- 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 (Harrisburg, PA)
- …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
- 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
- Humana (Denver, CO)
- …put health first** Are you passionate about contributing to the well-being of the Medicare population? Would you like to play an integral and strategic part in the ... Qualifications** + 2+ years of sales experience in the Medicare industry + Prior experience with public speaking and...Interagency Language Rating (ILR) test as provided by the Federal Government. **Work at Home Information** To ensure Work… more
- Humana (Burlington, IA)
- …related field. + Two (2) years of prior experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), ... experience. + Experience working with a Waiver Program. + Experience with Medicare & Medicaid recipients. + Experience working with complex health population. +… more
- Mount Sinai Health System (New York, NY)
- …outpatient charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications** ... systems to capture all inpatient and outpatient charges. Monitors managed care, commercial and federal contracts to assure the recovery of all inpatient and… more
- Healthfirst (NY)
- …Responsibilities:** + Performs first level review of all marketing materials to ensure compliance with State and Federal guidelines. + Prepares and submits ... been responded to. + Provides support to all internal stakeholders during the annual Medicare Go to Market project in preparation for the Medicare Annual… more
- Mount Sinai Health System (New York, NY)
- …payment. This position plays a key role in ensuring the financial health and compliance of the organization and bridges the gap between clinical care and medical ... requires a unique blend of clinical expertise and financial acumen to ensure compliance with healthcare regulations and collaborate with staff to resolve issues and… more