- MyFlorida (Fort Lauderdale, FL)
- …procedures. Oversee accounts payable, accounts receivable, the preparation of the Medicaid cost-based report, yearend financial reports and ensure that DOH A/R ... financial planning principles, principles and practice of supervision and management , principles of budget preparation and administration, financial reporting,… more
- Centene Corporation (Springfield, IL)
- …IS REMOTE/WORK FROM HOME WITH 50% TRAVEL IN ASSIGNED AREAS TO SUPPORT ILLINOIS MEDICAID MEMBERS. MILEAGE IS REIMBURSED AT THE CURRENT IRS GUIDELINE RATE ROUND TRIP. ... THIS AREA.** **Position Purpose:** Assesses, plans, implements, and coordinates care management activities based on member needs to provide quality, cost-effective… more
- CareFirst (Baltimore, MD)
- …and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Medicare/ Medicaid Admin **Equal Employment ... creation of project plans to define, organize and schedule requirements management and development activities. Participates in requirements analysis and verification… more
- Centene Corporation (Austin, TX)
- …unit leaders for effective decision making. **Education/Experience:** Bachelor's degree in Management or Business or equivalent experience. 4+ years experience in ... management , business, or contracting. Previous management experience...managing performance of staff. Managed care, insurance, Medicare or Medicaid experience preferred. Experience with provider performance, provider engagement,… more
- CareFirst (Baltimore, MD)
- …in Washington DC area in support of Basic Health Plan and/or Medicaid products. **ESSENTIAL FUNCTIONS:** **RELATIONSHIP MANAGEMENT :** + Establishes and maintains ... or through formal resolution processes. Offers timely response to providers, management , and other internal customers via virtual or face-to-face visit,… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …patient clinics, case management , centralized billing office, third party Medicaid eligibility vendor and community agencies. Provide clerical/office support ... be to support the other Patient Access job functions within Revenue Management . These include Scheduling and Pre-Access. Qualifications: In addition to bringing… more
- Prime Therapeutics (Denver, CO)
- …Title** Service Specialist - MTM **Job Description** The Medication Therapy Management (MTM) Service Specialist is responsible for receiving inbound and making ... needs of the targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM process management … more
- J&J Family of Companies (Omaha, NE)
- …re: technical aspects of Spravato administration, monitoring, and adverse event management and reporting using CAC approved materials. Ensuring that no clinical, ... and national payer policies; reimbursement regulations and processes (ie, eligibility and benefit verification, pre-authorization, billing, coding, claims, and… more
- Amergis (Pendleton, OR)
- …techniques to meet daily medical needs. + Provide training on student Health Management Plans (HMPs) and medical protocols. + Present at in-services and workshops on ... school health and improvement topics. 2. Health Management & Program Development + Develop, implement, and monitor Health Management Plans based on student… more
- Sanford Health (Bemidji, MN)
- …but not limited to: Department of Health (DOH), Center for Medicare and Medicaid (CMS) Conditions of Participation, and standards of The Joint Commission (TJC). The ... in robust process improvement, utilizing a systematic approach to change management , focused on reducing patient safety and regulatory risk. Supports process… more