- Sedgwick (Springfield, IL)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr Medicare Associate **PRIMARY PURPOSE** **:** To gather documentation ... records/billing industry experience preferred. Two (2) years of experience as Medicare Associate required. **Skills & Knowledge** + Excellent oral and written… more
- Medical Mutual of Ohio (OH)
- …or mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Senior Medicare Pharmacy Coordinator** . Associate Degree in Business ... any oversight process questions. . Performs other duties as assigned. ** Senior Medicare Pharmacy Coordinator** Working under limited supervision, administers… more
- HUB International (Cincinnati, OH)
- …position is to provide a training ground and an understanding of the Medicare and Individual Health insurance industry: you will be supporting our experienced team ... and financial services firm providing risk management, insurance, employee benefits, Medicare & individual health, retirement and wealth management products and… more
- General Dynamics Information Technology (Fairfax, VA)
- …None **Job Family:** Data Analysis **Skills:** Analytical Thinking,Data Science, Medicare ,R Programming,Statistical Analysis **Experience:** 3 + years of related ... clients' biggest challenges. Our work is looking for a Sr . Data Scientist to help us support the Centers...Data Scientist to help us support the Centers for Medicare and Medicaid Services (CMS). At GDIT, our people… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …national antifraud associations. The attorney will also oversee compliance for the Medicare and Federal Employee programs related to FWA and respond to Compliance, ... Prevention (FIP) Unit including management of a team of senior managers, data analysts, fraud investigators, certified coders and...manage fraud, waste and abuse schemes. + Support the Medicare compliance program by overseeing Medicare fraud… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr Director, Associate General Counsel, Market Access & Pricing Date: Oct 10, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva ... difference, and new people to make a difference with. **The opportunity** The Senior Director, Associate General Counsel, Market Access and Pricing role reports… 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 ... in accordance with established performance expectations and service philosophy. ** Sr . Claims/Customer Care Specialist- TPA** Processes routine to complex healthcare… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Sr . Fraud Investigator SIU (Special Investigations Unit) assists in the implementation and daily operation of the organization's Compliance ... and FWA Program and other compliance-related activities for the Company's Medicare Advantage (Part C) and Prescription Drug (Part D) health plan programs to ensure… more
- Houston Methodist (Nassau Bay, TX)
- At Houston Methodist, the Senior Patient Access Associate position is responsible for obtaining and entering accurate demographic and insurance information in ... cashier, etc.) and/or EHR work queues specific to patient access. The Senior Patient Access Associate employs effective communication skills, promoting excellent… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Provides leadership and mentoring to Medicare product team. Fosters associate and leader loyalty through recognition programs. Challenges/Problem Solving: + ... your true colors to blue. The Role Reporting to Senior Vice-President of Government Programs, the VP Product is...the VP Product is responsible for developing and implementing Medicare and Federal Employee Program (FEP) products that result… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Senior Application Architect designs and develops IT applications architecture solutions to business ... in alignment with the enterprise architecture direction and standards. The Senior Application Architect's work assignments involve moderately complex to complex… more
- Commonwealth Care Alliance (Boston, MA)
- …at CCA. + Promote compliance in CCA's business operations with all Medicare and Medicaid contractual and regulatory requirements. **What We're Looking For:** ... Required + Bachelor's degree from accredited institution is required. + Strong written, verbal, listening, presentation, and communication skills - having the ability to understand and communicate appropriately to the targeted audience. + Strong analytical… more
- Signature Healthcare (Louisville, KY)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... need, plus a little more for health, wealth, and happiness! + Reward & Recognition Program (HEART) + Vital Links At Signature HealthCARE, our team members are… more
- Signature Healthcare (Louisville, KY)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... need, plus a little more for health, wealth, and happiness! + Reward & Recognition Program (HEART) + Vital Links At Signature HealthCARE, our team members are… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Claims Technical Analyst, Sr . **Job Description** The Senior Claims Technical Analyst is responsible for ... providing training and mentorship to Claims Technical Analysts and Associate Analysts, along with leading process improvement and technology...tools and Structured Query Language (SQL) + Experience with Medicare Part D and Centers for Medicare … more
- University of Rochester (Rochester, NY)
- …the goals and expectations established for the Office of Counsel, the Senior Counsel identifies, analyzes and provides legal guidance and services on complex ... Physician Self-Referral Law, the False Claims Act, Civil Monetary Penalties, and Medicare and Medicaid billing regulations (including CMS, Medicare Advantage and… more
- NJM Insurance (Trenton, NJ)
- …WC Law, medical terminology, and utilization of an automatic claims processing system. + Sr Level - 5+ years' experience as a Workers' Comp Claim Representative, or ... Knowledge of and experience working Work with liens and Medicare Set-Asides to secure full and final settlements +...(including NJ, MD, CT, DE, PA and/or NY) + Associate 's or Bachelor's degree + AIC/CPCU Designations Salary: Commensurate… more
- Providence (WA)
- …the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst, Medicare Bid who will:** + Be responsible for ... and providing strategic insights to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of Medicare Advantage… more
- Lilly (IN)
- …people who are determined to make life better for people around the world. The ** Sr . Director -** **Counsel - Litigation, Legal Policy & Strategy** role is for a ... engaging with external collaborators as needed. Reporting directly to the Associate Vice President and Assistant General Counsel for Litigation, Government… more
- Rush University Medical Center (Chicago, IL)
- …files. 39. Assists Finance staff with data to support RUMC documentation for the Medicare Cost Report and GME reimbursement. 40. Covers for office staff in their ... and utilizes Access databases as requested and directed. 43. Supports the Associate Program Director for Evaluation and Ambulatory Experiences on a variety of… more