- Sharp HealthCare (Chula Vista, CA)
- …Rights. More fields may be added as regulations change.In cases where Tricare or Medicare / Medicare Advantage is primary or secondary, use scripting to review ... Coordination of Benefits (COB) standards to prioritize billing order of insurance plans. Medicare patients - Medicare Secondary Payer (MSP) questionnaire is… more
- Humana (Albany, NY)
- …new contracting models for value-based care providers, evolving key facets of the Medicare Advantage growth strategy, and identifying high level operating model ... of the largest health benefits organizations in the country. Role Overview The Insurance Strategy team supports Humana's Medicare and Medicaid business unit.… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Supports ... is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of...lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage , and Medicaid), including HEDIS audit… more
- Humana (Orlando, FL)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... to the development, implementation, and management of the company's Medicare /Medicaid Five-Star Quality Rating System. The Senior Stars Improvement, Clinical… more
- Humana (Miami Beach, FL)
- …Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to ... based on business needs and hours could include weekends/holidays. + During the Medicare Annual Election Period, September to December, must be able to work Monday… more
- Humana (Austin, TX)
- …internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand ... help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare… more
- Dartmouth Health (Lebanon, NH)
- …to best meet their individual needs, ie, COBRA, Medicare /Medicaid eligibility, Medicare Supplemental Plans, and Medicare Advantage Plans. * Provides ... in the application process for a wide range of Medicare , Medicaid and private insurance carriers. The...wide range of Medicare , Medicaid and private insurance carriers. The Transplant Financial Coordinator also has responsibilities… more
- Henry Ford Health System (Troy, MI)
- Primary Objectives To supervise, organize and coordinate the HMO, Medicare Advantage and Federal Government call center operations associated with HAP's Customer ... two (2) years of experience in health care or insurance environment with focus on Medicare managed...of health care delivery systems. + Working knowledge of Medicare Advantage Programs. + Knowledge of CMS… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. **Responds to ... is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of...self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement and… more
- Humana (Greenwood, IN)
- …other care team staff to address the member's identified needs + Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers ... for the people we so proudly serve. * Health Insurance begins on day one! * 23 days of...and benefits of members who are also eligible for Medicare . + Primary point of contact for the Interdisciplinary… more