- AssistRx (Orlando, FL)
- …comply with all federal, state, and industry regulations, including anti-kickback statutes, Medicare / Medicaid rules, FDA and OIG guidance. + Work closely with ... with pharmaceutical manufacturers and understanding of third-party payer systems (commercial, Medicare , Medicaid ). Skills & Competencies: + . Strong leadership… more
- Prime Healthcare (Lynwood, CA)
- …state Medicaid billing guidelines + Knowledge of basic managed care, Medicaid / Medicare billing rules, regulations, and deadline + Working experience with all ... payer types including: commercial, governmental, Medicare , Medicaid , HMO, etc. and the ability...401K retirement plan, medical, dental, and vision coverage, tuition reimbursement , and many more voluntary benefit options. A reasonable… more
- The Arc Erie County NY (Williamsville, NY)
- …of the agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare , insurance companies, municipalities, Department of Health, school ... the Professions, the Office for People With Developmental Disabilities (OPWDD), Medicaid , Medicare , insurance companies, municipalities, Department of Health,… more
- Humana (Atlanta, GA)
- …PHI / HIPAA information **Preferred Qualifications** + Bachelor's Degree + Experience with Medicare and Medicaid + Comprehensive knowledge of Medicare ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Humana (Indianapolis, IN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Network Management or Provider Relations experience + Experience in Indiana Medicaid program operation + Proven planning, preparation and presenting skills, with… more
- Diversicare Healthcare Services & Diversicare Ther (Huntsville, AL)
- …entities per company guidelines and State and Federal regulations. 14. Ensures Medicare and Medicaid regulatory guidelines are completed accurately and timely ... Process Improvement Activities. 19. Continues to update knowledge base related to Medicare , Managed Care, Medicaid , RAI Process and computer technology updates.… more
- Signature Healthcare (Nashville, TN)
- …Clinical Care Consultant Candidate would have working knowledge of Medicare , Medicaid and Managed Care coverage, referral, and reimbursement methods. A ... supervisory experience preferred. + Possess working knowledge of Medicare , Medicaid and Managed Care coverage, referral, and reimbursement methods. +… more
- Aveanna Healthcare (Tulsa, OK)
- …care to infants, children, adolescents, and adults. Note: As an employer receiving Medicare and Medicaid funds, Aveanna employees must comply with all ... and Sick Days + Quarterly Bonus Opportunities + Mileage Reimbursement + 401(k) Savings Plan with Employer Matching +...Aveanna's supportive and dynamic environment! As an employer accepting Medicare and Medicaid funds, employees must comply… more
- Ascendis Pharma (Princeton, NJ)
- …Oversee the administration of rebate programs, including government rebates (eg, Medicaid , Medicare ), managed care rebates, and commercial rebates. Ensure ... models, and contracting strategies across various payer segments (eg, commercial, Medicare , Medicaid ). + Excellent negotiation, communication, and interpersonal… more
- TEKsystems (Morrisville, NC)
- …settings + Strong understanding of reimbursement processes and major payers ( Medicare , Medicaid , VA, DOD, commercial) + Experience with prior authorizations, ... | Call Center | Prior Authorization | Medical Claims | Insurance Verification | Medicare & Medicaid | Bilingual Communication | Patient Access | Case Management… more