- Humana (Palm Bay, FL)
- …Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid , achieve their best possible ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Henry Ford Health System (Troy, MI)
- …and resolve issues at a high level. + Knowledge of Medicare , Medicaid , Medicaid OPPS reimbursement , and other third- party billing rules/coverage, ... integrity. The RI Specialist understands hospital payor contracts and reimbursement methodologies. Works collaboratively with Revenue Integrity staff to identify… more
- BlueCross BlueShield of North Carolina (NC)
- …practices with complex coding patterns and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). **What You'll Do** + Analyzes necessary ... coding and reports relevant data to the Centers for Medicare and Medicaid Services (CMS). + Uses...and surrogacy assistance + Career development programs and tuition reimbursement for continued education + 401k match including an… more
- The Cigna Group (Bloomfield, CT)
- …Strong knowledge of the PBM industry and Government Regulated Programs such as Medicare , Medicaid , HCR + Strong communication skills, including presentations and ... and strategic direction you'll provide will better educate our Medicare clients on the products we offer and give...401(k) with company match, company paid life insurance, tuition reimbursement , a minimum of 18 days of paid time… more
- Staffing Solutions Organization (Albany, NY)
- …update eligibility and claims systems. + Take the appropriate actions regarding Medicaid enrollment and premium reimbursement . + Demonstrate systems processes ... may be received from a variety of sources such as Centers for Medicare and Medicaid Services (CMS), Insurance Carriers, and others. + Ability to problem solve… more
- AmeriHealth Caritas (Southfield, MI)
- …psychosocial needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines, within the ... with chronic conditions or disabilities. + Strong understanding of Medicare - Medicaid Plan Long-Term Services and Supports (MMP...you and your dependents on Day 1, 401(k) tuition reimbursement , and more. ; ; ; As a company,… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …of (US) healthcare systems, health policy, including managed care organizations, IDN's, Medicare and Medicaid ; innovative reimbursement pathways, similar ... execution of global & US region value-based market strategies integrating reimbursement , health economics, outcomes research and market access solutions across… more
- RWJBarnabas Health (Oceanport, NJ)
- …indicators associated with disease processes and pharmacology is required. + Knowledge of Medicare and Medicaid billing and coding regulations. + Must have ... Inpatient Coding Quality Officer III - ( Medicare )Req #:0000183242 Category:Coder Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services… more
- Molina Healthcare (Fort Worth, TX)
- …adequacy, and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct ... of, various managed healthcare provider compensation and VBP methodologies, primarily across Medicaid and Medicare lines of business, including but not limited… more
- Humana (Des Plaines, IL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... us put health first** Are you passionate about the Medicare population, looking for a role in management with...Paid Holidays + 401(k) retirement savings plan + Tuition reimbursement and/or scholarships for qualifying dependent children. + And… more