- TEKsystems (Chula Vista, CA)
- …A mission-driven, nonprofit healthcare organization serving Medicaid and Medicare populations is investing heavily in next‑generation artificial intelligence. ... healthcare interoperability standards. Healthcare IT Expertise + Understanding of Medicaid/ Medicare processes, provider workflows, claims, and authorizations. + Deep… more
- Sedgwick (West Hills, CA)
- …of experts to both learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests… more
- Molina Healthcare (Roswell, NM)
- …automated analytical modules related to Risk Adjustment for Medicaid, Marketplace and Medicare /MMP. + Assist Risk Adjustment Data Analytics Leaders in designing and ... Science Techniques and languages like Python and R programming would be an added advantage . + 5+ Years of experience in Analysis related to Risk Scores, Encounter… more
- TEKsystems (St. Louis, MO)
- …- can purchase accident, hospital indemnity, and/or critical illness supplement insurance * Medicare - free online resources for anyone who is Medicare -eligible ... We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong,… more
- Boehringer Ingelheim (Ridgefield, CT)
- …directly contribute to the companies' success. We realize that our strength and competitive advantage lie with our people. We support our employees in a number of ... highest quality. + Compliance & Controls: Ensure full compliance with Medicaid, Medicare , VA Healthcare Act, MFN, and all relevant pricing regulations. Maintain and… more
- TEKsystems (Los Angeles, CA)
- …experience in Utilization Management (UM) and a strong understanding of HMO/ Medicare claims processes. Key Responsibilities: + Audit denied provider and member ... experience in Utilization Management (UM) + Hands-on experience with HMO/ Medicare claims, audits, and denials + Familiarity with claims...We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are… more
- TEKsystems (San Antonio, TX)
- …- can purchase accident, hospital indemnity, and/or critical illness supplement insurance * Medicare - free online resources for anyone who is Medicare -eligible ... We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong,… more
- University of Colorado (Aurora, CO)
- …of health such as issues of housing, transportation, Medicaid and/or Medicare enrollment, food/nutrition, access to health care, provide referrals to necessary, ... in Patient Navigation, enrolling patients for required services such as Medicaid or Medicare , or other resources available to patients. + Possess certification as a… more
- Molina Healthcare (Miami, FL)
- …as well as Reporting modules related to Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. + Analysis and reporting related to Managed care data like Medical ... like Python and R programming would be an added advantage . + 3+ years of experience with Microsoft Azure,...least one line of business among Medicaid, Marketplace and Medicare /MMP. + 3+ Years of experience in working with… more
- Sedgwick (Phoenix, AZ)
- …of experts to both learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests… more