- CVS Health (Harrisburg, PA)
- …supporting complex Capitation analyses that support our strategic goals for Medicaid, Medicare , IFP and commercial, and working collaboratively with the Network to ... and tracking results + Expertise in multiple areas of provider contracting/ reimbursement , analysis, modeling & reporting; Extensive & diverse knowledge of healthcare… more
- Cardinal Health (Phoenix, AZ)
- …processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial ... experience preferred + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for… more
- Virtua Health (Voorhees, NJ)
- …as needed. Assist with achievement of goals and objectives for metrics and reimbursement . Monitor and maintain records of provider CME and PTO. Attend meetings/ ... or ambulatory medical setting. Knowledge of insurance (ICD-9 CPT coding, Medicare regulations, state regulations, CLIA, DOH, and OSHA regulations) preferred. Solid… more
- CVS Health (Swedesboro, NJ)
- …home). Standard Working hours Monday - Friday 8-5 pm EST. **ICM Case Manager RN** **WFH Flexible** **Position Summary:** Help us elevate our patient care to ... life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range...to facilitate the member's overall wellness. The ICM care manager develops a proactive plan of care to address… more
- Bluestone Physician Services (Franklin, WI)
- …medicare -26-6-million/) as measured by the overall savings per Medicare beneficiary. Position Overview: The Memory-Care Case Manager ... Managers and other medical professionals. The Behavioral Health Care Manager is a patient-focused role, primarily working with a...weeks (15 Days) Paid Time Off (PTO) + Mileage reimbursement program for field employees + Company sponsored cell… more
- BeOne Medicines (San Mateo, CA)
- …and Dayton metropolitan areas. **General Description:** Reporting to the Division Sales Manager , The Account Manager - Hematology will contribute to BeOne's ... and regulations when representing BeOne's products to Health Care Providers. The Account Manager will partner with the Targeted Account Sales team & the Solid Tumor… more
- Trinity Health (Silver Spring, MD)
- …**Description:** **Position Overview - $10,000 Sign-On Bonus ** As a Hospice RN Case Manager , you will be responsible for case managing a team of 15-20 hospice ... patients. RN case manager will collaborate with interdisciplinary team and attend weekly...paid time off + 7 paid holidays + Tuition reimbursement up to $5,250/year + Comprehensive onboarding and orientation… more
- Wolters Kluwer (Philadelphia, PA)
- **Lead Technology Product Manager ** - Commercial Drug Information This role follows a hybrid model, offering the flexibility to work remotely while staying connected ... part of the **Wolters Kluwer Health team** , the **Lead Technology Product Manager for Medi-Span** plays a critical role in advancing our commercial drug information… more
- CVS Health (Totowa, NJ)
- …Choice Certification = $10,000_** + **_External Hire = $7500_** **Position Summary: Case Manager Registered Nurse - Field in Passaic County, NJ** This is a remote ... Case Manager role with 50-75% field travel in Passaic County...the time. Mileage is reimbursed per our company expense reimbursement policy **Preferred Qualifications** + LTSS experience + Case… more
- Providence (Pomona, CA)
- **Description** Manager Home Health- St. Joseph Health System Home Care Services - Inland Empire Schedule: Full Time/Days The Manager of Home Health manages and ... and availability of services with appropriate staffing. The Home Health Manager facilitates and oversees quality initiatives and program implementation. This… more