• Director, Home Health

    BAYADA Home Health Care (Glen Burnie, MD)
    …and compassionate **Director** to manage operations at our **Glen Burnie, MD Medicare -certified Home Health office** . The ideal candidate will have a strong ... background in healthcare administration, regulatory compliance ( Medicare Conditions of Participation), clinical coordination, and business operations. This… more
    BAYADA Home Health Care (09/22/25)
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  • Medical Director - Mid West Region

    Humana (San Juan, PR)
    …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 (09/16/25)
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  • AVP, Clinical Stars & Quality Improvement (Remote)

    Molina Healthcare (Spokane, WA)
    …existing healthcare quality improvement initiatives and education programs supporting Medicare Star Ratings improvement for Clinical HEDIS measures. Responsible for ... of improvement strategies to ensure high level of performance across Medicare Stars clinical HEDIS programs. Leads enterprise partnership discussions and improvement… more
    Molina Healthcare (08/28/25)
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  • Administrator

    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
    Always Best Care Senior Services (08/28/25)
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  • PT Acct Billing Liaison

    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
    Covenant Health Inc. (08/15/25)
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  • National Account Director

    Rhythm Pharmaceuticals (Boston, MA)
    …and coverage for Rhythm's portfolio across key commercial self-insured employers and Medicare Part D payers. The 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
    Rhythm Pharmaceuticals (07/31/25)
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  • RN - MDS Coordinator

    Elderwood (Cheektowaga, NY)
    …- $49.50 per hour Overview Are you a Registered Nurse (RN) with Medicare experience? Do you consider yourself an expert in assessment and reimbursement methodology? ... the facility based MDS/PPS departments. + Completes and/or oversees completion of all Medicare PPS MDS and/or OBRA assessments for both subacute and long-term care.… more
    Elderwood (10/04/25)
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  • Medical Director - Florida

    Humana (Montgomery, AL)
    …teaching conferences, and other sources of expertise. 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 (10/03/25)
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  • Hybrid Field Sales Manager

    CVS Health (Columbus, OH)
    …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
    CVS Health (10/03/25)
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  • Wellness Nurse

    Bassett Healthcare (Oneonta, NY)
    …direct supervision of an onsite physician, the Wellness Nurse will perform the Medicare Annual Wellness Visit for Medicare Part B beneficiaries. An ... ongoing patient needs. The Wellness Nurse acts as a resource for the Medicare patient population, primary care, population health and quality teams. + Provides… more
    Bassett Healthcare (10/03/25)
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