- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... + Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or...five (5) years' experience with CMS processes in a Medicare or Managed Care environment required + Experience with… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Certification consistent to the clinical practice. + 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. + 3+ years of experience as an NP or PA required. + Demonstrated leadership experience. + Excellent communication, organization and computer skills… more
- UNC Health Care (Hendersonville, NC)
- …care gap closure or exclusions. Responsibilities: * Under provider supervision, coordinates Medicare visits including Welcome to Medicare , Medicare ... transition of care visits, and Annual Wellness Visits. Collaborates with Quality Metrics staff to identify and correct patient care gaps. Examples include immunization and routine screening needs, as well as annual wellness visits due. Maintains weekly reports… more
- SUNY Upstate Medical University (Syracuse, NY)
- …NYS licensed/registered NP specialty area of Psychiatric required. 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. Preferred Qualifications: Prior experience in a psychiatry setting and American Nurses Association certification as a Psychiatric Nurse… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Certification consistent to the clinical practice. + 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) + AHA/ARC CPR-BLS Certification required at the time of appointment. + Must successfully pass pre-employment and credentialing clearances. Preferred Qualifications: Prior experience in a Psychiatry setting and… more
- CenterWell (Phoenix, AZ)
- …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
- US Tech Solutions (May, OK)
- …requests for multiple clients or lines of business and in accordance with Medicare Part D CMS Regulations. Must apply information provided through multiple channels ... where needed. **Responsibilities:** + Utilizing multiple software systems to complete Medicare appeals case reviews + Meeting or exceeding government mandated… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible ... for Medicare Enrollment within 6 months of hire (eligibility criteria for NP requires National Certification through AANP or ANCC, and Master's Degree) (eligibility… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible ... for Medicare Enrollment within 6 months of hire (eligibility criteria for NP requires National Certification through AANP or ANCC, and Master's Degree) (eligibility… more
- Always Best Care Senior Services (San Diego, CA)
- …Manager Always Best Care Home Health is seeking a RN Clinical Manager with Medicare experience to guide, lead and build a fast growing, results oriented Home Health ... year in home care. * Knowledge of community resources, Medicare and state regulations, ACHC requirements, and reimbursement criteria...at least 3 -5 years of experience in a Medicare Home Health environment and hold a current RN… more