- Centene Corporation (Stockton, CA)
- …needed. + Meets or exceeds assigned annual sales goals and penetration of the Medicare book of business. + Travels within market to engage with local community based ... issues for assigned accounts + Participates in and conducts Medicare product training + Develops best practices and work...teams + Serves as subject matter expert in growing Medicare product lines + Submits reports upon request and… more
- Humana (Lansing, MI)
- …performance improvement for healthcare outcomes and patient experience within our Medicare population. This role will lead execution of tactics, collaborative ... of programs and their impact to results on the Medicare Health Outcomes Survey and patient experience. This role...leadership to develop functional strategies that broadly impact the Medicare Stars program. This role will also develop and… more
- Health Care Service Corporation (Nashville, TN)
- …or reciprocity with federal regulations Preferred Job Requirements * Experience with Medicare products (Including Medicare Advantage, Medicare Prescription ... Drug Plan (PDP) and Medicare Supplement products) * Adherence to CMS Medicare marketing guidelines and procedures, customer features, benefits and Medicare &… more
- Humana (Washington, DC)
- …teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid, and Medicare Advantage requirements and will understand ... preferably includes experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing… more
- New York State Civil Service (Buffalo, NY)
- …ANDEligibility for full and unconditional participation in the Medicaid and Medicare programs.OROpen Competitive:Possession of a license to practice medicine in New ... for full and unconditional participation in the Medicaid and Medicare programs. OR Provisional Opportunity - Possession of a...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- University of Rochester (Brighton, NY)
- …+ Self-Referral Law, the False Claims Act, Civil Monetary Penalties, and + Medicare and Medicaid billing regulations (including CMS, Medicare Advantage and New ... Compliance on relevant reimbursement and billing issues and requirements (including CMS, Medicare Advantage, and New York State Medicaid). Stays abreast of … more
- Humana (Franklin, 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...long-term care case management experience + Prior experience with Medicare & Medicaid recipients + Experience working with a… more
- New York State Civil Service (West Seneca, NY)
- …from appointment.You are responsible for payment of all required fees.Medicaid and Medicare : In order to be eligible for appointment and to maintain employment, ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more
- Avera (Sioux Falls, SD)
- …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
- Cedars-Sinai (CA)
- …applicable rules and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for maintaining routine ... DHCS. Duties and Responsibilities: + Ensures all services provided to Commercial, Medicare and Medi-cal managed care members are in compliance with program… more