- Humana (Phoenix, AZ)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... + SAS and/or Databricks experience + Programming experience in SQL and VBA + Medicare Part D knowledge Travel: While this is a remote position, occasional travel to… more
- City and County of San Francisco (San Francisco, CA)
- …to meet all of the following criteria: + Be eligible to participate in Medicare , Medicaid , and/or other federal healthcare programs + Possess a National Provider ... + Possess a valid third-party billable provider certification (such as Medicare , Medi-Cal, and/or private insurance) OR have submitted a completed billable… more
- City and County of San Francisco (San Francisco, CA)
- …position and/or cancellation of an employment offer: + Be eligible to participate in Medicare , Medicaid and/or other federal health care programs; + Possess a ... AND + Possess a valid third-party billable provider certification (such as Medicare , Medi-Cal and/or private insurance) OR have submitted a completed billable… more
- City and County of San Francisco (San Francisco, CA)
- …be required to meet the following criteria: + Be eligible to participate in Medicare , Medicaid and/or other federal health care programs; + Possess a National ... AND + Possess a valid third-party billable provider certification (such as Medicare , Medi-Cal and/or private insurance) OR have submitted a completed billable… more
- Humana (Hartford, CT)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage experience + Strong Communication Skills + Ability to… more
- Insight Global (Boca Raton, FL)
- …on regulations such as HIPAA, Stark Law, the Anti-Kickback Statute, Medicare / Medicaid , and third-party payor requirements; addressing AI and cybersecurity ... law firm Demonstrated expertise in HIPAA, Stark Law, Anti-Kickback Statute, Medicare , and third-party payor/health plan issues Technology AI and cybersecurity… more
- US Tech Solutions (TX)
- …orientation important for this position. **Skills:** + MUST HAVE MANAGED CARE exp and Medicare / Medicaid knowledge. + MUST HAVE 6 months of experienced with Prior ... Authorization(required). + MUST HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. **Education:** + Pharm D. required… more
- Sutter Health (San Francisco, CA)
- …degree of hospital coding knowledge, including but not limited to APR-DRG, MS-DRG, HCCs, Medicare , Medicaid & Managed Care, in order to design and develop ... support CDI documentation strategies + Ability to understand and communicate differences between Medicare Part A and Part B guidelines and how they impact DRG… 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. ... improving consumer experiences **Preferred Qualifications** + Health insurance experience + Medicare Advantage experience Travel: While this is a remote position,… more
- Ochsner Health (Luling, LA)
- …Familiarity with health care systems and public programs such as those funded by Medicare , Medicaid , Medicare Advantage and commercial insurance plans. + ... Excellent psychotherapeutic skills. + Superior interpersonal skills necessary to deal effectively and courteously with patients, families, multi-disciplinary team members, departmental peers, and community agency personnel. **Job Duties** + Conducts complex… more