- Centene Corporation (Austin, TX)
- …Opportunity**_** **_The ideal candidate will have:_** + **_Deep knowledge of the Medicare Advantage program, with hands-on experience in Dual Eligible Special Needs ... Plans (D-SNPs) (compliance, product , or operations)._** + **_Research skills to track and...Duals and SMAC regulatory filings. + Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Regional Sales Advisor in the Medicare & SNP Product department. This is a full time position working daylight ... Products and engage with prospects for enrollment opportunities. Position reports to Manager , Medicare /SNP Sales. Responsibilities: + Assists in the development… 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 (Worcester, 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
- 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
- Nuvance Health (Carmel, NY)
- …centers to ensure efficient and accurate patient scheduling, registration, insurance authorization, billing, coding, denial management and medical records ... maintenance. Collaborates with clinical leaders and manager to develop policies and procedures that impact the outpatient rehabilitation department Responsibilities:… 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
- Waystar (Atlanta, GA)
- …Enterprise Rule & Edits position reports to our Enterprise Rules & Edits Manager and has the responsibility for establishing new client payer edit configurations. ... Consultant will partner with Client Operations, Client Success and Product to identify product enhancements that will...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Waystar (Atlanta, GA)
- …software. This role will be responsible for working with the Systems Engineering Manager to design, develop, configure, and document existing, as well as new, ... SaaS datacenter environment + Works with the Systems Engineering Manager on new projects that arise from business needs...channel fabric + Can design solutions with the overall product direction in mind + Able to plan and… more