- Providence (WA)
- …we must empower them._** **Providence Health Plan is calling an Individual and Medicare Producer Support who will:** + Be accountable for and facilitates Providence ... Health Plan's detailed benefits management support of Medicare and Individual / family lines of business +...of experience working with benefits in a fast paced Medicare product annual life cycle capacity + Experience working… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role ... Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit… more
- Prime Healthcare (Redding, CA)
- …For more information, visit www.shastaregional.com . Responsibilities The Senior Medicare -Medicaid Biller/Collector is responsible for both billing and collections, ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the deficiency lists used to obtain… more
- Centene Corporation (Kissimmee, FL)
- …access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. ... prospective enrollees and determine eligibility for participation in the Advantage Medicare product + Understand and apply all policies and procedures pertaining… more
- CVS Health (PA)
- …in the United States* **Position Summary** As an Individual Contributor Manager of Medicare Complaints Operations - Business Insight, you will play a vital role in ... data integrity. In this position, you will oversee support operations for the Medicare Complaints Department teams, manage the quality of the Online Monitoring Tool… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview:** The Medicare Broker Relations Manager drives broker channel growth and ensures sales success. This position is responsible for cultivating and ... brokers and general agencies, while ensuring full compliance with Centers for Medicare & Medicaid Services (CMS), state, and internal regulations. This highly… more
- BrightSpring Health Services (Chattanooga, TN)
- …approved sales and marketing presentations in accordance with applicable Centers for Medicare & Medicaid Services (CMS) and State guidelines and standards. + Conduct ... facility rollout meetings as needed. + Must communicate effectively with Medicare beneficiaries, their families, caretakers, nursing facility management and staff. +… more
- Ochsner Health (New Orleans, LA)
- …in applying and improving compliance policies, procedures and processes. Perform Medicare Coverage Analysis (MCA) for sponsored research projects. Configure studies ... Notices of Grant Award, FDA letters to produce a Medicare Coverage Analysis within a CTMS system. + Creation,...+ Creation, revision, and management of documents related to Medicare coverage analysis and compliance with Medicare … more
- Southeast Health (Dothan, AL)
- …Using internal and external computer systems and payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full resolution. Job ... to obtain accurate reimbursement; + Understands the use of and navigation of Medicare 's DDE system and other governmental and commercial payer websites for claim… more
- CVS Health (AZ)
- …internal business teams with client requests and escalations. + Developing quarterly Medicare strategic business plans aligned to client goals and PBM strategic ... with the client to develop and execute their annual Medicare bid strategy and plan, ensuring alignment with overall... bid strategy and plan, ensuring alignment with overall Medicare business objectives for their downstream business Your success… more