- Sedgwick (Baton Rouge, LA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr . Medicare Associate **Job Description** + Set up new Medicare ... records/billing industry experience preferred. Two (2) years of experience as Medicare Associate required. Internal candidates - Minimum 3.25 on most recent… more
- Humana (Boise, ID)
- **Become a part of our caring community and help us put health first** The Sr . Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of ... BSS, claims operations, and other business teams involved in the administration of Medicare business at Humana. The Senior Business Intelligence Engineer will… more
- Merck (Helena, MT)
- …Customer Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate , Medicare Account Executive, and more. **Qualifications:** **Minimum ... Requirements:** + Bachelor's degree with at least 6 years of sales experience OR a minimum of high school diploma with at least 8 years of equivalent experience. + Equivalent experience can be professional sales experience, work experience in the… more
- Merck (Olympia, WA)
- …ensure integration with the Key Account Manager, Nurse Educator, Field Reimbursement Associate , Medicare Account Executive, and other key stakeholders to share ... key customer learnings and support customer needs. **Position Qualifications** **:** **Minimum Requirements:** + Bachelor's degree with 6-8 years Sales experience OR a minimum of high school diploma with at least 10 years of equivalent experience + Equivalent… more
- Covenant Health Inc. (Crossville, TN)
- Overview Senior Risk Manager and Regulatory Specialist, Quality Managment Full Time, 80 Hours Per Pay Period, Day Shifts Cumberland Medical Center Overview: ... family-oriented environment focused on exceptional patient care. Position Summary: The Sr . Risk Manager and Regulatory Specialist position is responsible for… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ And more **Work Location:** Atlanta, GA **Description** **OVERVIEW:** The Sr Manager of Oncology Financial Navigation, manages and coordinates financial navigation ... stakeholders on all Winship financial navigation services and related issues. + The Sr Manager will supervise a team of oncology financial navigators who will… more
- Zurich NA (Dover, DE)
- Sr . Claims Specialist (Workers Compensation, NE Region) 129546 Zurich is looking for an accomplished Workers Compensation Sr . Claims Specialist for or our ... New Jersey, New York, Pennsylvania, Rhode Island, or Vermont. The Senior Workers Compensation Claims Specialist will handle multi-party commercial line Workman's… more
- NJM Insurance (NJ)
- NJM's WC Claims Department is seeking an experienced Claims Specialist, Sr . who lives in Western or Central PA to provide on-site service to our policyholders and ... + Knowledge of and/or experience working with liens and Medicare Set-Asides to secure full and final settlements +...a week meeting with policyholders and/or agents Preferred: + Associate or bachelor's degree + AIC/CPCU or other applicable… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- Humana (Phoenix, AZ)
- …of our caring community and help us put health first** The DSNP Senior Provider Engagement Professional plays a critical role in managing operational processes, ... and communication across internal and external stakeholders. The DSNP Senior Provider Engagement Professional supports positive, long-term relationships with… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Senior Data Architect works in all data environments which includes data design, database ... architecture, metadata and repository creation. The Senior Data Architect work assignments involve moderately complex to complex issues where the analysis of… more
- Humana (Concord, NH)
- …help us put health first** Humana is seeking a strategic and technically adept Senior Product Owner to lead the definition and evolution of AI capabilities within ... digital and healthcare transformation goals. This is a high-impact role for a senior level product owner who thrives at the intersection of strategy, technology, and… more
- Abbott (Livermore, CA)
- …contract negotiation, payor contract implementation, payor contract monitoring, Medicare /Medicaid enrollment, state licensing, and Joint Commission accreditation + ... Revenue Cycle Management, Commercial Contracting, and Finance **Required Qualifications** + An associate degree with a minimum of 7 years of relevant experience is… more
- Queen's Health System (Honolulu, HI)
- …EDUCATION/CERTIFICATION AND LICENSURE: * High School diploma or equivalent. * Associate 's degree in business preferred. * Completion of Healthcare Administration ... demonstrate: o Knowledge and understanding of different payor types (ie Medicare , Medicaid, Commercial, HMO, Workers' Compensation, Capitation, TPL, Third Party… more
- Molina Healthcare (Rio Rancho, NM)
- …Experience with troubleshooting and analyzing issues. + Experience working in a Medicare environment is highly preferred. + Claims adjudication experience is highly ... preferred. **Job Qualifications** **Required Education** Associate 's Degree or two years of equivalent experience **Required Experience** * Four years proven… more
- Health Care Service Corporation (Chicago, IL)
- …Statistics or Economics. Other Bachelor (or higher) Degrees may be considered. + Associate of the Society of Actuaries (ASA) and Membership in the American Academy ... Visual Basic or other programming skills. + Data visualization tools experience + Medicare experience is a plus \#LI-LK1 \#LI-Hybrid \#INJLF **Are you being referred… more
- Health Care Service Corporation (Chicago, IL)
- …Statistics or Economics. Other Bachelor (or higher) Degrees may be considered. + Associate of the Society of Actuaries (ASA) and Membership in the American Academy ... Basic or other programming skills. + Data visualization tools experience + Medicare experience is a plus \#LI-LK1 \#LI-Hybrid \#INJLF **EEO Statement:** We are… more
- Humana (Richmond, VA)
- …community and help us put health first** The Chief Medical Officer (CMO), Group Medicare leads and is accountable for the clinical performance of a $12B in revenue ... Group Medicare Segment and will serve as a key member...adjustment, and stars. This CMO frequently interacts with the senior management team when representing Group MA with the… more
- Humana (Sanford, FL)
- …of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live ... community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of...Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to… more
- BrightSpring Health Services (Bowling Green, KY)
- …Sales Account Representative/Executive for our Abilis Health Plan who will work with senior care partners to assist in enrolling new residents and members. You will ... actively market our plan to new senior care partners within a plan service area. Regional...and marketing presentations in accordance with applicable Centers for Medicare & Medicaid Services (CMS) and State guidelines and… more