- Humana (Olympia, WA)
- …determine, and oversee execution of, numerous strategies required to ensure success for our Medicare Stars and Medicaid LOBs. The ideal candidate for this role ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Oklahoma City, OK)
- …Qualifications** + Experience in customer service + Experience working in Medicaid or Medicare settings **Additional Information** + **Workstyle:** This ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Indianapolis, IN)
- …Bilingual preferred + Microsoft Access proficiency + Previous experience working with Medicare , Medicaid and Dual eligible populations + Experience providing ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Elevance Health (Columbus, OH)
- …to join our team and drive the achievement of value-based care in the Medicare , Medicaid , and Commercial lines of business. The ideal candidate will be ... Proven experience in consulting within the healthcare industry. + Experience with Medicaid , Medicare , and commercial plans strongly preferred. + Strong… more
- J&J Family of Companies (Portland, ME)
- …on access and affordability solutions across multiple payer types and plans (ie, Medicare , Medicaid Managed Care, Commercial). + Execute business in accordance ... relates to payer approval processes and business acumen + Understanding of Medicare , Medicaid , and private payer initiatives affecting reimbursement of… more
- CVS Health (Phoenix, AZ)
- …impact the Specialty, Infusion/pharmacy business units, PBMs, including HIPAA, HHA licensing, Medicare , Medicaid (including Medicare / Medicaid billing and ... reimbursement issues), nurse licensing, patient safety and discharge regulations. **Education** JD Required Bachelor's Degree Required **Pay Range** The typical pay range for this role is: $175,100.00 - $334,750.00 This pay range represents the base hourly… more
- University of Utah Health (Salt Lake City, UT)
- …analysis. + Knowledge of federal requirements set forth under the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoP) and/or ... Conditions of Coverage (CoC) in order to receive Medicare / Medicaid payment. **Qualifications** **Qualifications** **Licenses Required** + Registered Dietitian… more
- Humana (Indianapolis, IN)
- …regulations or adjacent sectors **Preferred Qualifications** + Comprehensive knowledge of Medicare , Medicaid , and DSNP encounter processes and policies. + ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Commonwealth Care Alliance (Boston, MA)
- …preferred. * Familiarity with medical terminology, preferred. * Previous experience Medicare and Medicaid strongly preferred Required Knowledge, Skills & ... Abilities & Language (nice to have): * Thorough knowledge of Medicare & Medicaid services policies and guidelines. * Provider Data Management and/or… more
- WellSense (MA)
- …process are not currently debarred, suspended or otherwise excluded from participation in Medicare , Medicaid or any other federal or state health care programs. ... company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded in 1997,… more