- Highmark Health (Dover, DE)
- …and 3 years' experience in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR + Bachelor's degree in Social Work with five years' experience ... in Acute or Managed Care/ experience with Medicaid or Medicare populations **Preferred** + Experience working with high-risk pregnant...includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well… more
- CVS Health (Nashville, TN)
- …Education (CE's) + Product Certification + Required Security and Compliance + Client/Carrier Certifications + Any required CMS Certifications **Qualifications** ... or 1 to 2 years' experience of selling multiple Medicare products (ie, Medicare Advantage, Medicare...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
- Belle (Kansas City, MO)
- …(medical, dental, vision, 401k) + Be part of a mission-driven team helping Medicare seniors live healthier, longer lives What You'll Do + Provide routine telehealth ... visits with Medicare patients (E/M and Chronic Care Management) + Create...CHWs) + Ensure thorough documentation in our EHR and compliance with quality measures + Engage patients in preventive… more
- CVS Health (Irving, TX)
- …pharmacy along with member dispute resolution for mail order and the Medicare Prescription Payment Program (M3P). **Key Responsibilities** -Lead the team and build ... improvements aligning with long-term organizational strategies -Maintain high standards of compliance including adherence to policies and regulations set forth by… more
- Marshfield Clinic (Weston, WI)
- …of health care coverage opportunities available through local, state or federal and pharmaceutical programs and Foundation grants, and assists with outreach ... + Certified Application Counselor designation through the Centers for Medicare and Medicaid Services within three months from the...the needs of patients and customers first.** **Exclusion From Federal Programs: Employee may not at any time have… more
- Humana (Augusta, ME)
- …environment affecting food intake and eating behavior. + Focus on the Medicare population with chronic conditions such diabetes, COPD, heart failure, etc. **Use ... possess knowledge of the legal responsibilities including all state and federal laws and regulations governing nutrition practice **Preferred Qualifications** +… more
- Elderwood (Grand Island, NY)
- …ADON (RN) shall assess residents, perform audit measures and follow state, local and federal regulations and best practices within his or her scope of practice. + ... Act requirements, facility philosophy, and operational policies while maintaining compliance with other government agency laws and regulations. + Communicates… more
- Prime Therapeutics (Lansing, MI)
- …specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM ... operations (eg workflow processes and case management) + Government programs ( Medicare ) knowledge **Preferred Qualifications** + Contact Center experience + Pharmacy… more
- Adecco US, Inc. (Irving, TX)
- …trainings, and educational training venues. Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit structures in order to relay ... readiness and adoption. 7. Serve as a subject matter expert on Medicare and commercial payer structures, translating complex benefit data into actionable insights… more
- Highmark Health (Charleston, WV)
- …organizations and leaders. + Build an understanding of SDOH, Managed Care issues, Medicare , Medicaid, Dual Special Needs and delivery of those services to the ... regularly to learn of community needs. + Collaborate with Medicare Sales team to identify enrollment opportunities. + Other...includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well… more