- 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
- ConvaTec (Oklahoma City, OK)
- …calls to customers to confirm supply order needs. Ensure compliance with insurance guidelines. Maintain rapport with existing patient base. Provide client service ... with patients. English, and Spanish speaking if bilingual + Coordinate, follow-up on Medicare patients; ensure shipments do not go out without a confirmation + Call… more
- Sanford Health (Fargo, ND)
- …able to work independently, have an attention detail, and an understanding of insurance . If you are looking for an exciting and challenging career in the ... to stay on task, and a unique understanding of insurance . The Pharmacy Business Specialist's duties and responsibilities are...- Running end of month reports for Finance - Medicare and third party audits - Patient refunds and… more
- New York State Civil Service (Watertown, NY)
- …a generous benefits package including:* NYS medical, dental, & vision insurance * Access to tuition assistance programs* Excellent opportunities for advancement & ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more
- New York State Civil Service (Buffalo, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... your employment.3. If appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI)… more
- New York State Civil Service (Marcy, NY)
- …a generous benefits package including:* NYS medical, dental, & vision insurance * Access to tuition assistance programs* Excellent opportunities for advancement & ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more