- CVS Health (Hartford, CT)
- …Supp business actuarial and finance teams. Provide insights regarding the level of medical costs recognized and changes to prior periods. + Oversee the statutory PDR ... and GAAP PDR calculations. + Complete annual gross premium valuations for Medicare Supplement business. + Manage the relationship with the external vendor for… more
- Highmark Health (Pittsburgh, PA)
- …with all applicable guidelines, regulations and laws established by the Centers for Medicare and Medicaid Services (CMS), the Department of Health and Human Services ... that deliver measurable, actionable solutions resulting in improved accuracy of medical record documentation and coding. Promotes the strategy and capabilities to… more
- AbbVie (Irvine, CA)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... Eye Care Brands across all payer channels (eg Commercial, Medicare , Medicaid, and VA). This individual will be required...that has the potential to affect access to the medical benefit products in Eye Care. + Collaborate cross-functionally… more
- ChenMed (Cincinnati, OH)
- …to all internal and external customers ( _including patients and other Chen Medical team members_ ). + Monitors office communication and performance to ensure that ... waste and medicine disposal, etc. + Conducts trainings and refreshers regarding Medicare and HIPAA compliance, ensures annual OSHA trainings occur and employees have… more
- Catholic Health Services (Melville, NY)
- …Qualifications: 1. Minimum Education/Training Required: Graduate of an accredited medical school. Completion of specialty residency (ie, Internal Medicine, Emergency ... their practical application preferred. Working knowledge of third-party payor guidelines/ medical necessity criteria such as InterQual(R) (ie, knowledge of admission… more
- Intermountain Health (Murray, UT)
- …more than 1 million members. Select Health's line of businesses include Medicare , Medicaid, FEHB, Marketplace Qualified Health Plans, and fully funded and ... + Supports development and refinement of tools, processes and systems to optimize medical management, clinical outcomes and member satisfaction in order to provide a… more
- BrightSpring Health Services (Clearwater, FL)
- …with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + Leading case ... nursing and direct care staff, family and/or guardians, and community medical providers and professional consultants in cooperation with operations management +… more
- BrightSpring Health Services (Corpus Christi, TX)
- …with Company policies and procedures, state licensure and regulations, Medicaid and Medicare standards, as well as state reimbursement regulations + Leading case ... nursing and direct care staff, family and/or guardians, and community medical providers and professional consultants in cooperation with operations management +… more
- WellSpan Health (Lebanon, PA)
- …staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- Trinity Health (Fort Lauderdale, FL)
- …with experience in working in a complex delivery system with a multi-specialty medical group and a Medicare Advantage health plan.** **_Position Highlights and ... Benefits_** + Comprehensive benefit packages available, including medical , dental, vision, paid time off, 403B, and education assistance. + We serve together in the… more