- Essentia Health (Superior, WI)
- …requests, submit medication prior authorizations via patients' pharmacy benefits, assist in Medicare Part B billing and processing, and support patient enrollment in ... to determine eligibility for prescription refill authorization + Gather necessary insurance information to conduct benefits investigation on prior authorization (PA)… more
- New York State Civil Service (Albany, NY)
- …for individuals in need and facilitating transfers.* Working with insurance companies to gain preauthorization for inpatient hospitalization.* Connecting individuals ... a generous benefits package including:* NYS medical, dental, & vision insurance * Access to tuition assistance programs* Excellent opportunities for advancement &… more
- New York State Civil Service (Albany, NY)
- …for individuals in need and facilitating transfers.* Working with insurance companies to gain preauthorization for inpatient hospitalization.* Connecting individuals ... a generous benefits package including:* NYS medical, dental, & vision insurance * Access to tuition assistance programs* Excellent opportunities for advancement &… more
- New York State Civil Service (Orangeburg, NY)
- …growth* Generous paid time off * NYS medical, dental, & vision insurance * NYS Retirement programs - NYS Pension and Deferred CompensationAll OMH employees ... a generous benefits package including:* NYS medical, dental, & vision insurance * Access to tuition assistance programs* Excellent opportunities for advancement &… more
- TEKsystems (San Diego, CA)
- …seeking compassionate and detail-oriented Patient Service Representatives to support our Medicare Redetermination efforts. In this role, you will assist individuals ... with enrolling in health plans, answer questions related to Medicare and Medi-Cal, and troubleshoot issues to ensure a seamless experience. You'll be the first point… more
- NTT DATA North America (Plano, TX)
- …Manager to join our team. NTT DATA is seeking to hire a ** Medicare Appeals Clinical Leader** to lead service delivery engagements and improve end-to-end delivery ... of Medicare Appeals. Desire experience specifically for processes for clinical...eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health… more
- NTT America, Inc. (Plano, TX)
- …ensuring our organization meets its HIPAA and healthcare-compliance-related obligations, including Medicare and Medicaid standards. This role will work closely with ... compliance principles and experience in assessing and operationalizing HIPAA, Medicare , and Medicaid requirements in a complex client-service environment. Key… more
- Humana (Baton Rouge, LA)
- …our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates ... Medicare Advantage and Prescription Drug Plans using approximately 40...parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 10-02-2025 **About… more
- Humana (Lansing, MI)
- …Clinical Leadership teams to ensure utilization reviews comply with Centers for Medicare & Medicaid Services (CMS) regulations as well as Michigan Dual Special ... and Human Services (MDHHS) standards. + Works in conjunction with Humana's Medicare UM Committees to ensure adoption and consistent application of appropriate… more
- Ventura County (Ventura, CA)
- …a biweekly flexible credit allowance for purchasing medical, dental, and/or vision insurance from authorized plans. + Flexible Spending Accounts - Pre-tax benefit ... Additional Benefits: Tuition Reimbursement, Disability Plans, Employee Assistance Program, LIfe Insurance , Wellness Program. + To learn more about the benefits,… more