- Humana (Jackson, MS)
- …clinical strategy, performance monitoring, and continuous quality improvement within the Medicare Advantage program to support improving the health of members. The ... MHA, MPH). + Experience in managed care, health plan operations, or Medicare Advantage programs (including various SNP products) or Managed Medicaid. + Familiarity… more
- Choctaw Nation of Oklahoma (Idabel, OK)
- …insurance eligibility and assign referrals to the Benefit Coordinator. 4. Complete Medicare Secondary Payer questionnaire for Medicare patients. 5. You will ... Education and Experience:** * Knowledge of HIPAA * Experience verifying and sequencing Medicare , Medicaid, and private insurance * One [1] year experience in a… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation ... Directors in the development, evaluation and implementation of a wide range of Medicare and Medicaid issues and policies relating to preventive and population health… more
- Cognizant (San Jose, CA)
- …Service Desk, Service Now and Desktop Support along with domain experience in Medicare & Medicaid Claims. This role involves focusing on enhancing our service ... teams to improve service delivery processes and implement best practices. . Analyze Medicare & Medicaid Claims to identify trends and areas for process improvement… more
- SUNY Upstate Medical University (Syracuse, NY)
- …practice. NYS licensed/registered NP or PA required. Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for ... Medicare Enrollment within 6 months of hire. CPR-BLS Certification required at the time of appointment. Must successfully pass pre-employment and credentialing clearances. Preferred Qualifications: Endocrine or Glycemic experience preferred. Work Days:… more
- Walmart (Orlando, FL)
- …documentation and maintaining a safe and clean work environment Complies with Medicare and Medicaid policies and procedures by implementing and adhering to rules ... on policy changes and new regulations researching information to accurately process Medicare orders to ensure compliance and interpreting and documenting Medicare… more
- SUNY Upstate Medical University (Syracuse, NY)
- …+ NYS licensed/registered NP or PA required. Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for ... Medicare Enrollment within 6 months of hire. + CPR-BLS Certification required at the time of appointment. + Must successfully pass pre-employment and credentialing clearances. Preferred Qualifications: + Experience in Inpatient Patient Management. +… more
- CenterWell (Houston, TX)
- …Medicine or Geriatric Medicine preferred + 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
- UNC Health Care (Rocky Mount, NC)
- …service. 6. Responsible for the delivery of Regulatory Notices including the Medicare Important Message, Medicare Outpatient Observation Notice and the ... Medicare Change of Status Notice, assisting in facilitating discharge planning, and assisting in utilization management processes. 7. Performs other duties as needed. Other Information: **Education Requirements:** * High School Diploma or equivalent. .… more
- Marshfield Clinic (Marshfield, WI)
- …adjustment strategy and related revenue management for Security Health Plan's Medicare , Affordable Care Act and Medicaid business. This individual provides ... for preparation for and management of the Centers for Medicare and Medicaid Services (CMS) and the Department of...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more