- State of Michigan (Lansing, MI)
- …or support other state agencies through our fiscal, IT, and HR systems. Insurance Benefits:The State of Michigan offers health, mental health, dental, and vision ... insurance to eligible career employees, their spouses, and their...you possess knowledge and experience working in or with Medicare /Medicaid managed care programs and/or Medicaid Home and Community… more
- CenterWell (Port Orange, FL)
- …two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in ... environment in a value-based relationship environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality.... Minimal Call . Comprehensive benefits package - _health insurance is effective on your first day of employment_… more
- University of Michigan (Ann Arbor, MI)
- …highly motivated Senior Billing Clerk/Patient Account Representative to join our Medicare Advantage Hospital Billing Team. Responsible for accurate claim submission, ... resolve complex insurance inquiries and...clean claims and collect from private insurers, Medicaid and Medicare . **Modes of Work** Positions that are eligible for… more
- WMCHealth (Hawthorne, NY)
- …in compliance with detailed requirements, guidelines, and deadlines of Centers for Medicare & Medicaid Services, National Committee for Quality Assurance (NCQA) in ... and recred applications for healthcare providers seeking to enroll with various insurance networks, ensuring accurate and timely submission. + Verify the credentials… more
- Ascendis Pharma (Princeton, NJ)
- …administration of rebate programs, including government rebates (eg, Medicaid, Medicare ), managed care rebates, and commercial rebates. Ensure accurate calculation, ... and contracting strategies across various payer segments (eg, commercial, Medicare , Medicaid). + Excellent negotiation, communication, and interpersonal skills, with… more
- Sedgwick (Austin, TX)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims ... Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ? Are you skilled in **coverage determination** ,… more
- Humana (Detroit, MI)
- …assigned area in Wayne or Macomb county, to conduct in home visits with Medicare /Medicaid members.** **Must reside in Michigan with the ability to drive to Wayne or ... to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits + Valid driver's license, car insurance… more
- Bluestone Physician Services (Stillwater, MN)
- …in the country (https://bluestonemd.com/2023/09/bluestone-aco-delivers-excellent-care-to-medically-complex-elderly-patients-saves- medicare -26-6-million/) as measured ... projects simultaneously. + Understanding of compliance and marketing and Centers for Medicare & Medicaid Services (CMS) industry regulations. Bluestone Benefits : +… more
- Humana (Richmond, VA)
- …with members and/or families. **Preferred Qualifications** + Prior experience with Medicare , Medicaid and dual eligible populations. + Previous experience with ... valid state driver's license and are expected to maintain personal vehicle liability insurance . Individual must carry vehicle insurance in accordance with their… more
- Sanford Health (Sioux Falls, SD)
- …Details** Key role in project managing the regulatory analysis and reviews for Medicare and non- Medicare products in an exciting growth time. **Job Summary** ... employees. Depending on eligibility, a variety of benefits include health insurance , dental insurance , vision insurance , life insurance , a 401(k)… more