- Ventura County (Ventura, CA)
- …with the compliance office. Experienced in leading and training staff on Managed Care , Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure ... billing and supervises or conducts training on the specific areas of Managed Care /Medicaid/Medi-Cal/Medicare and/or Commercial Insurance; + Works with the… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Associate's Degree Experience Required: At least 1 year of experience in Managed Care working with Medicare, Medi-Cal and other State Sponsored ... Customer Solution Center Appeals and Grievances Specialist I (Temporary) Job Category: Customer Service Department:...Medicare and Medicaid Services (CMS), California Department of Health Care Services (DHCS), Department of Managed Health… more
- Novo Nordisk (Boston, MA)
- …is to optimize sales and establish Novo Nordisk as a frontrunner in the cardiometabolic care market. The Cardiometabolic Care Specialist I - Ecosystems is ... promotion strategies to align with health system account practices, care pathway decisions and managed care...in this job family are as follows: * Cardiometabolic Care Specialist I - Ecosystems - $86,000… more
- Houston Methodist (Houston, TX)
- …the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, ... At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal… more
- Novo Nordisk (Buffalo, NY)
- …in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... of pay for each title in this job family are as follows: * Cardiometabolic Care Specialist I - $86,000 to $106,000 * Cardiometabolic Care Specialist II… more
- Mount Sinai Health System (New York, NY)
- …information utilizing internal or electronic sources. 25. Obtains and documents managed care referrals, required pre-certifications and authorizations as ... **Job Description** **Medical Office Specialist (Certified Medical Assistant)-Primary Care /Teaching-New York Eye and Ear Infirmary of Mount Sinai-Full Time,… more
- Valor Health (Bowling Green, KY)
- Clinical Pharmacist Specialist - Primary Care Bowling Green,...patients utilizing rules set forth by the VA for co- managed care . + Completes any and all ... Valor Healthcare is seeking a dynamic and passionate Clinical Pharmacist Specialist (CPS) to provide care at the VA outpatient clinic in Bowling Green, KY. About… more
- Guidehouse (San Antonio, TX)
- **Job Family** **:** Financial Account Specialist **Travel Required** **:** None **Clearance Required** **:** Ability to Obtain Public Trust The Mortgage Processing ... ongoing understanding of client and company priorities and expectations + Ensure specialist and project compliance as well as adherence to company/client standards… more
- Athena Health Care Systems (Worcester, MA)
- …individuals, regardless of personal characteristics, are encouraged to apply. Athena Health Care Systems and its managed facilities/agencies follow federal and ... We are hiring a Regional Clinical Reimbursement Specialist to join our team in Worcester County!...in Worcester, Marlborough, and Haverhill. Here at Athena Health Care Systems, our employees are the heart of our… more
- CVS Health (Columbus, OH)
- …learn the role of care management within Medicare and Medicaid managed care . + **Community Resources:** Familiarity with community resources and services. ... essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our… more