- PruittHealth (Savannah, GA)
- …to meet the patient's clinical needs. In addition, this individual is a sales professional who focuses on the development of early and appropriate referrals by ... and levels of care. 2. Must be knowledgeable of private insurance, Medicare and Medicaid coverage criteria, rules and regulations and reimbursement methodologies. 3.… more
- Mom's Meals (Ankeny, IA)
- …but not limited to + Oversee and implement Medicaid and Long-Term Care field sales systems to maximize territory outcomes across core field sales areas of ... with leads or sending leads to appropriate Mom's Meals sales team colleagues + Travel regionally and nationally to...Skills and Experience + Previous work with Medicaid and Medicare Advantage Managed Care plans + Knowledge of Medicaid… more
- AbbVie (Columbus, OH)
- …a level commensurate with experience. + Promote a product to meet/exceed sales goals in community/private practices as well as hospitals/health systems. + ... compliance and effectively manages AbbVie field assets. + Effectively utilize AbbVie's sales and data resources to enhance productivity and growth of AbbVie products… more
- Highmark Health (Buffalo, NY)
- …outcomes as a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each individual gain/risk share ... for superior coding accuracy, cost and utilization reports, medical loss ratio reports, Medicare STARS gaps and other risk revenue opportunities. + Function as the… more
- ChenMed (Chicago, IL)
- …speak with patients regarding alternatives. + Processes New Patient Referral Exception from Sales Team (if applicable to your market). + Prepares and runs referral ... experience/understanding + Understanding of cost as it relates to Medicare parts A, B and D + Proficient in...decision based of the data + Experience working in Medicare managed care environment + $52,775/$75,393 Salaried + Employee… more
- Elderwood (Burlington, VT)
- …experience. Candidates must be enthusiastic and willing to learn and execute the long-term care sales process. Join Our Team Are you looking to take the next step in ... + Maintains working knowledge of federal and state regulations and reimbursement ( Medicare and Medicaid) issues. Ensures proper payers for admission are put into… more
- TEKsystems (Atlanta, GA)
- Licensed Health Telesales Representative - Medicare & Medicaid Plans (DSNP & Individual) Remote - EST/CST Preferred | Full-Time, Contract Monday - Friday 8 hr shift ... calls and conduct outbound outreach during downtime. + Ensure compliance with CMS Sales & Marketing regulations and Health Plan policies. + Maintain a minimum 6%… more
- Option Care Health (Queens, NY)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...are available through Option Care and provides support to sales professionals on an ongoing basis. **Supervisory Responsibilities** Does… more
- TEKsystems (Morrisville, NC)
- …program protocols + Act as a regional liaison to client contacts, including sales representatives + Collaborate with Franchise Program Managers and clients to share ... settings + Strong understanding of reimbursement processes and major payers ( Medicare , Medicaid, VA, DOD, commercial) + Experience with prior authorizations,… more
- CVS Health (Helena, MT)
- …and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business. + Conduct market ... the underwriting process. + Communicating with key internal partners such as Sales and Account Management, Trade, Networks, IT and Product Development. The incumbent… more