- CVS Health (Coldwater, MI)
- …can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... and health needs based on key questions and conversation. ** Remote Work Expectations** + This a remote ...+ Bilingual in Spanish or Arabic + Certified Case Manager + Additional national professional certification (CRC, CDMS, CRRN,… more
- CVS Health (Dearborn, MI)
- …can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... and health needs based on key questions and conversation. ** Remote Work Expectations** + This is a remote...+ Bilingual in Spanish or Arabic. + Certified Case Manager . + Additional national professional certification (CRC, CDMS, CRRN,… more
- Cognizant (Cheyenne, WY)
- **Project Manager ** **Location** - Long Beach, CA | Remote **Responsibilities:** . Run the programs effectively with strong project management skills. . Create ... from existing systems, analyses program and time requirements. . Assists project manager in preparing time estimates and justification for assigned tasks. . Designs… more
- Amgen (Milwaukee, WI)
- …sales, and performing total territory account management. The Specialty Account Manager , Nephrology (NSAM) is responsible for representing Amgen products to ... and national payer policies, reimbursement regulations and processes (ie, eligibility and benefit verification, prior-authorization, billing, coding, claims, and… more
- Centene Corporation (Austin, TX)
- …End-to-end development, filing and execution of the Medicare Supplemental benefits. Program Manager III will own a complex portfolio of designs, and directly ... annually. Directly responsible for developing CMS filing guides for benefits. Program Manager III is responsible for development, aspects of contract and rate… more
- Centene Corporation (Mcallen, TX)
- …benefits including a fresh perspective on workplace flexibility. **Hiring RN LTSS Case Manager - must reside in Hidalgo County near McAllen, TX, Weslaco, TX, ... needs for potential entry into a higher level of care and/or waiver eligibility , as applicable + Reviews member data to identify trends and improve operating… more
- American Heart Association (Dallas, TX)
- …Association has an excellent opportunity for a **Senior** **Healthcare Quality Measures Manager ** based out of our National Center office. This position is ... in monitoring relevant national programs such as the Center for Medicare/ Medicaid Services (CMS): Merit-Based Incentive Payment System (MIPS) and, Hospital Inpatient… more
- Centene Corporation (Harrisburg, PA)
- …**This role is remote /work from home with 50% travel to visit Medicaid LTSS participants in nursing facilities typically within no more than 2 hours drive ... plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
- CVS Health (Lansing, MI)
- …it all with heart, each and every day. **Position Summary** : Fully remote position with requirement to reside within the following Michigan counties: Clinton, ... role is a telephonic clinical case management position working with our Medicaid population. Use of Motivational Interviewing skills, members are outreached and… more
- Virtua Health (Mount Holly, NJ)
- …Philadelphia for pediatrics. Location: Mount Holly - 175 Madison Avenue Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time Type: ... years experience as Clinical Social Worker. Basic understanding of Medicare, Medicaid and managed care. Discharge planning or home health background.Excellent verbal… more
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