- UCLA Health (Los Angeles, CA)
- Description The Business Data Analyst plays a key role within the Medicare Advantage Operations team, acting as a liaison between business units, IT teams, and ... other related field required + Minimum of five years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required +… more
- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... + Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or...ability to analyze and organize complex federal and private insurance regulations. + Working knowledge of Microsoft Office Suite… more
- Aveanna Healthcare (Northampton, MA)
- …offers both short-term and long-term care services, catering to individuals under the Medicare and Medicaid programs, as well as those with Private Insurance ... be able to read and write English Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Aveanna Healthcare (Worcester, MA)
- …offers both short-term and long-term care services, catering to individuals under the Medicare and Medicaid programs, as well as those with Private Insurance ... be able to read and write English Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Elevance Health (Winston Salem, NC)
- …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... a BA/BS degree and a minimum of 5 years of audit/reimbursement or related Medicare experience; or any combination of education and experience, which would provide an… more
- Elevance Health (Richmond, VA)
- …care provider or a healthcare services enablement company-and is well-versed in Medicare and Medicaid risk adjustment policies, RADV auditing, and the infrastructure ... equivalent background. Requires experience using RADV protocols and following Center for Medicare and Medicaid Services (CMS) and Affordable Care Act (ACA) rules.… more
- BAYADA Home Health Care (Springfield, MO)
- …quality and adherence to policies, procedures, hospice eligibility documentation, and Medicare Conditions of Participation. In this integral leadership role, you ... services rendered in accordance with policies and procedures and Medicare rules + Serve as a key medical resource...vision, dental and medical health plans, employer paid life insurance , 401k with company match, direct deposit and employee… more
- Elevance Health (Louisville, KY)
- …are or should be enrolled in other coverage. + Aides members in enrolling in Medicare when they are entitled. + Determines primacy on each case using a complex set ... + Ensures correct forms are provided to assist members enrolling in Medicare . + Reviews claim history to identify claims requiring reconciliation, whether processed… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Certification consistent to the clinical practice. + Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for ... vacation, holidays, and sick days. + Choice of several outstanding health insurance benefits and Well-being plans that include Student Loan Relief Services, Tuition… more
- ZoomCare (Wilsonville, OR)
- …Allowance + 1 week off for CME, UpToDate Membership and Medical Malpractice Insurance + All benefits dependent on role and eligibility **SCHEDULE AND TRAINING** + ... rewarding mix of care including preventative care such as Medicare establishing care and Medicare annual wellness...care such as Medicare establishing care and Medicare annual wellness exams, Hospital transition care, chronic condition… more