- Humana (Oklahoma City, OK)
- …administrative expenses and quality/bonus performance + Comprehensive knowledge of Medicare policies, processes and procedures **Additional Information** To ensure ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Queen's Health System (Honolulu, HI)
- …credentialing packages as required by hospitals, surgery centers, commercial payors, Medicare and Medicaid. * Performs credentialing in accordance with policies and ... procedures of The Queen's Health Systems (QHS) and in compliance with federal, state, insurance carriers, health plans and other third party payor requirements. II.… more
- Humana (Bismarck, ND)
- …to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, strategic ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Detroit, MI)
- …assigned area in Wayne or Macomb county, to conduct in home visits with Medicare /Medicaid members.** **Must reside in Michigan with the ability to drive to Wayne or ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Organon & Co. (Plymouth Meeting, PA)
- …in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. The role will also support the development of a ... in facility and healthcare provider reimbursements by payer type, including commercial, Medicare , and Medicaid. Serve as an expert on DRG hospital and provider… more
- Idaho Division of Human Resources (Caldwell, ID)
- …the position. + Provide nutrition and health assessments at clinics + Ensure compliance with federal, state, and district regulations + Develop individual care plans ... survivor benefits based on earnings from this job. However, Medicare taxes will still be withheld, and these earnings...still be withheld, and these earnings will count toward Medicare eligibility. Who May Apply Individuals who meet all… more
- Humana (Richmond, VA)
- …with members and/or families. **Preferred Qualifications** + Prior experience with Medicare , Medicaid and dual eligible populations. + Previous experience with ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- United Therapeutics (Fort Worth, TX)
- …and UT's patient support program. Advise on patient level reimbursement issues in compliance with policies and well-defined Rules of Engagement. Abide in a compliant ... of medical insurance terminology + Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with...Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B and Part D) Job Location This… more
- Penn Medicine (Lancaster, PA)
- …Provision of Care. + Maintains a safe working environment through compliance with established evidence-based practice policies and procedures and timely reporting ... + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance...health insurance programs, ie not excluded from participation in Medicare , Medicaid or any other federal or state health… more
- Humana (Pompano Beach, FL)
- …6 years of Health Services/Case Management Experience + Prior experience with Medicare & Medicaid recipients + Intermediate to advanced computer skills and ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more