- 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 ... access to build and maintain business-relevant relationships with customers: prescribers, support staff, pharmacies, and clinic administrators to gain access and… more
- Merck & Co. (Memphis, TN)
- Job DescriptionOur Sales team support our customers by providing clinical information about products, educational information, clinical training programs and ... resources. We support healthcare providers and healthcare systems meet the goals...environment and are driven to succeed. The Oncology Sales Specialist (OSS) is a key member of our customer… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …supporting technological and data innovation, insights and analytics, delivering patient support solutions, maintaining our facilities and assuring the integrity and ... reports status and exceptions. Provides analytical and consulting services in support of delivering and executing projects related to Business Assurance.… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our **Team Lead, Medicare Specialist ** you will help ensure Medicare credits ... what you will experience working as a Team Lead, Medicare Specialist :** + Prepare Medicare ...reports + Mentor, train, and provide ongoing feedback to support staff development and address process changes + Resolve… 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 + ... and resubmit rejected and/or denied claims + Communicate with Medicare and patients about any discrepancies or issues with...technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …discovering irregularities; determining continuing needs for Tele-Sale Agents, Benefit Navigators and Medicare Support Specialist . + Ensure all Tele-sale ... Agents, Benefit Navigators, and Medicare Support Specialists are conducting activities that are in compliance with CMS/DOH and company guidelines by directly… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Quality Specialist II is responsible for examining and evaluating the accuracy of transactions in accordance with ... team interactions with both internal and external parties to ensure accuracy and support success in executing superior service and quality. Acts as subject matter… more
- Healthfirst (NY)
- …compliance with regulatory requirements and consistence with actual activities + Support product management leadership in preparing and conducting product and lines ... of business (LOB) presentations and training to internal and external audiences + Plan, schedule, monitor, and report on activities related to a project or assignment; ensure communication to all impacted areas + Serve as a subject matter expert on product… more
- Point32Health (Canton, MA)
- …review, review of Medicare Plan Finder (MPF) for accuracy, etc. + Support other annual regulatory submissions as necessary, eg, Medicare Supplement product ... Product Implementation and Administration will have two main responsibilities: 1) support annual assessment of new product strategies in collaboration with Product… 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
- Ventura County (Ventura, CA)
- …for Medi-Cal and/or Medicare and prepares reports; + Serves as lead biller/ specialist to the department; and + Performs other related duties as required. Medical ... Medical Billing Specialist III/IV Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4539404) Apply Medical Billing Specialist III/IV Salary… more
- City of New York (New York, NY)
- … Specialist . In this role, you will be tasked to provide invaluable support to Medicare beneficiaries but also lead outreach initiatives to educate and ... empower our community. The Health Benefits Information Specialist plays a key role in assisting ...counseling sessions with beneficiaries to answer questions and clarify Medicare Advantage plan specifics. Appeals and Grievances Support… more
- City of New York (New York, NY)
- … Specialist . In this role, you will be tasked to provide invaluable support to Medicare beneficiaries but also lead outreach initiatives to educate and ... and quality of life of diverse older adults. We also work to support caregivers through service, advocacy, and education. The Health Insurance Information Counseling… more
- Medical Mutual of Ohio (OH)
- **_The Medical Record Retrieval Specialist position allows you the flexibility to work at home as long as you reside within a 50-mile radius of a local Medical ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s… 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
- 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 ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s… 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 ... achieve their best possible health and quality of life. **Document Services Specialist ** Executes database records, monitors and coordinates changes to the Document… 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...information, calculations, and correction of entries. + Provide user support to inquiries, providing an explanation of standard operating… more
- New York State Civil Service (Thiells, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 ... Duties Description TRAVEL PERCENTAGE:PRIMARY DUTIES AND RESPONSIBILITIES:As a Medical Specialist , you would actively participate in diagnosing and treating patients… 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 ... policies/procedures and regulatory guidelines. . Provides analytical and technical support for internal departments to ensure claims are resolved. Identifies… more
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