- Stanford Health Care (Palo Alto, CA)
- …Oversee and monitor the reserves related to A/R, Cost Reports, self- insurance reserves, professional liability reserves, and legal reserves. Oversee pension plan ... actual revenue and contractual allowances for all payors including managed care, Medicare , Medi-Cal, commercial, and self pay payors. Oversee the regulatory filings… more
- Cognizant (Montgomery, AL)
- …of experience as a Product Owner or in product management within healthcare or insurance domains. . Hands-on experience with sales and enrollment processes for ... you? **About the Role** As a Product Owner for Sales & Enrollment Platforms, you will make an impact...member onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and… more
- Cognizant (Phoenix, AZ)
- …of experience as a Product Owner or in product management within healthcare or insurance domains. * Hands-on experience with sales and enrollment processes for ... Health Sciences, Consulting Manager** **About the Role:** As a Product Owner for Sales & Enrollment Platforms, you will make an impact by leading the development… more
- USAA (Tampa, FL)
- …helps USAA provide brokered products including Final Expense, Universal Life Insurance , Medicare Advantage & Prescription Drug Plans. Coordinates ... NY Reg 60, Best Interest, and CMS (Centers of Medicare and Medicaid Services). + Ability to complete AHIP...3 or more years of direct management experience leading sales teams in Insurance and/or Financial Services… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …The Account Service Consultant maintains constant communication with the Sales staff and other Business Partners throughout the organization. Essential ... * Responsible for custom, complicated employer group servicing. Partners with Sales to create and deliver presentations to external customers. * Manages… more
- Bristol Myers Squibb (Guaynabo, PR)
- …operational BMS platform + **Support to MAx Department with Commercial and Medicare Rebates:** Coordinates the validation and sharing of Commercial and Medicare ... signature.Provides the required validation documents for both Commercial and Medicare rebates, facilitating compliance and accuracy in rebate processing.Ensures SAP… more
- Dignity Health (Santa Maria, CA)
- …patient would benefit from home care or hospice services and/or 2) explain Medicare and Medicaid guidelines, insurance plan benefits, financing options, CHI ... to company policy. CRE II Basic knowledge of the healthcare industry, Medicare , managed care, insurance reimbursement and accounting practices. Knowledge of… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …evaluation of HCP channel dynamics and IRA / Government-related market conditions ( Medicare Part D redesign, Price negotiations) with a focus on identifying ... opportunities and mitigating risks associated with the Medicare Drug Price Negotiation Program (MFP). The Associate Director will translate insights into actionable… more
- CDPHP (Latham, NY)
- …and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people, ... departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for… more
- Fallon Health (Worcester, MA)
- …hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive ... SLA's. With speed, accuracy, and integrity, ensures that enrollee data for Medicare Advantage, Medicare Supplement, NaviCare, Summit Elder Care, Fallon Health… more