- Centene Corporation (Tallahassee, FL)
- …requirements and meet business needs and strategic objectives. + Support Medicare business department initiatives that promote, quality, network safety and cost ... of care opportunity. + Develop Medicare strategies to improve quality of care, expand financial...and implementations necessary to ensure the performance of the Medicare line of business. + Identifies key performance metrics… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, ... to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within...Advantage, with experience serving duals population. Direct experience in Medicare and Duals program administration including stars,… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement II Medicare Cost Report Appeals** **Location** : This is a virtual position; US based **National Government Services** is a proud member ... to transform federal health programs. The **Audit and Reimbursement II ** will support our Medicare Administrative Contract...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
- Medical Mutual of Ohio (OH)
- …(medical drug) programs as needed. . Performs other duties as assigned. ** Medicare Pharmacy Coordinator II ** Working under general supervision, administers ... mail pharmacy. . Intermediate Microsoft Office skills (Excel, Word, Power Point). ** Medicare Pharmacy Coordinator II ** . Associate Degree in Business… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY...program administration, ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: ... the safety net required to achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a… more
- LA Care Health Plan (Los Angeles, CA)
- …all product lines of business (Medicaid, Medicare , and Commercial). The Account Manager II is responsible for the initial on-board training of new managed ... Provider Network Account Manager II Job Category: Provider Relations...+ Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision + Wellness Program + Volunteer Time Off… more
- LA Care Health Plan (Los Angeles, CA)
- Regulatory Operations Project Manager II Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, US, 90017 ... net required to achieve that purpose. Job Summary The Regulatory Operations Project Manager II manages a portfolio of complex regulatory change management and… more
- ACI Federal (Norfolk, VA)
- Case Manager - CM II PATH EOE...of hire date that includes: (a) AIDS Drug Assistance Program (ADAP) requirements and application, (b) Medicaid, Medicare ... education in HIV/AIDS is required annually. Ongoing training on changes to benefit program and their eligibility, such as Medicare , Medicaid, SSI, SSDI, RW… more
- State of Colorado (Greeley, CO)
- PROGRAM ASSISTANT II @ UNC Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4639750) Apply PROGRAM ASSISTANT II @ UNC Salary ... This position exists to manage the operations, including private pay, Medicare /Medicaid, and insurance billing of the Speech-Language Pathology and Audiology Clinic.… more
- Sutter Health (Yuba City, CA)
- …guidance and/or direct intervention in resolving challenging or complex situations. To be in the Manager , Area II , the job should meet 3 of the 5 following ... 8 years recent relevant experience **CERTIFICATIONS:** + CDM - Certified Dietary Manager - Association of Nutrition & Foodservice Professionals required **SKILLS AND… more
- BAYADA Home Health Care (Pennsauken, NJ)
- BAYADA Home Health Care is in search of a Regional Client Services Manager ll to support both the Bonsai and American Elm Regions. This role will encompass all ... duties related to the CSM II with emphasis on training and development of client...(2) years of BAYADA Home Health Care client services manager experience, within the Home Health Visits or Senior… more
- Sutter Health (Berkeley, CA)
- **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... safety planning, working knowledge of current reimbursement requirements (including Medicare , MediCal, private contracting), excellent communication skills, both written… more
- Sutter Health (San Francisco, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... delivery of inpatient stay denials. * Assures delivery of Medicare Important Message within 48 hours of discharge/transition and...pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify… more
- Beth Israel Lahey Health (Boston, MA)
- …Susan F. Smith Center for Outcomes Research at BIDMC is seeking a Biostatistician II . The Smith Richard A. and Susan F. Smith Center for Outcomes Research ... registries, administrative claims data, survey-based data, and EHR data. The Biostatistician II will engage in a variety of collaborative research projects working… more
- Marshfield Clinic (Eau Claire, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid. This is a condition of employment. ... in the world!** **Job Title:** Central Service Technician I or II **Cost Center:** 301191306 ECHos-Sterilization Process **Scheduled Weekly Hours:** 4 **Employee… more
- Ventura County (Ventura, CA)
- Outpatient Clinic Administrator I/ II - Ambulatory Care Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4441375) Apply Outpatient Clinic ... Administrator I/ II - Ambulatory Care Salary $82,676.76 - $132,282.82 Annually...care, specialty, behavioral health, dental, and optometry services. The manager reports to the department director and is responsible… more
- Tidelands Health (Myrtle Beach, SC)
- … guidelines, COBRA, FMLA, Financial Assistance, Medication Assistance Program , Medication and Pharmaceutical Indigent Programs, Transportation Resources, Short-term ... Housing Resources, Advance Directives, Power of Attorney for Health Care and Wills, and Provide emotional support, provider options and facilitate transition to Hospice and in some cases, Palliative Care, depending on where the person resides.… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s ... cross-functional Scrum team under the direction of the IT Manager . Translates user stories and customer acceptance criteria of...casual attire, including jeans. **Excellent Benefits** + Employee bonus program + 401(k) with company match up to 4%… more
- Fallon Health (Framingham, MA)
- …to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that ... by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. **About… more