- Fallon Health (Worcester, MA)
- …direction to bachelors level social workers as assigned by Social Work Manager . Patients in the Framingham/Marlborough area . **Responsibilities** **Primary job ... In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and… more
- WestCare Foundation (Milwaukee, WI)
- …+ Maintain proper balance regarding source of payment (fee for service, Medicaid , public, private, and third-party payers) + Responsible for educating clients on ... with coverage and escalates complicated issues to the billing manager and/or director. + Coordinate with the billing ...basis. + Assist all clients with application process for Medicaid by assisting with completion of the application, addressing… more
- Elevance Health (Miami, FL)
- …developing and negotiating vendor contracts and leveraging in-depth knowledge of a Puerto Rico Medicaid and Medicare specialty or area of law to provide advice ... LLC is a company that provides Medicare Advantage and Medicaid plans in Puerto Rico. Currently, MMM Holdings, LLC...This position is regarded as an expert in its area of expertise due to the combination of advanced… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Professional Discipline and/or internal referral for quality review by the applicable business area . + Acts as primary point of contact with law enforcement for ... the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and coordination with the BCBS Association… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Brief summary of purpose:** ... bachelor's level social workers as assigned by Social Work Manager . **Why should I consider a Social Work opportunity...Assists in the conversion of participants from community based Medicaid to long-term care Medicaid when necessary.… more
- Humana (Detroit, MI)
- …of our caring community and help us put health first** The Field Care Manager , Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and...will travel 15-20% of the time, to an assigned area in Wayne or Macomb county, to conduct in… more
- Humana (Franklin, IN)
- …Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements to achieve and/or ... care and wellbeing of members. This position serves members of the new Indiana Medicaid program - Indiana PathWays for Aging (PathWays). The program was designed to… more
- Fallon Health (Foxborough, MA)
- …is a program for people age 65 and older, who live in our service area , and who have MassHealth Standard, and may have Medicare. It combines MassHealth ( Medicaid ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Brief summary of purpose:** This… more
- Omaha Children's Hospital (Omaha, NE)
- …of the area . This includes working with the Financial Systems Manager to set performance-related criteria and standards as well as procedures for each ... including veterans and people with disabilities. **A Brief Overview** The Manager of Patient Financial Services develops implements and controls policies and… more
- Covenant Health Inc. (Knoxville, TN)
- …outpatient and specialty services, and Covenant Medical Group, our area 's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health ... is a community-owned integrated healthcare delivery system and the area 's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated… more