- UNC Health Care (Hendersonville, NC)
- …research encounters to the study, reviewing charges for research patients to ensure Medicare billing compliance , and create treatment plans in Beacon for ... management of care of patients participating in clinical trials, ensuring compliance with protocol procedures, assessments, reporting requirements, and management of… more
- CVS Health (Concord, NH)
- …market performance, cost structure and local execution of medical costs management, compliance , and revenue integrity efforts for all Medicare Advantage products ... every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products in their market, supporting… more
- Gentiva (Altoona, PA)
- …+ **Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC)** We are seeking a ... + Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) + Knowledge and compassion… more
- Humana (Chicago, IL)
- …customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact ... self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of ...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- UCLA Health (Los Angeles, CA)
- …Senior Product Manager to lead the design, development, and implementation of our Medicare Advantage products. In this role, you'll partner with the Director of ... Medicare Product Development and Bids to guide the annual...process, drive cross-functional initiatives, and ensure product accuracy and compliance throughout the member lifecycle. Key Responsibilities: + Lead… more
- OhioHealth (Columbus, OH)
- …Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This position ... will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This position is primarily… more
- University of Rochester (Rochester, NY)
- …to authorizations, coordination of benefits, baby not on policy, Cobra entitlement, Medicare Lifetime Reserve days, and Medicare Advantage issues. This role ... adding newborns onto policy. + Determine the primary payer through knowledge of Medicare and other payer regulations for the coordination of benefits. + Notify… more
- Humana (San Juan, PR)
- …part of our caring community and help us put health first** The Medicare Call Center Representative 2 represents the company by addressing incoming telephone, ... digital, or written inquiries from Medicare members. The Medicare Call Center Representative...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Dignity Health (Santa Maria, CA)
- … + Completes the nursing portion of the MDS in a timely manner to ensure compliance with Medicare guidelines. + Compliance with policy and procedures + ... Complies with safety, infection control, CHW Integrity Program, and other organizational policies (90-day evals-department specific orientation checklists completed; annual evals -annual competency checklists completed). + Complies with the organizations's… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager Medicare Stars Quality Improvement Manages the Quality and Senior Quality Improvement Specialists and their work. Responsible for the creation, ... facilitating change through internal team building. Essential Functions -Manager Medicare Stars Quality Improvement + Supports quality improvement activities with… more