- Fallon Health (Worcester, MA)
- …hope_ , we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Brief ... who have MassHealth Standard, and may have Medicare. It combines MassHealth ( Medicaid ) and Medicare benefits, including prescription drug coverage. At Fallon Health,… more
- Community Health Network (Indianapolis, IN)
- …ensure needs are met. + Accurately identifies and enters patient demographics, insurance , and financial information including in network and out of network benefits ... through electronic filing systems, EPIC. + Obtains patient identification and insurance cards. Scans appropriate information into patient's account. + Verifies… more
- AmeriHealth Caritas (West Chester, PA)
- …experience with Medicaid /Medicare LTSS (Long Term Services & Support) government product is a plus. + Independent & strong analytical & problem-solving skills ... Care Management System platform for a state government market product , Long Term Services & Support (LTSS). In this...user access policies and procedures. + Provide input to manager on staff performance relating to technology but does… more
- Elevance Health (Richmond, VA)
- …a proud member of the Elevance Health family of companies offering Medicare plans, Medicaid , individual and family plans, and group insurance plans in Colorado, ... individual is charged with end-to-end responsibility over ambitious network and product design (implementation) while championing initiatives on behalf of multiple… more
- City of New York (New York, NY)
- …ecosystem and infrastructure. BDTS will house the CPHDS' governance, partnerships, product management, data engineering, and data visualization work. DUTIES WILL ... data quality, classification, masking and tagging, matching, risk mitigation, product development, nomenclature, security, access controls, disclosures, data use… more
- Elderwood (Buffalo, NY)
- …Minimum of associate degree or equivalent work experience + Demonstrated knowledge of Medicaid product information + Basic understanding of health diagnoses and ... up to 4% Substantial Referral program Care Navigator Overview Reporting to the Manager of Care Services, the Care navigator assists the clinical staff with case… more
- Centene Corporation (Albany, GA)
- …Health (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS). The Clinical Quality Assurance RN will also create, analyze, ... support of department and all relevant NYS programs and product lines. The Clinical Quality Assurance RN will ensure...for day-to-day purposes and at meetings. + Assist the Manager , as needed, to determine areas that require immediate… more
- Elevance Health (Waukesha, WI)
- …a proud member of the Elevance Health family of companies offering Medicare plans, Medicaid , individual and family plans, and group insurance plans in Colorado, ... care and trend management strategy, hospital negotiations, network and product design (implementation), and development/oversight of all payment innovation programs… more
- Novo Nordisk (Poughkeepsie, NY)
- …Team leads the US sales efforts for Novo Nordisk's robust cardiometabolic product portfolio, which includes world class therapies for the treatment of diabetes, ... current co-promotion partners. Internally, the DCS I report to the District Business Manager of the specific sales territory. The DCS I also interact and… more
- Fallon Health (Worcester, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive ... and Flex Program Coordinator as needed and directed by Supervisor/ Manager **Responsibilities** **Primary Job Responsibilities:** **New Member Processing and Referral… more