- New York State Civil Service (Batavia, NY)
- …at Batavia. The position reports to the Fiscal Director of the Health Facilities Management Group. The position also reports to Administrator of the Batavia VH and ... the Department's Fiscal Management Group in Albany, New York.The Fiscal Supervisor will...flow projections, capital outlay and fixed assets schedules, and Medicaid & Medicare reimbursement activities for the facility.* Develops,… more
- CommonSpirit Health Mountain Region (Englewood, CO)
- …patient clinics, case management , centralized billing office, third party Medicaid eligibility vendor and community agencies. + Must demonstrate accurate ... between insurance companies, case managers, central business office, third party Medicaid eligibility vendor and registration. + Must maintain patient/employee… more
- Actalent (Los Angeles, CA)
- …needs and appropriate level of care. + Knowledge of Medicare and Medicaid regulations. + Understanding of utilization management processes. Work Environment ... - REMOTE POSITIONRequirements + CA RN license + Case Management experience + Medicare or Medical experience + Ability...experience with a national leader in managed care and Medicaid + Work in a fast-paced environment, handling 17-20… more
- Corewell Health (Grand Rapids, MI)
- …also ensures that LTSS operations align with the integration of Medicare and Medicaid benefits under Michigan's HIDE SNP model, meeting CMS and MDHHS expectations ... external partners and reports directly to the Senior Director of Utilization Management . Essential Functions Strategic Leadership & Program Oversight: + Develop and… more
- CVS Health (Albany, NY)
- …* Experience or a willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. * Familiarity with community ... home healthcare coordination experience **Preferred Qualifications** * Experience providing care management for Medicare and/or Medicaid members. * Experience… more
- CVS Health (Blue Bell, PA)
- …the operational and financial performance evaluation across Aetna's Commercial and Medicaid Care Management programs to optimize the programs' performance, ... for building and maintaining staffing models that support the Commercial and Medicaid Care Management programs. Key responsibilities of this role include:… more
- CVS Health (Lexington, KY)
- …Special Needs Plan (DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and social challenges. Through compassionate ... locations, medical facilities, and other locations. + Completing care management focused assessments. + Setting member-centered goals. + Identifying barriers… more
- CVS Health (Helena, MT)
- …to join it's CVS Health's leadership team as a Director, Pharmacy Benefit Management (PBM) Underwriting, Analysis and Strategy. In this role, you will lead a ... and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid , Medicare Part D, and Public Exchange lines of business. + Conduct… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …On and Off Marketplace health insurance products, including Child Health Plus (CHP), Medicaid Managed Care (MA/MMC), Essential Plan (EP) and the Individual Market - ... outreach and community events. Essential Accountabilities: Level I * Educates Medicaid , Medicare, and Commercial members on healthcare benefits, and community… more
- CVS Health (Jefferson City, MO)
- …+ Experience or a willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. + Familiarity with community ... home healthcare coordination experience **Preferred Qualifications** + Experience providing care management for Medicare and/or Medicaid members + Experience… more