- Serco (VA)
- …health program policy and regulations (particularly the Health Insurance Marketplace, Medicare , Medicaid and CHIP), policy research and data analytics, and extensive ... initiatives that would optimize Marketplace eligibility processingand enhance consumer enrollment outcomes. + Manage cross-cutting projects and research studies +… more
- WelbeHealth (CA)
- …helps guide seniors who may qualify for the PACE program through the enrollment process with WelbeHealth. The Senior Care Advisor will collaborate with market ... and others to get seniors all the way to enrollment , which may include assisting prospective participants with the...in **tele sales** , **or** **customer services sales** , Medicare or PACE sales experience preferred + Minimum (1)… more
- Molina Healthcare (GA)
- …the operations of the health plan for the Medicaid , CHIP, Marketplace, MMP and Medicare lines of business. * Works with staff and senior management to develop and ... including: Claims, Configuration Information Management, Provider Data Management, Credentialing, Enrollment , and Contact Center Operations. * Oversees Claims Operations… more
- Humana (Jackson, MS)
- …complete action to correct multifaceted problems relating to eligibility, enrollment , billing, claims, referrals/authorizations, network operations, access to care, ... electronically, in hard copy or in person) regarding eligibility, enrollment , billing, claims, referrals/authorizations, appointment assistance, network operations, access… more
- University of Rochester (Rochester, NY)
- …assigned area, Financial Assistance, Social Work, Utilization Management, Medicaid Enrollment & Outreach, patients, families, third-party payers, and governmental ... Managed Care cases for appropriate follow-up and timely referral to Medicaid Enrollment & Outreach. _Quality Management_ + Develop a process to monitor caseload,… more
- BrightSpring Health Services (Louisville, KY)
- …long-term care and skilled nursing facilities by educating staff, supporting enrollment processes, planning events, and ensuring a consistent presence for current ... o Support satisfaction and retention initiatives throughout the member lifecycle. . Enrollment & Documentation o Support the timely submission and accuracy of … more
- City of New York (New York, NY)
- …with Community Board Health Committees to promote health literacy, insurance enrollment and access to affordable healthcare. - Cultivate relationships with the ... to enhance the reach and impact of health education, enrollment , access to affordable healthcare and disease prevention efforts....sponsored programs such as SNAP benefits; SSI or Medicaid, Medicare , and the Medicare Savings Program (MSP)… more
- TEKsystems (Morrisville, NC)
- …serve as an advocate to patients regarding eligibility requirements, program enrollment , affordability support, and general access for prescribed therapy Establishes ... by all payer types including private/commercial and government (ie, Medicare , Medicaid, VA and DOD); with expertise in ...Medicare , Medicaid, VA and DOD); with expertise in Medicare Part B Navigates through payer challenges by asking… 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 phone ... + Responds to broker inquiries via phone and e-mail regarding enrollment , billing/refunds, broker portal troubleshooting, marketing materials, plan benefits, claims,… more
- Fallon Health (Worcester, MA)
- …in our service area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare benefits, including prescription ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief Summary of Purpose:**… more