- Novo Nordisk Inc. (Las Vegas, NV)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems , and Local Clinics and uses this to identify business opportunities and… more
- Marion County (Salem, OR)
- …but also have numerous opportunities to engage with and address systems -level challenges. An ideal candidate would be compassionate, highly collaborative, have ... medical conditions. This position is an outward facing position, operates on a systems level and involves coordination with entities on the state and local levels,… more
- Marion County (Salem, OR)
- …by the supervisor.Perform other duties as assigned by your supervisor.NOTE: A Mental Health Specialist 2 may have a higher caseload and/or more complex cases than a ... Mental Health Specialist 1.Response Level 2: In the event of an...Staff at this response level must complete Incident Command System 100 and 700 on-line or in-person training. Requirements… more
- Marion County (Salem, OR)
- …being referred to the Wraparound Program. Presents cases at the System of Care Review Committee, which include eligibility recommendations.Participates in individual ... of care, and transitions of older youth to the adult service system .Completes required documentation and documents services to meet contract, administrative rule,… more
- Marion County (Salem, OR)
- …or flexible schedule. Staff at this response level must complete Incident Command System 100 and 700 on-line or in-person training. Requirements for the Position ... hired. AUTO-PROMOTE AND SPECIAL CONDITIONS OF CLASSIFICATIONIndividuals hired as a Mental Health Specialist 1 will auto-promote, as noted in Article 4 in the Marion… more
- Mid Michigan Health (Midland, MI)
- …setting: MAPS, MCIR Practice Management, Electronic Medical Records, LIS, Emageon, dictation systems , and any other necessary programs to assist providers and staff. ... patient's medical records. Orders supplies and medications. Maintains a system for accurately documenting and coding, in the medical...MA CERT - Medical Assistant Required As required by Medicare and Medicaid Services (CMS) to be employed through… more
- Marion County (Salem, OR)
- …medical resources, and ongoing medication. Works closely with the Mental Health Specialist / Associates at Marion County Jail and Adult Behavioral Health. Works ... or flexible schedule. Staff at this response level must complete Incident Command System 100 and 700 on-line or in-person training. Requirements for the Position… more
- Marion County (Woodburn, OR)
- …by offering bilingual/bicultural services at our Woodburn office. The Mental Health Specialist in this position will provide crisis assessments to individuals in ... or flexible schedule. Staff at this response level must complete Incident Command System 100 and 700 on-line or in-person training. Requirements for the Position… more
- Sunrise Senior Living (Arlington, VA)
- …& QUALIFICATIONS** **Responsibilities:** - All accounts receivable and/or accounts payable system input - Assist with the accuracy of monthly Profit and ... (P&L) Summary reporting - Review balance sheet account reconciliations - Medicare /Medicaid billing - Adherence to Sunrise Senior Living business process controls… more
- Houston Methodist (Katy, TX)
- Medicare compliance experience is preferred** **Note: Office for this position is located at our Continuing Care Hospital:** **701 S. Fry Rd. Katy, TX 77450** **. ... (Hybrid position)** At Houston Methodist, the CBO Regulatory Compliance Specialist position is responsible for working with Houston Methodist's Corporate Central… more
- Molina Healthcare (Long Beach, CA)
- …providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare . **PREFERRED EDUCATION:** Associate's or Bachelor's Degree ... of Member Materials. **Knowledge/Skills/Abilities** + Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP,… more
- Wider Circle (Charleston, WV)
- Wider Circle is looking for a Community Engagement Specialist in West Virginia to join our circle and play a vital role in running Connect for Life, our ... You have strong computer skills and the ability to navigate web-based and app-based systems . + You can work independently in a remote work environment with little… more
- Martin's Point Health Care (Portland, ME)
- …and education + 5+ years experience in managed care plan required; knowledge of Medicare Advantage (for Medicare Specialist ) or TRICARE (for USFHP ... are on a mission to transform our health care system while creating a healthier community. Martin's Point employees...2015. Position Summary Job Description Position Summary: The Appeals Specialist ( Medicare or US Family Health Plan)… more
- PruittHealth (Norcross, GA)
- …In-depth knowledge of various billing documentation requirements, the patient accounting system , and various data entry codes to ensure proper service documentation ... functions in non-acute settings * Knowledge of Patient Management information system applications, preferably MatrixCare, as well as spreadsheet, word processing,… more
- New York State Civil Service (Thiells, NY)
- …the American Board of Medical Specialties (ABMS) in your specialty. OR* Medicaid and Medicare certified. OR* Current Medical Specialist 2. OR* Eligible for 70.1 ... HELP No Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38… more
- Sea Mar Community Health Centers (Seattle, 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 #26208 Hourly Rate: $25.75 Position Summary: Sea Mar Community… more
- Johns Hopkins University (Middle River, MD)
- …years coding experience with demonstrated analytical skills. + Experience with Medicare regulations. Classified Title: Coding Specialist II Role/Level/Range: ATO ... We are seeking a **_Coding Specialist II_** who will be responsible for understanding...defined by a payer or contract. + Maintains a system of billing accuracy through encounter verification ie, clinic… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …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...the Training Director + Maintain hard copy/ electronic filing system + Maintain office supply inventories + Record, compile,… more
- PruittHealth (Athens, GA)
- …MACON or ATHENS** **JOB PURPOSE:** The purpose of the Outreach and Enrollment Specialist role for PruittHealth Premier to serve as a licensed insurance agent to ... no formal office space/work location is provided. The Outreach and Enrollment Specialist conducts the majority of their work within local healthcare agencies,… more
- The Cigna Group (Houston, TX)
- **Job Summary:** The Medicare Coding Quality Review Audit Manager is responsible for day-to-day oversight of the Risk Adjustment coding quality assurance operations ... for the Cigna Medicare segment. This role receives support from the MDQO...preferred: + Certified Professional Coder (CPC) + Certified Coding Specialist for Providers (CCS-P) + Certified Coding Specialist… more
