- Beth Israel Lahey Health (Charlestown, MA)
- …deep knowledge of both government and commercial payment systems; and, (4) Provide Medicare , Medicaid, and payment system expertise in support of BILH provider and ... VP and AVP, the Director will develop long- and short- term Medicare , Medicaid, and other government reimbursement revenue strategies, oversee preparation and… more
- CVS Health (Phoenix, AZ)
- …of auditors as part of CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance ... and be very detail-oriented. Candidates will become an expert on the CVS Health Medicare Audit Programs and will own one or more of those program processes on… more
- US Tech Solutions (May, OK)
- **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You ... information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity to initiate a… more
- US Tech Solutions (AZ)
- …**Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. ... information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity to initiate a… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …guidance and plans they need for healthy living. Outreach and Retention Associate (ORA)- Medicare Advantage CPHL is a Medicare Advantage Prescription Drug plan ... and options they are eligible for, + Answer inquiries related to all CPHL Medicare products *Licensed Agents Only. + Educate potential members about Medicare … more
- Tufts Medicine (Melrose, MA)
- …indicatean appropriate hospice referral. Presents the advantage of the hospice Medicare /Medicaid benefits to referral sources. + Thoroughly understands the ... Medicare /Medicaid hospice benefit, the Medicare home health benefit, the Medicare /Medicaid long term benefit and the Medicare HMO benefit. + Documents a… more
- Sharp HealthCare (San Diego, CA)
- …make appropriate Medi-Cal and CMS referrals to HOS workers.Screens all Medicare inpatient admissions for 72-hour outpatient overlapCheck for MCARE overlapping ... charges and transfers when appropriate72-hour outpatient overlaps are used for Medicare inpatient admitsComplies with all rules and regulations governing Medicare… more
- MetroLink (Los Angeles, CA)
- …you by SCRRA, which exceeds $50,000, be added to your Federal, State, and Medicare taxable earnings for W-2 reporting. This amount is reflected on your pay ... You do not participate in Social Security except for Medicare . You will contribute 1.45 percent of your pay...your pay to cover the hospital insurance portion of Medicare . Additional Medicare Hospital Insurance Tax: As… more
- Humana (Honolulu, HI)
- …(IFG). The Associate Director, Sales Support requires a solid understanding of the Medicare industry, FMO relationships with carriers, and how to lead and develop a ... implemented and followed. They utilize their knowledge of the Medicare industry to ensure that all practices and procedures...+ 3 or more years of direct experience with Medicare contracting + 3 or more years Leadership/Management experience… more
- University of Rochester (Rochester, NY)
- …to, authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues. Communicates, ... of adding newborns onto policy. Determines the primary payer through knowledge of Medicare and other payer regulations for the coordination of benefits. + Notifies… more