- BAYADA Home Health Care (Lebanon, MO)
- … Certified Home Health Care experience. + Comprehensive knowledge of the Medicare Conditions of Participation and regulatory compliance . + Thorough understanding ... position of a **Nurse Manager/Home Health RN** for our Medicare -certified home health office in **Lebanon, MO** **.** This...or any other similarly protected status in accordance with federal , state and local laws. Hence, we strongly encourage… more
- CenterWell (Pinellas Park, FL)
- …Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years directly applicable ... experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Miramar, FL)
- …discrepancies between company records and those maintained by the Centers for Medicare and Medicaid Services. This role encompasses a range of moderately complex ... supervision, while effectively managing multiple priorities. + Familiarity with Centers for Medicare and Medicaid Services (CMS) regulations is preferred. + Must be… more
- CenterWell (Columbus, OH)
- …Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing reports and ... role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Salt Lake City, UT)
- …and plays a critical part in forecasting risk scores and revenue for the Medicare Advantage Part D business. The successful candidate will lead efforts to model ... FSA or plus relevant advanced degree + Experience with Medicare Part D + Familiarity with Risk Score Data...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Frankfort, KY)
- …working in healthcare industry + **2+ years experience with Employer/Group Medicare plans** + Extensive experience in a corporate service operations environment ... effectively manage multiple activities + Experience with medical claims + Medicare experience + Project Management experience **Address location for role:**… more
- Somatus (Falls Church, VA)
- …notes involving mental health and risk assessments. + Adjusts treatment plans in compliance with changes in the status of the patient. + Provides information and ... on their insurance options including Group Health Plans (GHPs), Medicare , Medicaid, and managed care plans. Serve as a...veteran status, or any other characteristic protected by state, federal , or local law. Further, the company takes affirmative… more
- Banner Health (Phoenix, AZ)
- …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or ... direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and Human Services...are followed, necessary controls are effective and efficient, and compliance with current laws and regulations is achieved. 4.… more
- Humana (Indianapolis, IN)
- …costs, administrative expenses and quality/bonus performance + Comprehensive knowledge of Medicare policies, processes and procedures + DSNP experience inclusive of ... Medicare Advantage + Long-term support services; experience working with...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Sacramento, CA)
- …interrelate across segments and/or enterprise-wide. **Regional VP of Health Services, Humana Medicare Advantage** As the Regional VP of Health Services, you will ... and relationship builder, ensuring alignment with Humana's mission and Medicare Advantage goals. **Primary Responsibilities:** Clinical Engagement & Provider… more