- 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
- Centers for Medicare & Medicaid Services (Washington, DC)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation, ... and operating innovative payment and delivery models specifically related to Medicare Advantage health plans Responsibilities Coordinates all facets of the… more
- Masonicare (Wallingford, CT)
- …development and implementation of a comprehensive care plan. 4. Oversees compliance with Medicare Certifications for all Medicare A / PPS patients/residents on ... the designated units. 5. Regularly prepares and distributes Medicare Notices for patients/residents on the designated units. + Communicates with Finance/Billing… more
- CVS Health (Chicago, IL)
- …for highly motivated individual to lead a core team as a Hybrid Field Sales Medicare Manager. This position will be a part of a specialized team who will focus ... sales agents to achieve monthly sales goals using our competitive portfolio of Medicare Advantage & DSNP products within the assigned market. The manager will… more
- Humana (Jefferson City, MO)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- Humana (Clermont, IN)
- …care team staff to address the member's identified needs + Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as ... and benefits of members who are also eligible for Medicare . + Primary point of contact for the Interdisciplinary...waivers (HCBS dual roles only) + Prior experience with Medicare & Medicaid recipients + Experience working with a… more
- Avera (Fargo, ND)
- …sign-on and relocation assistance. Seeking a candidate with 5+ years of Medicare Cost Reporting experience. Avera offers competitive salary and benefits! **You ... will be responsible for the oversight of reimbursement associated with the Medicare , Medicaid, Tricare and any other governmental cost reports and regulatory support… more