- Vanderbilt University Medical Center (Nashville, TN)
- …and perform analyses of financial matters related to reimbursement, net revenue and Medicare cost reporting. The work performed by this role encompasses reporting on ... and trend analysis. Supports preparation and detail analytics associated with Medicare reimbursement including: + Preparation of the annual cost reports and… more
- Highmark Health (Charleston, WV)
- …outbound calls related to sales of and enrollment in Highmark Wholecare's Medicare Assured(R) product. Generate leads and conducts outbound calls to prospective ... material and conducts follow-up to promote the plan. Complete phone-based Medicare Assured(R) enrollments in accordance with CMS Marketing and Enrollment guidelines.… more
- The Cigna Group (Bloomfield, CT)
- …- United States** **Summary** The Business Analytics Senior Advisor position within the Medicare Growth Analytics Team is an opportunity to provide leadership on our ... analytics strategy, to support our broader Medicare Growth team and provide actionable insights and analytics....on setting and executing the vision for how our Medicare Growth team can lead Cigna to achieving its… more
- CVS Health (Hartford, CT)
- …anywhere in the US.**Responsibilities of this Medical Director role are related to Medicare Appeals.* Direct daily work on part C appeals (both provider and ... and Part D appeals.* Provide direct support to appeal nurses and dedicated Medicare part D pharmacists; supervision and participation in the Second Look Review (SLR)… more
- CVS Health (Hartford, CT)
- …with Informatics, Part D Product SMEs, Part C Product SMEs, and supports Medicare local markets. Participates and manages CMS Rx bid process from beginning to ... for software coding. Required Qualifications Must have in-depth knowledge of Medicare regulatory environment. Well versed in pharmacy benefits and PBM functions… more
- CVS Health (Santa Ana, CA)
- …business. CVS Health/Aetna is working to transform the way California Medicare beneficiaries experience health care - improving quality, emphasizing whole-person ... Manager to support the growth of our industry leading Medicare business. This is a highly collaborative role in...This is a highly collaborative role in the largest Medicare eligible county in the United States and will… more
- The Cigna Group (Phoenix, AZ)
- …development, home appointments, group presentations, and provider/community collaboration for ** Medicare -** related products. + **_Work at home location - Maricopa ... - mileage reimbursement provided_** + **_Valid Producer license to sell Medicare products_** + **_Bilingual preferred, not required_** **RESPONSIBILITY:** + Meet or… more
- Adecco US, Inc. (Woonsocket, RI)
- …currently assisting a National Pharmaceutical client, recruiting for a REMOTE Clinical Medicare Pharmacist. Apply Now! The schedule is as follows: Monday through ... As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related...and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity… more
- Molina Healthcare (CA)
- …of Member Materials. **Knowledge/Skills/Abilities** + Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, ... database. + Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed. + Participates in regular… more
- Home Care Now (Riverview, FL)
- Home Care Now is hiring Registered Nurses for Medicare Admissions & Visits for PER DIEM positions serving patients in Pinellas, Pasco & Hillsborough counties. ... Medicare Oasis E and SOC admissions experience required. Set...the physician's plan of care and orders * Complete Medicare SOC and Oasis E documentation * Follow physicians… more