- Corewell Health (Farmington Hills, MI)
- …motivated and reach their goals. Our Dementia Care floor is a 60 bed Medicare / Medicaid /Dementia unit. We provide care to residents with a variety of diagnoses. ... the unit Our sub-acute floor is a 59 bed Medicare unit that has residents with multiple clinical issues...satisfaction. Our Chronic Care floor is a 60 bed Medicare /Rehabilitation and long-term care unit and is a great… more
- Elara Caring (Bloomington, IN)
- …branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid , and third-party reimbursement regulations and changes. Identifies and ... : + Ensures all documentation is accurate, complete, timely and adheres to Medicare guidelines. + Assures compliance with the requirements of state licensure, … more
- Humana (Honolulu, HI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of SQL experience, preferably in SSMS. **Preferred Qualifications** + Medicare Advantage experience. + Experience with SQL and VBA...role is part of a team that owns the Medicare Advantage pricing methodology and supporting tools in the… more
- Humana (Olympia, WA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... (BSN), or a related field, or equivalent work experience. + Experience with Medicare Risk Adjustment and/or medical coding. + Experience with Medicare and/or… more
- Humana (Jefferson City, MO)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... This role will support a few tools used within our Individual Medicare Advantage pricing and internal reporting process. This includes: + Helping make… more
- Humana (Washington, DC)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... expert on the End Stage Renal Disease (ESRD) population for Humana's individual Medicare Advantage plans. This includes: + Owning and improving our ESRD claims… more
- Humana (Columbia, SC)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... skills to make an impact** **Required Qualifications** + 3+ years' experience with Medicare and/or managed care + Understanding of NCQA HEDIS measures, PQA Measures,… more
- University of Southern California (Los Angeles, CA)
- …research, and facilities management. + Ensures compliance with current Center for Medicare & Medicaid (CMS) Transplant Conditions of Participation as well ... + Oversees the operating budget for the Institute, including payroll, completion of Medicare time studies, supply and equipment needs. Ensure fiscal soundness of the… more
- Humana (Baton Rouge, LA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... your skills to make an impact** **Required Qualifications** + Experience with Medicare and/or managed care + Understanding of NCQA HEDIS measures, Patient Safety… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE (Program of All-Inclusive Care for the ... SLA's. With speed, accuracy, and integrity, ensures that enrollee data for Medicare Advantage, Medicare Supplement, NaviCare, Summit Elder Care, Fallon Health… more