- Walworth County (Elkhorn, WI)
- …This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D , Medicare Part C (Advantage ... Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply...or restrict the tasks that may be assigned. Perform Medicare Part D drug assessments… more
- US Tech Solutions (May, OK)
- …exception requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. + Must apply information provided ... **Job Description:** + Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone… more
- Northwell Health (Westbury, NY)
- …Number** 128397 Job Description Seeking RN - BSN or MSN candidates with a HCS- D - Home Care Coding Specialist -Diagnosis, COS-C Certificate for OASIS ... the documentation in the Medical Record. Job Responsibility + Audits and reviews Medicare /non- Medicare charts to ensure that proper standards are maintained in… more
- BrightSpring Health Services (Taunton, MA)
- …+ Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state ... Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a...get the support they need. + Be a vital part of a team that's dedicated to enhancing patient… more
- State of Colorado (Grand Junction, CO)
- …Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II) - Grand Junction Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4640675) ... Apply Board Certified Behavior Analyst (BCBA), (Clinical Behavioral Specialist II) - Grand Junction Salary $63,456.00 - $88,860.00 Annually Location Grand… more
- UNC Health Care (Goldsboro, NC)
- **Description** Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique ... communities we serve. Summary: The Payment Posting Specialist provides assistance to teammates to resolve accounts at Wayne UNC Health Care as well as accounts with… more
- Sharp HealthCare (San Diego, CA)
- …other prior authorization process setting. Or 3 Years experience with managed care, PBM, Medicare Part D , Medicaid, or Commercial Health Insurance. + ... California Pharmacy Technician License (TCH) - CA State Board of Pharmacy -REQUIRED **Other Qualification Requirements** + An active certificate from Pharmacy Technician Certification Board (PTCB) - Preferred **Essential Functions** + Drug Utilization… more
- UNC Health Care (Eden, NC)
- **Description** Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique ... invoice and code to correct account for AP) for Medicare A/HMO MD visits. Prepares daily deposits. 10. Balances...position is employed by NC Health (Rex Healthcare, Inc., d /b/a NC Health), a private, fully-owned subsidiary of UNC… more
- Conviva (Daytona Beach, FL)
- …we serve. Our care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, ... **Become a part of our caring community and help us...**Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing… more
- Conviva (Port Orange, FL)
- …we serve. Our care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, ... **Become a part of our caring community and help us...for TB.** **Preferred Qualifications:** Active and unrestricted DEA license** Medicare Provider Number/ Medicaid Provider Number** Experience managing … more
- Molina Healthcare (Owensboro, KY)
- …& legal processes (Commercial insurance, Medicare , Medicare Advantage, Medicare Part D , Medicaid, Tricare, Pharmacy, etc.) + Experience ... + AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional...package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/ D /V. Pay Range: $19.64 - $42.55 / HOURLY *Actual… more
- The County of Los Angeles (Los Angeles, CA)
- …spot reviews of health facilities in the district. + Processes Medicare /Medi-Cal non-renewals and decertification and handles hearings and depositions related to ... I.* LICENSE: A certificate as a Registered Environmental Health Specialist issued by the California State Department of Health...that all employed persons have a Social Security Number. d . To receive credit, include required documents (eg, copy… more
- ACI Federal (Norfolk, VA)
- …agency vehicles in the performance of their duties. Certificate of completion for peer specialist training. This job description is not intended to be and should not ... add or remove duties and assign other duties as necessary. Full-Time/ Part -Time Full-Time Position Non-Medical Case Manager Position Requirements Knowledge, Skills,… more
- CenterWell (Lexington, KY)
- …we serve. Our care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, ... **Become a part of our caring community and help us...**Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing… more
- CenterWell (New Orleans, LA)
- …we serve. Our care team consists of doctors, advanced practice professionals, Pharm D , Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, ... **Become a part of our caring community and help us...**Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing… more
- Catholic Health Initiatives (Bismarck, ND)
- …training on an annual basis as required for Medicare Part B and Medicare Part D + Participates in dispensing of pharmaceutical products and supplies ... throughout western and central North Dakota. CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing… more
- ACI Federal (Norfolk, VA)
- …with regulations for HIPAA, mandated reporting of abuse and/or neglect, Client Rights/ Part C Procedural Safeguards and Client Confidentiality. 5. Complies with ... Part C, Medicaid, DBHDS, Agency requirements and all applicable...Drug Assistance Program (ADAP) requirements and application, (b) Medicaid, Medicare , Supplemental Security Income (SSI), Social Security Disability Insurance… more
- ACI Federal (Petersburg, VA)
- …in team meetings and contributes to discussions regarding improvement Full-Time/ Part -Time Full-Time Position Non-Medical Case Manager Position Requirements + ... a wide variety of settings including clinical and field. + Ability to work as part of a team; respond to inquiries in a professional and timely manner; interpret and… more
- Lancaster General Health (Lancaster, PA)
- …are placed in compartments for specified days of the week + Provides specialist health check services, such as measuring and fitting compression hosiery, monitoring ... REQUIREMENTS** **MINIMUM REQUIRED QUALIFICATIONS:** + BS Pharmacy or Pharm D required. + Current Pharmacist licensure (or eligible to...+ A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance… more
- Spokane County (Spokane, WA)
- …System for Award Management (SAM) excluded provider, in any capacity for the Medicare , Medicaid, and all Federal healthcare programs. + Must successfully pass a ... youth must be designated as a Child Mental Health Specialist . + ICC's who make service authorization decisions for...procedures, and regulations to include HIPAA and 42 CFR, Part 2. + Knowledge of acute psychiatric symptoms and… more