- CenterWell (Louisville, KY)
- …Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality ... and management of most chronic and acute-care conditions. The practices also provide health education and value-added, well-being services at the centers and around… more
- CenterWell (Louisville, KY)
- …Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality ... and management of most chronic and acute-care conditions. The practices also provide health education and value-added, well-being services at the centers and around… more
- TEKsystems (Chicago, IL)
- …Final rate may adjust slightly based on interview evaluation Training & Performance Expectations + 2‑week systems training (not underwriting fundamentals) + Must ... (80%+) to continue + First 90 days include high‑volume practice, QC scorecards, and performance feedback + Expected to underwrite a loan under 2 hours with 97%… more
- Caris Life Sciences (Irving, TX)
- …Billing to support a seamless patient and provider experience. + Provide regular reporting and analysis of eligibility performance , including KPIs, denial ... cross-functional initiatives and manage timelines, resources, and deliverables. + Experience with Medicare Advantage plans and familiarity with Xifin is a plus.… more
- Robert Half Accountemps (Minneapolis, MN)
- …+ Prepare, review, submit, and resubmit professional and facility claims to Medicare , Medicare Advantage (Managed Care), Medicaid, Medicaid Managed ... denials, track trends by payer, service line, and billed services, and provide feedback to support process improvement. + Collaborate with clinical, coding,… more
- TEKsystems (Plattsburgh, NY)
- …not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, ... contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process. *… more
- Commonwealth Care Alliance (Boston, MA)
- …**Desired Experience (nice to have):** + Experience working in a health plan, with Medicare Advantage and/or dually eligible population + Experience with a care ... oversight, routine and post discharge assessments, providing health education, and provider collaboration. Consults, as needed, with other participants of the… more
- CareFirst (Baltimore, MD)
- …Qualifications:** + Significant experience with Government programs including Maryland Medicaid, Medicare Advantage and DSNP. **Knowledge, Skills and Abilities ... and Grievances. + Ability to mentor and coach associates to accomplish goals, provide objective evaluation of associate performance , and implement strategies to… more
- CareFirst (Baltimore, MD)
- …performing analyses and problem resolution to meet business operational requirements for Medicare Advantage (MA), Affordable Care Act (ACA) & Medicaid Lines of ... overall suite of analytic capabilities and actionable reports to monitor internal performance , oversee vendors, solve problems, provide data-driven guidance, and… more
- TEKsystems (West Des Moines, IA)
- …person will support an application that manages all claims data for Medicare patients. This platform supports reporting across three key groups: Care, Utilization, ... how coaching a patient reduces hospital time and saves Medicare costs. All data is documented for state compliance....Spring Boot and JavaScript. + Expertise in observability and performance monitoring. Job Type & Location This is a… more