- Humana (Indianapolis, IN)
- …and help us put health first** Humana Healthy Horizons in Indiana is seeking a Provider Services Advisor (Market Development Advisor ) who will be ... the Provider Services team. The Provider Services Advisor will advise...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- The Cigna Group (Morris Plains, NJ)
- …connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. **About ... **POSITION SUMMARY:** The Network Advisor is responsible for initiating maintenance and strategy...with internal business partners on client activity, expectations, and service needs. **ESSENTIAL FUNCTIONS:** + Manages day to day… more
- Humana (Columbus, OH)
- …health first** Humana Healthy Horizons in Virginia is seeking a Strategy Advancement Advisor (FIDE SNP) who will provide data-based strategic direction to ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Molina Healthcare (Pacoima, CA)
- …key partners to participate, and assists where feasible. + Works cohesively with Provider Services to ensure providers within assigned territory are aware of ... Molina products and services . Establishes simple referral processes for providers and CBOs...Equal Opportunity Employer (EOE) M/F/D/V. Key Words: community health advisor , enrollment, Medicaid , Medicare, Medi-Cal, family advocate,… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …interact with sister agencies in addition to the Centers for Medicare and Medicaid Services (CMS) regulators. Tasks involved include: * Contract management and ... Job Description The Iowa Department of Health and Human Services (HHS), Iowa Medicaid Division, seeking one...Services is compliant in all aspects to consistently provide reliable health care to Iowa's members which includes… more
- Mathematica (Columbus, OH)
- …person will bring expertise focused on one or several of the following areas: Medicaid , CHIP, Home- and community-based services , Medicaid Finance, ... implementation at a public or private entity such as Medicaid director, disability services director, deputy director...relevant expertise. * Within their appropriate area of expertise, provide consulting services to state and local… more
- Humana (Columbus, OH)
- …a cross-functional, collaborative organization which includes Provider Service Experience, Network Optimization, Clinical Services , Value-Based contracting, ... and complexity ranging from moderate to substantial. The Market Development Advisor -Practice Transformation is responsible for driving provider performance… more
- CareFirst (Baltimore, MD)
- …clients. Meets market revenue and margin objectives by optimizing product offering, service , customer experience and costs. Provide subject matter expertise and ... and optimization) for products and plans in the Medicare, Medicaid , and Federal Employee Health Benefits categories. Leads the... excellence. Must be able to effectively communicate and provide positive customer service to every internal… more
- CVS Health (Phoenix, AZ)
- …Drive internal HR Business Advisory practices as part of the Business Advisory Services leadership team. + Provide insight on enterprise talent strategy, ... sends a personal message that how we deliver our services is just as important as what we deliver....be expected to partner with the Lead HRBP to provide strategic and day-to-day HR support for the Aetna… more
- LA Care Health Plan (Los Angeles, CA)
- …Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services (CMS), and Knox-Keene requirements, as well as highly developed ... Compliance Advisor II Job Category: Administrative, HR, Business Professionals...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
- State of Indiana (Indianapolis, IN)
- …well as perform the essential functions of a role. About the Family & Social Services Administration: The Office of Medicaid Policy and Planning (OMPP) is a ... 2-million Hoosiers. Assuring that that children and adults on Medicaid get services , however, is not enough....obtained through experience and/or education. + Extensive knowledge of provider agencies and their programs and services .… more
- HCA Healthcare (Houston, TX)
- …Do you want to join an organization that invests in you as a Virtual Customer Service Advisor ? At Parallon, you come first. HCA Healthcare has committed up to ... have the opportunity to make a difference. We are looking for a dedicated Virtual Customer Service Advisor like you to be a part of our team. **Job Summary and… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …program benefits in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The Medicare MAP ... Medicare MAP Advisor 75 Vanderbilt Ave, Staten Island, NY 10304,...sale MAP and Medicare Line of Business, maintains relationships, services our existing customers and secures new customers by… more
- HCA Healthcare (Miami, FL)
- …join HCA Florida Kendall Hospital which is part of the nation's leading provider of healthcare services , HCA Healthcare. **Benefits** HCA Florida Kendall ... integrity, collections, payment compliance, credentialing, health information management, customer service , payroll and physician billing. We also provide … more
- LA Care Health Plan (Los Angeles, CA)
- …regulatory requirements, including but not limited to, the Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services ... Compliance Advisor III-Privacy Job Category: Administrative, HR, Business Professionals...of Managed Health Care (DMHC), Centers for Medicare and Medicaid Services (CMS) and National Committee for Quality… more
- Humana (Columbus, OH)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Horizons (HHH) in Indiana is seeking a Market Development Advisor who provides support to assigned health plan and/or...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Centers for Medicare & Medicaid Services (IN)
- …the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), Office of the Director. ... As a Senior Policy Advisor , GS-0301-15, you will serve...and implementation of program integrity policies and initiatives. Responsibilities Provide leadership, direction, and coordination in researching identified problems,… more
- Humana (Albany, NY)
- …for military health system operations and optimization including contractual performance and provider network management in order to provide the best experience ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Sutter Health (San Francisco, CA)
- … Organization (PPO), Patient Processing Service (PPS),Centers for Medicare and Medicaid Services (GR) Grouper (CMS) preferred. + Post-acute levels of care ... and the hospital to appropriately optimize the use of Sutter Health Internal Physician Advisor Services (IPAS). The physician Advisor will work closely with… more
- HCA Healthcare (Charleston, SC)
- …We care like family! Jump-start your career as a Virtual Bilingual Customer Service Advisor today with Work from Home.** **Benefits** **Parallon, offers a ... benefits may vary by location._** **Come join our team as a Virtual Bilingual Customer Service Advisor . We care for our community! Just last year, HCA Healthcare… more