- Medical Mutual of Ohio (OH)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responds to phone… more
- Banner Health (Phoenix, AZ)
- …BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members ... costs. POSITION SUMMARY This position will report directly to the Banner Insurance Operations CFO and is responsible for overseeing all healthcare related actuarial… more
- Silicon Valley Power (Santa Clara, CA)
- …Security (FICA) + Employee pays 6.20% up to $10,918.20 (Social Security) and 1.45% ( Medicare ) of gross pay **Health Insurance :** + The City contributes up to ... controllers, such as HP Aruba switches, and RSA Authentication Manager , while also managing secure VPN access and routing...desirable; + Specific experience with the General Electric JungleMUX product is highly desirable; + Experience with any of… more
- Fallon Health (Barnstable, MA)
- …**Note: Job Responsibilities may vary depending upon the member's Fallon Health Insurance Product ** + **Member Education, Advocacy, and Care Coordination** + ... hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive… more
- Elevance Health (Richmond, VA)
- …are or should be enrolled in other coverage. + Aides members in enrolling in Medicare when they are entitled. + Determines primacy on each case using a complex set ... + Ensures correct forms are provided to assist members enrolling in Medicare . + Reviews claim history to identify claims requiring reconciliation, whether processed… more
- Healthfirst (NY)
- …Responsible for entering, maintaining, and monitoring identified projects in Logic Manager and coordinates within Regulatory Affairs team. + Communicates and ... been responded to. + Provides support to all internal stakeholders during the annual Medicare Go to Market project in preparation for the Medicare Annual… more
- WTW (Fort Lee, NJ)
- …direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... and diverse group of practitioners who collaboratively support all our product categories and cross-functional stakeholders in the finance, marketing, sales,… more
- Hackensack Meridian Health (Neptune City, NJ)
- …appropriate information. + Knowledgeable in current Medicare reimbursement criteria and insurance contracts for the organization product lines. Network with ... customer service skills. Perform authorization and verifications for identified product lines. Enter the required information into appropriate system accurately… more
- CenterWell (Helena, MT)
- …quality and cost improvement for high-risk senior populations in full risk Medicare arrangements. This individual will help assess the value of each opportunity ... core primary care and complex care workflows is preferred + Data, product , analytics and impact translator skills to effectively engage cross-functionally in… more
- Centene Corporation (Queens, NY)
- …Department of Health (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS). The Clinical Quality Assurance RN will also ... support of department and all relevant NYS programs and product lines. The Clinical Quality Assurance RN will ensure...for day-to-day purposes and at meetings. + Assist the Manager , as needed, to determine areas that require immediate… more
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