- Humana (Sacramento, CA)
- …interrelate across segments and/or enterprise-wide. **Regional VP of Health Services, Humana Medicare Advantage** As the Regional VP of Health Services, you will ... and relationship builder, ensuring alignment with Humana's mission and Medicare Advantage goals. **Primary Responsibilities:** Clinical Engagement & Provider… more
- 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
- Molina Healthcare (Joliet, IL)
- …to families and individuals who qualify for government-sponsored programs, including Medicaid, Medicare , Managed Long-Term Services and Support (MLTSS) and - in some ... states - Health Insurance Marketplace (Exchange) plans. + Formulates and implements business...of management experience. + Working knowledge of Medicaid and Medicare products. **Preferred Education:** + Master's Degree in Business,… more
- Zelis (Plano, TX)
- …claim data, with a focus on various pricing methodologies including Medicare , Medicaid, and commercial reimbursements. This role involves leveraging data to ... analysis, and reporting. + Understand claim payment methodologies such as Medicare , Medicaid, and Commercial Reimbursement. + Create visualizations and dashboards to… more
- BAYADA Home Health Care (Denver, CO)
- …Health Care** is currently seeking a **full-time Clinical Manager (RN required)** in our Medicare certified Home Health office in **Denver, CO** . As one of the ... State Registered Nurse license. + Home Health experience preferred. + Recent Medicare Certified Home Health Care experience. + Comprehensive knowledge of the … more
- SUNY Upstate Medical University (Syracuse, NY)
- …of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible ... for Medicare Enrollment within 6 months of hire (eligibility criteria...Applicants: Our benefits package includes health, dental and vision insurance , eligibility for employer 401k funding after 1 year… more
- SUNY Upstate Medical University (Syracuse, NY)
- …of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible ... for Medicare Enrollment within 6 months of hire (eligibility criteria...Applicants: Our benefits package includes health, dental and vision insurance , eligibility for employer 401k funding after 1 year… more
- Trinity Health (Clive, IA)
- …potential financial impact on the member organizations of major changes in Medicare and Medicaid policies. Assists in related advocacy efforts regarding such ... adhere to federal, state and other third-party reimbursement regulations. Prepares Annual Medicare , Medicaid, Blue Cross and Tricare cost reporting for the Trinity… 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