- Bristol Myers Squibb (Madison, NJ)
- …of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and compliance in ... connection with matrix team's financial reporting (GTN, projections and budgets) as well as all aspects with evaluating implications of and reporting Managed Care data required for US and Puerto Rico government pricing calculations. **Responsibilities:** +… more
- American Medical Association (Washington, DC)
- …opportunities to advance AMA priority issues and develops strategies for Medicare physician payment reform, relieving regulatory burdens, digital health, access to ... care, and public health. + Ensures AMA management and leadership are apprised of federal policy developments, and coordinates interactions between federal agencies and the BOT, EVP, senior management, and other AMA units in DC and Chicago. + Develops and… more
- WellSpan Health (Lebanon, PA)
- …health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and ... one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000… more
- Trinity Health (Fort Lauderdale, FL)
- …a complex delivery system with a multi-specialty medical group and a Medicare Advantage health plan.** **_Position Highlights and Benefits_** + Comprehensive benefit ... packages available, including medical, dental, vision, paid time off, 403B, and education assistance. + We serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. + We live and breathe our guiding… more
- NHS Management, LLC (Vestavia Hills, AL)
- …billing and collection experience with nursing home receivable which includes Medicaid and Medicare Part A & B, HMO's + Experience with Medicaid Applications + ... Strong organization skills including the ability to prioritize and manage multiple tasks in a dynamic environment + Strong analytical skills; ability to quickly identify problems and find effective solutions + Strong written and oral communication skills +… more
- The Cigna Group (Bloomfield, CT)
- …marketing, sales, and business acumen experience a plus. + Fluency in Spanish (Cigna Medicare ) or other languages If you will be working at home occasionally or ... permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 206,300 - 343,900 USD /… more
- Centene Corporation (Queens, NY)
- …experience in a managed care or insurance environment, preferably in Medicare or Medicaid. Previous management experience including responsibilities for hiring, ... training, assigning work and managing performance of staff. **License/Certification:** Valid driver's license. **For Fidelis Care only:** Must have valid driver license, personal vehicle and ability to travel. Pay Range: $116,100.00 - $214,700.00 per year… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …strategic goals and ROI. + Maintain healthcare industry expertise in Medicare , Medicaid and commercial reimbursement methodologies, along with experience in labor ... forecasting, including provider productivity modeling, FTE demand planning, and clinical staffing optimization. + Champion financial automation and digital transformation. Demonstrate hands-on expertise with EPM and BI tools (eg, Strata, Power BI, Epic Cogito)… more
- Highmark Health (Pittsburgh, PA)
- …with all applicable guidelines, regulations and laws established by the Centers for Medicare and Medicaid Services (CMS), the Department of Health and Human Services ... (HHS), and others established at the state and federal levels. Drives efficient operational functions to achieve established Quality measures, STARS and HEDIS performance ratings. Directs and manages team of ~75 employees that are health plan and… more
- Bear Mountain Health Care (Springfield, MA)
- …years supervisory experience in long term care + Strong knowledge of Medicare /Medicaid/Joint Commission guidelines required + Must be computer literate. Knowledge of ... EMR required ESSENTIAL DUTIES AND RESPONSIBILITIES: + Provides guidance and direction to ancillary staff in both clinical and personnel issues + Assist staff in assessing patient/resident status related to medical issues, social psychological and spiritual… more