- 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
- 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
- Prime Therapeutics (Hartford, CT)
- …our passion and drives every decision we make. **Job Posting Title** Client Audit Specialist , Sr. - Remote **Job Description** As a member of the Client Audit ... Management (CAM) team, the Client Audit Specialist , Sr is accountable for managing regulatory and/or client-initiated audits. This role maintains a thorough… 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
- 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 Wednesday, January 15, 2025 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
- 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
- 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
- Robert Half Finance & Accounting (Hartford, CT)
- …Long Term Care (LTC)/ Skilled Nursing Facility (SNF) Accounts Receivable Specialist Location: Hartford, CT Position Type: Permanent Hourly Rate: $25/hour Benefits: ... off Overview: We are currently seeking an experienced LTC/SNF Accounts Receivable Specialist to join our client's team in Hartford. This permanent position offers… more
- Prime Therapeutics (Hartford, CT)
- …The Sr Health Plan Account Manager serves as a line of business specialist for their assigned account/s and provides information, analyses, and consulting to the ... in the market. **Responsibilities** + Serve as a line of business specialist responsible for managing client relationships within assigned health plan/s; effectively… more
- HealthEdge Software Inc (Hartford, CT)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for… 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
- 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
