- CDPHP (Latham, NY)
- …departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for ... current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable. + Carries out job… more
- Banner Health (Phoenix, AZ)
- …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or ... leadership. Will direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and Human Services (HHS), Arizona's Medicaid… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …impacts using the risk adjustment and quality analytics models across ACA Commercial, Medicare , and Medicaid. * Develop, lead, and provide strategic direction for a ... for the execution and day-to-day management of data submissions for ACA Commercial, Medicare , and Medicaid risk adjustment and quality programs. * Design and execute… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... SLA's. With speed, accuracy, and integrity, ensures that enrollee data for Medicare Advantage, Medicare Supplement, NaviCare, Summit Elder Care, Fallon Health… more
- BrightSpring Health Services (Tempe, AZ)
- …in the hospice industry. Specializing in providinghospice pharmacy services since the Medicare benefit started in the 1980s, OnePoint Patient Carehas grown to become ... terms pertaining to such interventions + Perform and document Medicare Condition of Participation (CoP)-compliant medicationreviews for new hospice patient… more
- CenterWell (Lansing, MI)
- …Quality Professional will be responsible for auditing, training and monitoring the Tele Sales Agents who are responsible for converting Medicare eligible callers ... calls + Provide coaching and feedback to Telesales Agents + Partner with PCO Sales , Retention, Patient Experience and Sales Operations leadership + Review and… more
- Dignity Health (Santa Maria, CA)
- …Business Development; Regional Vice President, Market Development; or Vice President, Sales and branch Director, Operations to develop and execute specific ... from home care or hospice services and/or 2) explain Medicare and Medicaid guidelines, insurance plan benefits, financing options,...Experience** CRE I Minimum of one year of related sales experience, preferably in a health care/medical field or… more
- Edwards Lifesciences (Raleigh, NC)
- …payment, as well as, an intermediary to payers including Center for Medicare Services (CMS) and/or Medicare Administrative Contractors (MAC), Medicaid, Veteran ... serve as a supporting role to our aligned business partners including sales , marketing, government affairs, and medical/clinical affairs. + Assist our Regional and… more
- USAA (Tampa, FL)
- …product, and financial goals through team's performance. Effectively coaches employees on sales processes and opportunities to improve overall sales results. + ... provide brokered products including Final Expense, Universal Life Insurance, Medicare Advantage & Prescription Drug Plans. Coordinates training/onboarding/development of… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …evaluation of HCP channel dynamics and IRA / Government-related market conditions ( Medicare Part D redesign, Price negotiations) with a focus on identifying ... opportunities and mitigating risks associated with the Medicare Drug Price Negotiation Program (MFP). The Associate Director will translate insights into actionable… more