- Amergis (French Camp, CA)
- …InterQual assessments + Collaborating with multidisciplinary teams + Applying current Medicare guidelines + Clinical documentation and critical thinking ?? Required ... experience + Utilization Review experience + InterQual experience + Knowledge of Medicare guidelines + Experience with PERFORMANT or CDCR denials (preferred) ??… more
- CenterWell (San Antonio, TX)
- …a part of our Tuberculosis (TB) screening program.** **Preferred Qualifications:** ** 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
- CVS Health (TN)
- …: + 4-year college degree or 1 to 2 years' experience of selling multiple Medicare products (ie, Medicare Advantage, Medicare Supplement) + Life & Health ... insurance license is not required to be employed. It is required to obtain the license within 60 days from the employment start date + Active use of computer for carrying out daily job activities + Ability to multi-task while talking on the phone + Excellent… more
- Belle (Kansas City, MO)
- …(medical, dental, vision, 401k) + Be part of a mission-driven team helping Medicare seniors live healthier, longer lives What You'll Do + Provide routine telehealth ... visits with Medicare patients (E/M and Chronic Care Management) + Create...by embedding preventive services directly in the lives of Medicare members. By joining us now, you'll not only… more
- CenterWell (Savannah, GA)
- …consumer experiences **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to ... five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated… more
- CVS Health (Scottsdale, AZ)
- …as needed. + Knowledge of all types of health care products including HMO, PPO, Medicare Advantage and Medicare Part D. + Knowledge of all types of pharmacy ... products including specialty drug, Medicare Part D and understanding of PBM operations. + Working knowledge of Microsoft Office products (Word, Excel, PowerPoint,… more
- Travelers Insurance Company (Meridian, ID)
- …to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome. ... to manage losses involving issues of statutory benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible outcome +… more
- Calvert Memorial Hospital (Prince Frederick, MD)
- …healthcare by coordinating, performing and completing or supporting the Welcome to Medicare (WTM) and Annual Wellness Visit (AWV) to a specified panel of ... Medicare (or Medicare eligible) patients. This activity may be performed in collaboration with providers and office staff to achieve visit goals each year. +… more
- Humana (Montpelier, VT)
- …to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and Abuse in ... a group of seasoned professionals. + Proven knowledge in Medicare regulations + Excellent PC skills MS Excel and...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Walmart (Orlando, FL)
- …labeling prescriptions and preparing packages and distributing medicationsComplies with Medicare and Medicaid policies and procedures by implementing and adhering ... keeping uptodate with regulations researching information to accurately process Medicare orders to ensure compliance with appropriate regulations and interpreting… more