- AmeriHealth Caritas (Detroit, MI)
- …psychosocial needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines, within the ... individuals with chronic conditions or disabilities. + Strong understanding of Medicare - Medicaid Plan Long-Term Services and Supports (MMP LTSS) programs.… more
- Fallon Health (Springfield, MA)
- …live in our service area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth ( Medicaid ) and Medicare benefits, including ... we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE- in the region. **Brief summary of… more
- Mom's Meals (Ankeny, IA)
- …home health, home care, hospital or medical equipment + Knowledge of Medicaid / Medicare benefit programs + Demonstrated experience consulting and presenting to ... Salesforce or similar organizational sales software + A strong background in Medicare / Medicaid and Managed Care organizations + Clinical credentialing in Social… 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. ... + Understands and explains procurement and supplier oversight processes to Medicaid markets and business areas contacts + Improve and document processes… more
- Humana (Dayton, OH)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... primary point of contact for the Ohio Department of Medicaid (ODM) and other agencies such as the ...Medicaid (ODM) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects… more
- Elevance Health (AR)
- …Primary focus of this role is contracting and negotiating contract terms for ** Medicare , Medicaid ,** and **ACA programs** . Deals with primarily the most ... locations as necessary. **Preferred Skills, Capabilities and Experiences:** + Medicare network contracting/reimbursement methodology strongly preferred. + Medicaid… more
- Humana (Columbus, OH)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness… more
- CVS Health (Austin, TX)
- …2+ years of experience within Medicare Part D Stars Program Management, Medicare / Medicaid HEDIS measurement or other government quality program management ... all with heart, each and every day. **Position Summary** Located within the Medicare Stars Program Management team, in this individual contributor role you will… more
- AmeriHealth Caritas (Philadelphia, PA)
- …brokers and general agencies, while ensuring full compliance with Centers for Medicare & Medicaid Services (CMS), state, and internal regulations. This ... **Role Overview:** The Medicare Broker Relations Manager drives broker channel growth...broker recruitment, engagement, and performance optimization to support overall Medicare sales objectives. **Work Arrangement:** + Remote - Associate… more
- BrightSpring Health Services (Bowling Green, KY)
- …approved sales and marketing presentations in accordance with applicable Centers for Medicare & Medicaid Services (CMS) and State guidelines and standards. ... facility rollout meetings as needed. + Must communicate effectively with Medicare beneficiaries, their families, caretakers, nursing facility management and staff. +… more