- BAYADA Home Health Care (Boyertown, PA)
- …+ Either a BSN Degree OR MHA Degree + Management experience within a Medicare Certified Home Care Agency + Demonstrate record of goal achievement and successfully ... taking on increased responsibility with positive results + Understand Medicare Conditions of Participation **Why choose BAYADA?** + BAYADA offers the stability and… more
- AbbVie (Mettawa, IL)
- …all payer and distribution channels including Commercial health plans, PBMs, Medicare , Medicaid, VA/DoD, Employer, Health System, Pharmacy, Wholesalers and Oncology ... dynamics including pricing, contracting, policies, and business practices (PBM, Medicare , Medicaid, other channels). + Cross-functional and/or similar experiences… more
- Kelsey-Seybold Clinic (Spring, TX)
- …insurers to offer value-based commercial health plans and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- Kelsey-Seybold Clinic (League City, TX)
- …insurers to offer value-based commercial health plans and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to ... achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight consecutive years, including 2024.… more
- Cognizant (Blaine, MN)
- …solutions to enhance our healthcare claims processing systems. With a focus on Medicare and Medicaid claims you will leverage your expertise in OnBase Application ... OnBase Application Enabler Workview API and Workflow. . Demonstrate expertise in Medicare and Medicaid claims processing and payer domain. . Exhibit excellent… more
- ZoomCare (Lake Oswego, OR)
- …patients and colleagues about clinical diagnosis, treatment and disposition planning, prices, insurance coverage basics, and the price impact of adding lab tests or ... License. + Medical providers must be eligible as a provider for Medicare or complete Medicare credentialing requirements prior to hire. + Must be able to… more
- CareFirst (Baltimore, MD)
- …Supervisor supports the execution of the corporate coding strategy across Medicare Advantage, Medicaid, and ACA markets. This role ensures operational compliance ... leadership to ensure that all risk adjustment activities fully comply with Medicare , Medicaid, ACA, and state-specific regulations. Remain current on changes to risk… more
- Rochester Regional Health (Rochester, NY)
- …their aspirations without the hassles of billing, productivity pressures, or insurance intricacies. + Patient-Centric Approach: With a deliberately limited patient ... support, ElderOne caters to every facet of a patient's well-being. Innovative Medicare Model: Operate within a globally capitated system under Medicare /Medicaid,… more
- New York State Civil Service (Ogdensburg, NY)
- …a generous benefits package including:* NYS medical, dental, & vision insurance * Access to tuition assistance programs* Excellent opportunities for advancement & ... job rate ($52,413) and Geographic Pay Differential ($4,000).NOTE:Medicaid and Medicare : In order to be eligible for appointment and...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- The Cigna Group (Bloomfield, CT)
- …Management Advisor is responsible for supporting the Medicaid Encounter and Medicare prescription drug event (PDE) operational processes to ensure successful and ... analysis and remediation, in accordance with State guidance/regulations and Center for Medicare and Medicaid Services (CMS) and provide subject matter expertise to… more