a leader of positive change. The **Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness and accuracy of ... **Responsibilities** A day in the life of a **Clinical Documentation Specialist RN** at **Hackensack Meridian** **_Health_** includes: + Facilitates appropriate… more
- Marshfield Clinic (Marshfield, WI)
- …missions in the world!** **Job Title:** Lab Technical Specialist -Hematology/Coagulation **Cost Center:** 201641056 Lab-Clinical Support **Scheduled Weekly Hours:** ... (United States of America) **Job Description:** **JOB SUMMARY** The Lab Technical Specialist I is responsible for the technical functions, under the direction of… more
- Sea Mar Community Health Centers (Mount Vernon, WA)
- …by contracted entities such as Accountable Communities of Health and Medicaid/ Medicare organizations. + The TOC Integration Specialist must maintain the ... a mandatory COVID-19 and flu vaccine organization Transition of Care Integration Specialist - Posting #27118 Hourly Rate: $26.52 Position Summary: Sea Mar Community… more
- Adams County Government (Westminster, CO)
- Medical Billing and Coding Specialist Print (https://www.governmentjobs.com/careers/adams/jobs/newprint/4744793) Apply Medical Billing and Coding Specialist ... Looks Like In This Job The Revenue Cycle Medical Billing and Coding Specialist is responsible for generating and processing medical claims within the Electronic… more
- University of Washington (Seattle, WA)
- …of Hematology and Oncology has an outstanding opportunity for a Clinical Trial Specialist to join their team.** **POSITION PURPOSE** The purpose of the Clinical ... Trial Specialist position is to promote the research objectives of...supervised by and reports to the Hematologic Malignancy Research Manager . **POSITION COMPLEXITIES** This position is required to constantly… more
- Priority Health Care (Marrero, LA)
- JOB SUMMARY: The Revenue Cycle Specialist II must adhere to the Code of Ethical Conduct and foster positive relationships within the company, across departments, and ... day-to-day activities related to appeal follow-up and denials. Additionally, the Specialist is responsible for understanding and complying with the rules and… more
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** Child Life Specialist **Cost Center:** 301351047 MfdHos-Child Life Services **Scheduled Weekly Hours:** 40 ... (United States of America) **Job Description:** **JOB SUMMARY** The Child Life Specialist helps children and teenagers cope with their health care experiences. The… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- … Specialist , GS-0107-14, you will deliver comprehensive insights on Medicare policies with specific emphasis on the CMS Voluntary Physician Self-Referral ... Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare...in telework combined with alternative work schedules at the manager 's discretion. This position may be authorized for telework.… 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 internal ... oversight. . Assures compliance with contractual requirements of Pharmacy Benefit Manager (PBM) vendor for processing of pharmacy claims, accumulator transfers,… more