- Sedgwick (Annapolis, MD)
- …limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Secures and disposes of salvage. + Reports claims to the ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Excellent oral… more
- Alameda Health System (San Leandro, CA)
- …payor requests for concurrent and retrospective review information including Medicare and MediCal regulations/requirements, avoidable days and quality issues. ... plan, progress notes and discharge summary related information as required by Medicare , MediCal, Title 22 and other mandated regulations according to Department… more
- CVS Health (Albany, NY)
- …**Position Summary** The Senior Clinical Strategist works with assigned Aetna Medicare Provider Collaboration groups to drive improved performance by leading ... Senior Clinical Strategist works to drive clinical performance of assigned Medicare Provider Collaboration groups by: - Establishing trusting relationships with… more
- Danaher Corporation (Portland, OR)
- …+ Communicate regional and local coverage and reimbursement issues for Medicare , Medicaid and Commercial payers through internal meetings, payer research, and ... (preferred) + Demonstrated knowledge of all payer segments (eg Commercial, Medicare , Medicaid) + Demonstrated and presentation skills Travel, Motor Vehicle Record… more
- J&J Family of Companies (Santa Clara, CA)
- …+ Improve effectiveness and focus of industry alliances, as needed, that support Medicare and commercial payer policy and patient access. + Provide internal and ... experience is a plus. + Experience with complex reimbursement areas including Medicare and commercial payer policies and processes. + Demonstrated success in… more
- CVS Health (Hartford, CT)
- …day. **Position Summary:** We are seeking a Lead Data Scientist to join our Medicare Member Experience Data Science team. In this role, you will develop Artificial ... maintain our industry-leading satisfaction scores and drive millions of dollars of Medicare reimbursement for the business. Additionally, you will mentor junior Data… more
- Penn Medicine (Lancaster, PA)
- …(GED) is required.Equivalent Experience:*A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie ... not excluded from participation in Medicare , Medicaid or any other federal or state health insurance program.*1+ years One (1) to two (2) years of Medical Assistant… more
- Ochsner Health (Meridian, MS)
- …knowledge of managed care and public programs such as those funded by Medicare , Medicaid, Medicare Advantage, and commercial insurance plans. + Proficiency in ... using computers, software, and web-based applications. + Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. **Job Duties** +… more
- Texas Health Resources (Fort Worth, TX)
- …of each treatment session in accordance with departmental, Joint Commision, Medicare , and other applicable regulatory guidelines. + documents assessments of ... patient understanding of education provided in accordance with departmental, JCAHO, Medicare , and other applicable regulatory guidelines. At Texas Health Cleburne we… more
- Silicon Valley Power (Santa Clara, CA)
- …Employees: 2.0% @ age 62 formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20% up to $10,918.20 (Social Security) ... and 1.45% ( Medicare ) of gross pay **Health Insurance:** + City contribution up to $2893.54/month, based on enrollment in a CalPERS health plan + Employees electing… more