- CVS Health (Tallahassee, FL)
- …clinical oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare - Medicaid Plan) * Develop and lead clinical strategy and ... Leverage extensive knowledge of health care delivery system, utilization management, reimbursement methods and treatment protocols for DSNP/MMP and other complex… more
- NHS Management, LLC (Mobile, AL)
- …+ Healthcare billing and collection experience with nursing home receivable which includes Medicaid and Medicare Part A & B, HMO's + Experience with ... Medicaid Applications + Strong organization skills including the ability...pressure + Fundamental knowledge of accounting practices and agency reimbursement programs + Must be at least 18 years… more
- Somatus (Mclean, VA)
- …role provides guidance and oversight to all lines of business including Commercial, Medicaid , Medicare , and Special Need Plans (SNPs). The Director, Quality will ... Paid Time Off (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness Benefits supporting teammates physical and mental well-being… more
- Waystar (Louisville, KY)
- …1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid / Medicare payers. We are deeply committed to living out our organizational ... of hospital & professional coding and billing workflows and the provider reimbursement process, obtained either through direct experience in a healthcare setting or… more
- Abbott (Livermore, CA)
- …manage the company's healthcare cash posting and lockbox activities , including Medicaid , Medicare , Managed Care, and third-party payors transactions on multiple ... retirement savings plan with high employer contribution + Tuition reimbursement , the Freedom 2 Save (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program… more
- AmeriHealth Caritas (Harrisburg, PA)
- …compliance with state regulations and internal standards. A strong understanding of Medicaid , Medicare , and state-funded programs is essential, along with the ... Office of Mental Health & Substance Abuse Services (OMHSAS), supporting Medicaid enrollment and documentation processes. + Coordinate with internal departments to… more
- Charles B. Wang Community Health Center (Queens, NY)
- …enroll qualified Aged, Blind & Disabled population individuals into the relevant Medicaid program with Medicare eligibility assessments + Assure that application ... to raise community awareness of the Program and of Medicaid enrollment services + Assist to plan, schedule, and...Employee Assistance Program + Employee Discount Programs + Tuition reimbursement for eligible employees, and + The Health Center… more
- Living Resources (Albany, NY)
- …understanding each program and necessary admission/discharge requirements + Knowledge of Medicaid , Medicare , SNAP and Social Security benefits and ... issues impacting billing and cash flow + Ensuring all Medicaid and waiver documentation is in place prior to...costs for Health Insurance), Dental & Vision Insurance, Health Reimbursement Accounts, Payment in Lieu of Health Insurance, Tuition… more
- Therapeutic Alliance, LLC (Lynchburg, VA)
- …regulations. + Comply with privacy laws and requirements under HIPAA and Medicaid / Medicare regulations and understand the consequences of non-compliance. + ... + Vision insurance + Life insurance + Paid time off + Full travel reimbursement + Environment with flexible working options + 401(k) + Workers' Compensation +… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …the lifecycle of National pharmacy and medical benefit payer contracts, including Commercial, Medicare and Managed Medicaid + Assess contract language risks and ... Office Suite + Knowledge of compliance standards including anti-kickback statute, Medicaid Best Price, and regulatory guidance related to value-based contracting… more