- Novo Nordisk Inc. (Meriden, CT)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... Coverage Gap, Copays, and Deductibles and the impact on customer decisions Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to identify business opportunities… more
- National Health Care Associates (Marlborough, CT)
- …dedication is valued and appreciated. We invite you to join our team! **-** ** Medicaid Specialist ** **24 Hours Part Time** **Marlborough Health Care Center** The ... Medicaid Specialist is responsible to support the Business Office in processing Medicaid Pending Applications, Redeterminations and Applied Income… more
- Masonicare (Wallingford, CT)
- Medicaid Application Specialist Job Location: Wallingford Center, Connecticut Medicaid Application Specialist Masonicare Health Center - Wallingford, CT ... Day Shift / 40hrs/wk Assists residents with the Medicaid application process. Responsible for Medicaid pending,...with the Medicaid application process. Responsible for Medicaid pending, Medicaid ineligible, self-pay, skilled nursing… more
- Hartford HealthCare (Farmington, CT)
- …common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an effective and comprehensive audit & education ... and healthcare revenue cycle industry practices. The audit and education specialist will support documentation practices that comply with CMS risk adjustment… more
- Prime Therapeutics (Hartford, CT)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** The Client Audit Specialist Sr is ... regulatory, client, and/or functional audit expectations. The Client Audit Specialist Sr provides consultation and strategic advice regarding audit management… more
- Hartford HealthCare (Farmington, CT)
- …to insure optimal revenue cycle performance. The AR Follow Up & Denials Specialist is responsible for resolving unpaid third party balances on $550 million in ... and monitoring of accounts receivables engagements with small balance, out of state Medicaid and credit vendors as needed. *Education* . Minimal: High school diploma… more
- Wheeler Clinic (Bristol, CT)
- Family Support Specialist -Functional Family Therapy-Foster Care- Bristol Bristol, CT 06010, USA Req #1636 Friday, December 13, 2024 Wheeler's vision is that all ... growth at all stages of life. POSITION SUMMARY The Family Support Specialist provides direct services/case management/coordination of care to an assigned caseload of… more
- Brookdale Senior Living (Hartford, CT)
- …as one of America's Greatest Workplaces for Diversity Full Time Traveling Sales Specialist Supporting CT, MA & NH: Hartford, Boston & surrounding markets Brookdale. ... record of generating and closing qualified leads. As our Traveling Sales Specialist you'll partner you will be partnering with community Executive Directors and… more
- Evolent (Hartford, CT)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Specialist , Credentialing Operations will be a dynamic role that will encompass determining ... to the Associate Director, Credentialing Operations. **Collaboration Opportunities:** The Specialist , Credentialing Operations team collaborates with the Provider Data… more
- Highmark Health (Hartford, CT)
- …medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation ... Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None… more
- Novo Nordisk (Meriden, CT)
- …of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage Requirements, Step Therapy, ... Coverage Gap, Copays, and Deductibles and the impact on customer decisions + Demonstrates understanding of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses this to identify business… more
- Prime Therapeutics (Hartford, CT)
- …management. Enforces teamwork across all internal departments, as well as with Medicaid Clients, and an in-depth understanding of all rebate programs, trends, and ... state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each...department are achieved. + Works with Quality and Training specialist to refine and improve any processes that effect… more
- Hartford HealthCare (Farmington, CT)
- …which are top priority and time sensitive; Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contractor (RAC), Executive Health Resources (EHR), appeals ... feedback, orientation and training for new employees and evaluations to ROI Specialist . Manage workflow among employees to ensure maximum productivity and quality… more
- National Health Care Associates (West Hartford, CT)
- …Direct care in a long-term care setting, MDS Coordinator, Clinical Reimbursement Specialist or Nurse Assessment Coordinator experience preferred + Knowledge of state ... federal regulations governing the MDS, Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements helpful + Interest in the nursing needs of… more
- Humana (Hartford, CT)
- …able to accommodate EST time zone** **Preferred Qualifications** + SFMC Email Specialist Certification + Experience working in an Agile framework + Experience ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Somatus (New Haven, CT)
- …Qualifications Required Education and Experience + Experience working with Medicare, Medicaid or Special Needs populations. + Medical Assistant, Licensed Practical ... Nurse, Engagement Specialist or Community Health Worker experience. + Effective written and verbal communication skills demonstrating respect and cultural awareness… more
