- Health Care Service Corporation (Chicago, IL)
- …the team to support divisional short and long-term initiatives related to Medicare provider network strategy and leverage analytics to drive provider network ... strategic network initiatives from inception to completion. This position will analyze Medicare network data using internal and external sources to support the… more
- Amazon (Seattle, WA)
- …responsible primarily for several critical workstreams which include analysis of Medicare Advantage and Accountable Care Organization data, design and implement an ... compared to plan expectations. Key job responsibilities -Analysis of Medicare Advantage and Accountable Care Organization data primarily -Medical economics… more
- Always Best Care Senior Services (Honolulu, HI)
- …to join our team. The ideal candidate will have a strong understanding of Medicare compliance requirements for Home Health and will help ensure our operations align ... with all regulations. Key Responsibilities: * Oversee and maintain compliance with Medicare guidelines for Home Health services. * Assist with the preparation,… more
- St Croix Hospice (Oakdale, MN)
- …Revenue Cycle Management is responsible for overseeing all aspects of the Medicare , Medicaid and Commercial billing, collections, and reimbursement processes for St ... and timely billing, maximizes timely cash collections, maintains compliance with Medicare & Medicaid regulations, and drives the overall financial performance of… more
- Covenant Health Inc. (Knoxville, TN)
- …rheumatology, sleep medicine and urology. Position Summary: Demonstrates knowledge of Medicare and payer billing guidelines and policies. Demonstrates ability to ... promptly review, interpret and communicate current and changes to published Medicare and other payer billing guidelines/policies. The Billing Liaison must be able to… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …Policy/Economics Analyst, you will play a vital role in supporting our Centers for Medicare and Medicaid and Health and Human Services (HHS) efforts. What You Will ... to uncover patterns and trends indicative of potential security threats to Medicare and Medicaid assets. + Risk Mitigation & Collaboration: Collaborate with… more
- CVS Health (Atlanta, GA)
- …the Aetna Mental Well-Being/Resources for Living book of business, specifically our Aetna Medicare plan sponsor. Aetna Medicare is considered a plan sponsor to ... will support the primary Account Manager for the RFL's program with Aetna Medicare and may expand to support of other enterprise customers. Responsibilities include:… more
- Rhythm Pharmaceuticals (Boston, MA)
- …and coverage for Rhythm's portfolio across key commercial self-insured employers and Medicare Part D payers. The Senior NAD will develop and maintain relationships ... with national and regional Medicare payers, third-party administrators (TPAs), PBMs, employers and employer...and strategic account management in the commercial self-insured and/or Medicare Part D channels. The position reports into the… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …**Job Summary:** Assist in billing and cash application of Medicaid/ Medicare /DME/Home Infusion claims. Manage open accounts receivable which requires rebilling ... inquiries to customers. Help with collection efforts of medical copays and Medicare copays from customers. **Responsibilities** **Job Duties:** + Manual billing and… more
- Hunterdon Health Care System (Flemington, NJ)
- …maintenance of medical necessity software, insuring compliance relating to Medicare billing requirements, conducting internal audits relating to medical necessity, ... and others by means of webinars and teleconferences offered by Medicare + General & Medicare Compliance: Medicare and Coding Compliance Reviews and monitors… more