- Elevance Health (Lake Mary, FL)
- …if portal access is limited. + Manage PBM credentialing requests and maintenance. Medicare (PECOS) processing for all pharmacy sites. + Maintain NCPDP profile for ... all pharmacy sites. + Certificate of Insurance requests and dissemination to plans or CMS. NPI...credentialing documents for payor applications. + Knowledge of Medicaid, Medicare , Managed care and PBM providers. + Additional responsibilities… more
- Humana (Lincoln, NE)
- …states: California, Hawaii, Nevada, Oregon + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage experience + Bilingual ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** About OneHome: OneHome coordinates… more
- AmeriHealth Caritas (Lancaster, PA)
- …and across the AmeriHealth Caritas organization (Pennsylvania Medicaid and Medicare plans, Pennsylvania shared services (Compliance, Regulatory and Communication), ... + Represent CHC at events organized by AmeriHealth Caritas Medicare plans in Pennsylvania. + Hosting Quarterly Advisory Committee...a valid PA driver's license, reliable transportation, and auto insurance . Must be able to move freely within a… more
- Athena Health Care Systems (Middletown, CT)
- …have been edited by interdisciplinary team members. + Tracks and schedules all Medicare certifications and recertification. + Mails and tracks all Medicare ... Available for Eligible Team Members: + Employer Paid Life Insurance + 401(k) with Employer Match + Vacation and...Vacation and Personal Time + Health, Dental, and Vision Insurance We are an equal opportunity employer that values… more
- New York State Civil Service (Middletown, NY)
- …to the routines, procedures, and policies of the ATC. * May complete insurance calls and documentation regarding coordination of care with financial/ insurance ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result… more
- Humana (Richmond, VA)
- …compliance with the National Committee for Quality Assurance (NCQA), Centers of Medicare & Medicaid Services (CMS) and Department of Medical Assistance Services ... off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is… more
- HCA Healthcare (Campbell, CA)
- …plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving ... assistance, pet insurance and more. + Free counseling services and resources...is to help manage the quality improvement initiatives and Medicare reimbursement programs. In addition to adhering to set… more
- Atlantic Health System (Morristown, NJ)
- …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in ... highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its...full-time and part-time team members) + Life & AD&D Insurance . + Short-Term and Long-Term Disability (with options to… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …will be considered. * Experience in medical coding with a focus on Medicare Advantage and ACA risk adjustment. * Certified Risk Adjustment Coder (CRC) certification ... * In-depth knowledge of ACA & Medicare Advantage risk adjustment methodology, coding guidelines (ICD-10-CM), healthcare...package which may include: * Medical, dental, and vision insurance * Life insurance * 401k *… more
- Penn Medicine (Lancaster, PA)
- …good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded from participation in Medicare , Medicaid or any ... other federal or state health insurance program + One 1 year of Anesthesia related experience + Graduate of Anesthesia Tech program + Certified Anesthesia Tech +… more