- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... You'll play a key role in shaping financial insights, supporting Medicare -related initiatives, and guiding analytical projects that impact business outcomes. +… more
- Molina Healthcare (Grand Rapids, MI)
- …representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (MI)
- …Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (MI)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team ... complicated claims, COB and DRG/RCC pricing). * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory… more
- Centene Corporation (Lansing, MI)
- …outreach experience. Experience in working with government-sponsored population, especially Medicare , Medicaid and SCHIP. Experience in public speaking. ... to perform the job. Experience in working with government-sponsored population, especially Medicare , Medicaid and SCHIP. Experience in public speaking. Physical… more
- Prime Therapeutics (Lansing, MI)
- …all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to ... management experience + Knowledge of the applicable line of business (eg, Medicare , Medicaid , Exchange, Commercial, Employer Group) Every employee must… more
- Humana (Lansing, MI)
- …Finance + Accounting/Finance knowledge/experience + Advanced SQL or similar + Medicare / Medicaid experience + Data architecture/solution architecture experience + ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Lansing, MI)
- …determine, and oversee execution of, numerous strategies required to ensure success for our Medicare Stars and Medicaid LOBs. The ideal candidate for this role ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Prime Therapeutics (Lansing, MI)
- …processes, and participates in committee review meetings within the Commercial, Medicare , Medicaid , and Health Insurance Marketplace for the assigned ... regulations into operational requirements **Preferred Qualifications** + 2 years Medicare Part D, Medicaid , and/or state or...Qualifications** + 2 years Medicare Part D, Medicaid , and/or state or federal regulatory experience + Prior… more
- Humana (Lansing, MI)
- …day to day flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare , Medicaid , and/or and Group Account members and create actionable ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more