- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …The Impact You Will Have We are looking for an Actuary for our Medicare Provider Relations team! You will apply broad actuarial principles and modeling technical ... in the areas of health insurance primarily for the Medicare line of business. As a key part of...line of business. As a key part of the Medicare Provider Relations team, independent actuarial analysis, actuarial judgement,… more
- Fresenius Medical Center (Aberdeen, MS)
- …options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs and COBRA). + ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …for internal and external use. Designated staff may focus primarily on supporting the Medicare Advantage line of business. **NATURE AND SCOPE** + This role does not ... of experience in the health industry accounting functions including billing, coding, Medicare or statistical analysis of financial information is required + Provider… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of the Actuary. As a Actuary, GS-1510-14, you ... a technical and actuarial expert for the modeling of Medicare and/or Medicaid program rates and estimates for both...law and for proposed changes. Analyzing, monitoring, and evaluating Medicare Advantage (MA) and Medicare Part D… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this critical role, you will ... drive the strategic planning, development, and optimization of our Medicare Advantage Risk Adjustment solution, ensuring that our deliverables support the… more
- Humana (Boise, ID)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- Humana (Charleston, WV)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- University of Southern California (Los Angeles, CA)
- …focusing on tasks such as preparing and ensuring compliance with the Medicare Cost Report (MCR) and related Medicaid Cost Reports. Additionally, the role ... therein. Essential Duties: + Support the preparation and submission of all Medicare , Medi-Cal and Tri-Care cost report filings and amendments on behalf of… more
- Humana (Trenton, NJ)
- …customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact ... self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of ...Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan… more
- French Consulting (Butner, NC)
- …(CCA) + Certified Professional Coder (CPC) + Have a thorough knowledge of Medicare payment principles including: Medicare Inpatient Prospective Payment System, ... Medicare Outpatient Prospective Payment System, Medicare Ambulatory Surgical Center Payment Rates, Medicare ...System, Medicare Ambulatory Surgical Center Payment Rates, Medicare Part B Physician Fee Schedule, Medicare … more