- Senior Living Communities (Myrtle Beach, SC)
- …residents and their families. Assists in verification of insurance for all admissions, including Medicare Part A and Medicare Advantage (if needed), ... to giving back and supporting our team members, local community , and others worldwide. Come join a team with...(ie, notes to insurance providers for continued stay) including Medicare Advantage updates timely. Noting the chart… more
- VNS Health (Manhattan, NY)
- OverviewThe Senior Community Liaison educates consumers in the communities served by VNS Health about MAP, MAPD or DSNP products and the benefits of enrolling in ... Will Do + Develops effective working relationships with CBOs, the provider community , religious organizations and other appropriate channels to generate leads, build… more
- VNS Health (Manhattan, NY)
- OverviewThe Community Liaison educates consumers in the communities served by VNS Health about MAP, MAPD or DSNP products and the benefits of enrolling in these ... Will Do + Develops effective working relationships with CBOs, the provider community , religious organizations and other appropriate channels to generate leads, build… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** As a Member Ambassador for our Medicare Advantage Health Plan, you will play a crucial role in representing Blue Cross NC at community ... plans tailored to the needs of older adults. Our Medicare Advantage plans are designed to offer...Ambassadors to help us connect with and support our community . If you are passionate about helping others and… more
- InnovaCare (San Juan, PR)
- …provider of healthcare management in North America. Through two it's main ways, Medicare Advantage and the provider network, we are committed to healthcare, ... DESCRIPTION This position is responsible to serves as primary liaison between enrolled beneficiaries, provider network and MMM &...that work on Puerto Rico's business strategies, both for Medicare Advantage beneficiaries, through Medicare … more
- InnovaCare (San Juan, PR)
- …provider of healthcare management in North America. Through two it's main ways, Medicare Advantage and the provider network, we are committed to healthcare, ... a conglomerate of companies that work on Puerto Rico's business strategies, both for Medicare Advantage beneficiaries, through Medicare y Mucho Mas (MMM),… more
- InnovaCare (San Juan, PR)
- …provider of healthcare management in North America. Through two it's main ways, Medicare Advantage and the provider network, we are committed to healthcare, ... Mental Health related benefits and serve as a primary liaison between enrolled Medicare beneficiaries and the...that work on Puerto Rico's business strategies, both for Medicare Advantage beneficiaries, through Medicare … more
- InnovaCare (Guaynabo, PR)
- …provider of healthcare management in North America. Through two it's main ways, Medicare Advantage and the provider network, we are committed to healthcare, ... a Customer Service Representative and serve as a primary liaison between customers and the organization in order to...that work on Puerto Rico's business strategies, both for Medicare Advantage beneficiaries, through Medicare … more
- InnovaCare (San Juan, PR)
- …provider of healthcare management in North America. Through two it's main ways, Medicare Advantage and the provider network, we are committed to healthcare, ... a conglomerate of companies that work on Puerto Rico's business strategies, both for Medicare Advantage beneficiaries, through Medicare y Mucho Mas (MMM),… more
- Trinity Health (Columbus, OH)
- …(https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive ... Provides community and educational support and serves as a community liaison . **Responsibilities** + Provide peer recovery support for patients and … more
- Geisinger (Danville, PA)
- …Position Details Geisinger at Home brings personalized healthcare to eligible Geisinger Gold Medicare Advantage members where they need it most: right where they ... to physician and hospital personnel regarding available agency, facility, and community services to assist in discharge planning. + Completes appropriate federal,… more
- UPMC (Pittsburgh, PA)
- …+ Experience with Medicaid and/or Long-Term Care is required. + Experience with Medicare Advantage plans preferred. + Experience in PA programs strongly ... the Managed Long-Term Services and Supports (MLTSS) program line of business, Community HealthChoices (CHC). In this role, the Vice President holds responsibility… more
- Medical Mutual of Ohio (OH)
- …offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. The CX L&P ... offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and individual plans. Our plans… more
- The Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... opportunity seizing solutions to drive performance for value-based contracts for Medicare Advantage , Managed Medicaid and Commercial arrangements. * Support… more
- Highmark Health (Harrisburg, PA)
- …Medicare services (CMS) laws and regulations, policies and guidelines regarding Medicare Advantage and Medicaid plans; HIPAA privacy and security regulations. ... Health **Job Description :** **JOB SUMMARY** This job is the primary liaison between strategically aligned provider groups in the Highmark Network. The incumbent… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …serve as a liaison to the Grievance and Appeals Department for Medicare Advantage appeals. The Utilization Review Specialist (LVN) is responsible for ... rendered for members. The Utilization Review Specialist (LVN) serves as a liaison in reviewing requests for medical and surgical procedures, services and admissions.… more
- New York State Civil Service (Middletown, NY)
- …include life skills, vocational and career training, family support, and community integration that assists individuals in achieving maximum participation in work ... and socialactivities.a. Plan, organize and oversee community activities in high needs group homes. Educate and...and modifies treatment plans or terminates services when appropriate.a. Liaison with the treatment team and placement coordinator to… more
- Humana (Columbus, OH)
- …with Six Sigma and/or the Project Management Institute + Knowledge of Medicare Advantage **Scheduled Weekly Hours** 40 **Pay Range** The compensation ... **Become a part of our caring community and help us put health first** The...first** The Senior Vendor Management Professional will work as liaison between vendors and Humana supporting internal business areas… more
- Fallon Health (Framingham, MA)
- …accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. ... health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care...of participants' situations. + Acts as an advocate and liaison when counseling services are needed. + Completes documentation… more
- Humana (Columbus, OH)
- …with Six Sigma and/or the Project Management Institute + Knowledge of Medicare Advantage + Grievance and Appeals experience **Additional Information** Work ... **Become a part of our caring community and help us put health first** The...health first** The Senior Vendor Management Professional works as liaison between vendors and organization. The Senior Vendor Management… more
