- Corewell Health (Grand Rapids, MI)
- …Job Description The Pharmacy Intern, under the direct supervision of a licensed Medicare Quality pharmacist, will engage with Medicare members to improve ... and support other quality measures. Under the direct supervision of the Medicare Quality pharmacist, the pharmacy intern will engage Priority Health Medicare… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- Community Health Systems (La Follette, TN)
- **Job Summary** The Medicare Billing Specialist is responsible for performing timely and accurate Medicare billing activities, including claims preparation, ... submitted in accordance with regulatory guidelines and organizational policies. The Medicare Billing Specialist supports compliance with federal and state billing… more
- Molina Healthcare (Dayton, OH)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare's Medicare Compliance team supports Medicare operations for the Molina Medicare product lines. It is a ... **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is primarily responsible for Medicare Oversight. + Provide regulatory expertise to the Organization:… more
- AmeriHealth Caritas (Detroit, MI)
- …us at www.amerihealthcaritas.com. **Role Overview: ;** Reporting to the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care Coordinator manages care ... needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines, within the scope… more
- Humana (Helena, MT)
- …other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and Medicaid requirements, and will understand how ... includes some experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population + Current and ongoing Board Certification in an… more
- Humana (Atlanta, GA)
- …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
- UPMC (Pittsburgh, PA)
- Purpose: Reporting to the CMO of Government Products, the AVP, Medicare Medical Services serves as one of the strategic and tactical leaders who works with providers ... requirements for the Government products, with a focus on Medicare , including Special Needs Products for UPMC Health Plans....Plans. The AVP works closely with the President of Medicare product and Population Health functional business units to… more
- MVP Health Care (Schenectady, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a ** Medicare Field Sales Representative** to join #TeamMVP. This is the opportunity for ... multi-cultural environment. Must be sensitive to the needs of Medicare -eligible populations, including individuals with chronic conditions and disabilities. +… more
- Insight Global (Sarasota, FL)
- …Global is seeking a candidate that can manage billing collection for Medicare account receivables, aiming to minimize outstanding accounts and maximize cash flow. ... timely reimbursement. Resolves RTP and denied claims, and maintains the electronic Medicare billing system. Coordinates and updates CM and DDE billing updates,… more