- World Insurance Associates, LLC. (Philadelphia, PA)
- …and deliver notes to client (includes compliance needs including 5500 filing, Medicare Part D Disclosures, Reporting, HIPAA, ERISA, COBRA) + Engage with clients ... to educate on market trends, carrier and vendors solutions, EB SME and World capabilities (not just day-to-day service) + Manage vendor/carrier performance and escalated service issues + Finalize and deliver Stewardship report and messaging Work Experience… more
- Trinity Health (Schenectady, NY)
- …transportation and more!) as well as provide our participants with their Medicare /Medicaid insurance coverage. Our team of Social Workers are supported by two ... Case Workers and play a crucial role in our unique model of care. As both the provider and insurer, we have the unique ability to assess participant needs, approve it and directly provide it. We coordinate care across settings-from home to ED/hospital, rehab,… more
- Centene Corporation (Austin, TX)
- …and laws related to Risk Adjustment across our Marketplace, Medicaid and Medicare lines of business, which includes implementation of elements of an effective ... compliance program. Oversee the development of risk assessments oversight and the monitoring work plans pertaining to Risk Adjustment. Partners with business areas to ensure and implement effective prevention, detection and correction of compliance issues. +… more
- Provider Solutions & Development (Lacey, WA)
- …focused on high-quality care in a collaborative team environment dedicated to senior care. This Medicare Advantage modeled facility offers embedded services ... such as rapid access, onsite pharmacist, an onsite lab, and more. Enjoy outstanding quality of life in the scenic beauty of the Pacific Northwest. * Full-time position * 4- and 5-day workweek options with shared call * Experience as a nurse practitioner highly… more
- CenterWell (Tampa, FL)
- …in field sales or grassroots marketing; ideally field sales with a focus on senior value-based care models or Medicare Advantage. + In-depth knowledge of ... of industry trends, competitor activities, and emerging opportunities within the senior healthcare market adjusting sales strategies and identify new growth avenues.… more
- RWJBarnabas Health (Oceanport, NJ)
- …will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment strategies across ... Health hospitals. This includes planning, preparing and reviewing of the annual Medicare /Medicaid cost reports filings. In partnership with the Vice President of… more
- Texas Health Resources (Arlington, TX)
- …other programs. + Oversees or supports departments and entities with various Medicare and Medicaid Supplemental Payment and incentive programs including but not ... including but not limited to the review and preparation on of Medicare /Medicaid cost reports, regulation appeals, Disproportionate Share Hospital (DSH), and Wage… more
- Molina Healthcare (Spokane, WA)
- …existing healthcare quality improvement initiatives and education programs supporting Medicare Star Ratings improvement for Clinical HEDIS measures. Responsible for ... of improvement strategies to ensure high level of performance across Medicare Stars clinical HEDIS programs. Leads enterprise partnership discussions and improvement… more
- CenterWell (Anderson, SC)
- …Carolina and Texas. CenterWell Senior Primary Care has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and is ... caring community and help us put health first** CenterWell Senior Primary Care, a subsidiary of Humana Inc., is...Medicine preferred + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- BAYADA Home Health Care (Bridgewater, NJ)
- …a **Physical Therapist (PT)** for a full time position with our new Central NJ Senior Living team - a Medicare Certified home health office. This office provides ... clients living in communities that include assisted living, independent living, senior congregate living, 55+ communities, and intermediate care facilities for… more