- CVS Health (Frankfort, KY)
- …success working to build new technologies and software to support member materials compliance + Knowledge of Medicare Advantage rules, including the Medicare ... **Position Summary** This individual contributor position reports to the Lead Director, Medicare Member Materials. This is an exciting opportunity to join our team!… more
- RWJBarnabas Health (Oceanport, NJ)
- …and DRG assignment for adherence to Federal and State Regulations and Compliance Guidelines. + Critically analyzes each Medicare inpatient medical record ... sustain an excellent organizational average accuracy rate. Adherance to applicable Federal and State Regulations, Compliance Guidelines, and Coding Guidelines… more
- Humana (Juneau, AK)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse scope and...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- CVS Health (Scottsdale, AZ)
- …do it all with heart, each and every day. **Position Summary** As the Medicare Pharmacy Audit Programs Project Manager you will be responsible for administering ... Medicare Part-D Pharmacy Audit Programs. In this role, you...make business-critical decisions and develop strategies to maximize client compliance integrity. You will utilize a wide variety of… more
- Humana (Oklahoma City, OK)
- …caring community and help us put health first** Are you passionate about the Medicare population, looking for a role in management with the ability to directly ... self-driven individuals to join our team. Our Senior Manager, Medicare Sales motivates and drives a team of ...a competitive commission structure and a monthly guarantee + Medical , Dental, Vision and a variety of other supplemental… more
- Prime Healthcare (Redding, CA)
- …in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/209223/sr- medicare -medicaid-biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityShasta Regional Medical Center… more
- Humana (The Villages, FL)
- …exceed $113K depending on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ... motivated and self-driven individuals to join our team. The Medicare Sales Field Agent is dedicated to the growth...Interagency Language Rating (ILR) test as provided by the Federal Government. + Alert: Humana values personal identity protection.… more
- Humana (Asheville, NC)
- …exceed 118K depending on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in sales with the ability ... as well as, visiting prospects in their homes. Our ** Medicare Sales Field Agents** sell individual health plan products...could exceed 118k depending on experience and location. + Medical , Dental, Vision and a variety of other supplemental… more
- Prime Healthcare (Ontario, CA)
- …in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the ... military status, genetic information or any other basis protected by applicable federal , state, or local laws. The Company also prohibits harassment of applicants… more
- Public Consulting Group (Santa Fe, NM)
- …learn more, visit www.publicconsultinggroup.com . Duties & Responsibilities . Prepare Medicare and/or Medicaid cost reports for ambulance providers. . Reconcile ... general ledger and accounting assistance to financial staff. . Ensure compliance with accounting principles and procedures. . Recommend accounting process… more