- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) in Albany, NY** **Division of Eligibility & Marketplace ... of the NYSOH Marketplace performance relating to program eligibility determinations, enrollment functionality and notice generation. This person will be reviewing… more
- Aston Carter (Beaverton, OR)
- Job Title: Payroll Specialist Job Description The Payroll Specialist will focus on semi-monthly payroll, processing new hires, ensuring the accuracy of time data ... the proper use of the computerized timekeeping system, Paycom. + Manage Open Enrollment for the designated facilities. Essential Skills + 2+ years of payroll… more
- Healthfirst (FL)
- …work experience in Managed Care Health Insurance Plan + Experience with appeals for Medicare , Medicaid, Dual enrollment and commercial Plans end to end. + Claims ... complaints, and member and provider appeals. The end-to-end process requires the Specialist to independently: + Research issues + Reference and understand HFs… more
- Staffing Solutions Organization (Albany, NY)
- …a reflection of our clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division of Eligibility & Marketplace ... is seeking a highly motivated individual to ensure consumer eligibility and enrollment practices for New York State's health insurance programs are performed in… more
- NorthWest Senior & Disability Services (Woodburn, OR)
- …for benefits and enrolling consumers, and ongoing maintaining of consumer enrollment in various medical assistance programs. Essential Functions 1. Determine ... Organizations, attorneys, behavioral health partners, pharmacies, Social Security Administration, Medicare , medical providers, etc. + Process forms and documents. +… more
- Highmark Health (Charleston, WV)
- …with outside entities regularly to learn of community needs. + Collaborate with Medicare Sales team to identify enrollment opportunities. + Other duties as ... organizations and leaders. + Build an understanding of SDOH, Managed Care issues, Medicare , Medicaid, Dual Special Needs and delivery of those services to the… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... + Relocation assistance (geographic restrictions apply) + Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing + Mount… more
- Martin's Point Health Care (Portland, ME)
- …to Work" since 2015. Position Summary The Appeals Quality and Training Specialist supports the Appeals Department. This role supports Appeals quality goals through ... of each line of business within Martin's Point Health Care, including Medicare Advantage, US Family Health Plan (USFHP). + Demonstrates advanced knowledge of… more
- Trinity Health (Columbus, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... + Relocation assistance (geographic restrictions apply) + Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing + Mount… more
- Commonwealth Care Alliance (Boston, MA)
- 011540 CCA-Appeals & Grievances **Position Summary** Appeals and Grievances Specialist supports the Operations Department and the Appeals and Grievances team in a ... and update operational processes. Complaints Monitoring: + Supports daily monitoring of Medicare and EOHHS's Complaints Tracking & Management (CTM) Module and timely… more