- 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
- Sanofi Group (Morristown, NJ)
- …and blood disorders, cancers, and neurological disorders. From R&D to sales , our talented teams work together, revolutionizing treatment, continually improving ... executing all government pricing calculations in full compliance with all Medicaid, Medicare and VA Healthcare Act regulations. + Ensure timely and accurate… more
- WTW (Nashville, TN)
- …health insurance, or financial industries. More specifically, knowledge of ERISA, Medicare , banking, insurance and/or privacy laws and regulations would be helpful. ... contract support and lead coordination and partnership with cross functional teams ( sales , client management, IT, strategy, marketing, HR, finance, etc.) to achieve… more
- Blue KC (MO)
- …for other areas within the company, including but not limited to Sales and Marketing, Job_Family_ID_Underwriting, PHP, Special investigations Unit (fraud and abuse), ... communication skills + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management… more
- Blue KC (MO)
- …for other areas within the company, including but not limited to Sales and Marketing, Special investigations Unit (fraud and abuse), Legal, Product Development, ... Knowledge with 3 years of the managed care industry including Medicare Advantage, and/or Managed Commercial products, Integrated Delivery Systems, health insurance,… more
- Gentiva (St. Louis, MO)
- …performance improvement + Drive clinical quality and ensure services meet Medicare Conditions of Participation, state hospice regulations, and Gentiva standards + ... in the state of residence + 3-5 years of leadership or sales /management experience, preferably in hospice or healthcare + Experience with Medicaid/ Medicare… more
- ChenMed (Jacksonville, FL)
- …speak with patients regarding alternatives. + Processes New Patient Referral Exception from Sales Team (if applicable to your market). + Prepares and runs referral ... Understanding of the communities served by ChenMed, including the complexities of Medicare programs to patients in the healthcare marketplace + Ability to determine… more