- Health Care Service Corporation (Albuquerque, NM)
- …financial reporting functions. HSB is a profitably growing division selling Medicare Supplement and other Supplemental Health and Life products. Current annual ... and implement reserving/financial processes to coincide with new product and Medicare Supplement charter launches. * Own and execute Sarbanes-Oxley controls and… more
- Elevance Health (Miami, FL)
- …granted as required by law._ MMM Holdings, LLC is a company that provides Medicare Advantage and Medicaid plans in Puerto Rico. Currently, MMM Holdings, LLC operates ... leveraging in-depth knowledge of a Puerto Rico Medicaid and Medicare specialty or area of law to provide advice...transaction practice for a variety of vendor agreements including Medicare and Medicaid related vendor agreements. **How you will… more
- Signature Healthcare (Winchester, KY)
- …Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix and Medicare /Medicaid guidelines for all SHC Stakeholders. + Assist with design and ... presentation of RAI, PPS, Quality Measures, Medicare and Medicare education utilizing various types of media, technology, workshops, classes, and one on one. +… more
- Texas Health Resources (Arlington, TX)
- …Support & Case Review - Conduct additional reviews to assist departments handling Medicare , OIG, or non- Medicare denials. Provide expert analysis on coding, ... captures a patient's health status and clinical condition. Proficiency in researching Medicare , OIG, CMS, and other regulatory sources to interpret policies and… more
- Insight Global (Woonsocket, RI)
- …career opportunity. This role will delve into the complex, technical, and impactful Medicare ecosystem. You will be challenged to develop a deep understanding of its ... changes, testing best practices, automation, and technological advancements. The Medicare workflow is multifaceted, encompassing a wide range of technologies… more
- Humana (Chicago, IL)
- …on strategic analysis, partner evaluation, and operational execution to support Medicare Advantage growth through retail, lead generation, and other external ... and stakeholder engagement abilities. **Preferred Qualifications** + Familiarity with Medicare Advantage or health insurance preferred. + Bachelor's degree a… more
- CenterWell (Las Vegas, NV)
- …to make an impact** **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five ... years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care… more
- Elderwood (Wheatfield, NY)
- …+ Supervise all admissions and readmissions for eligibility or denial of Medicare Skilled services regulations. + Notify all providers, in writing, within 24 ... + Ensure that written physician certification for skilled services per Medicare guidelines are obtained. + Coordinate therapeutic services, Physical Therapy,… more
- ChenMed (Louisville, KY)
- …understanding of the company's patient population, including the complexities of Medicare programs + Exceptional organizational skills with the ability to ... + An understanding of the company's patient population, including the complexities of Medicare programs + Detail-oriented with the ability to multi-task. + Able to… more
- Little City Foundation (Inverness, IL)
- …PURPOSE:To process and monitor participant benefits, such as: LINK/SNAP, Medicaid, Medicare , and Social Security. To perform multiple HUD functions, including ... cards where applicable.3. Responsible for all benefit matters for Medicaid, Medicare and Medicare Part D for LCF residents.4. Responsible for all benefit matters… more