- CenterWell (Jacksonville, FL)
- …and complexity ranging from moderate to substantial. **Join a Team That's Redefining Senior Primary Care** Humana's Primary Care Organization is one of the largest ... and fastest-growing senior -focused, value-based care providers in the country. With over...**Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and … more
- CenterWell (Newport News, VA)
- …moderate to substantial. Nurse Practitioner/Physician Assistant Join a Team That's Redefining Senior Primary Care Humana's Primary Care Organization is one of the ... largest and fastest-growing senior -focused, value-based care providers in the country. With over...Preferred: . Experience in value-based care, primary care or Medicare Advantage settings. . Active DEA license and … more
- Masonicare (Wallingford, CT)
- …development and implementation of a comprehensive care plan. 4. Oversees compliance with Medicare Certifications for all Medicare A / PPS patients/residents on ... the designated units. 5. Regularly prepares and distributes Medicare Notices for patients/residents on the designated units. + Communicates with Finance/Billing… more
- CenterWell (Spartanburg, SC)
- …caring community and help us put health first** Join a Team That's Redefining Senior Primary Care Humana's Primary Care Organization is one of the largest and ... fastest-growing senior -focused, value-based care providers in the country. With over...**Preferred:** + Experience in value-based care, primary care or Medicare Advantage settings. + Active DEA license and … more
- Sunrise Senior Living (Silver Spring, MD)
- …monthly Profit and Loss (P&L) Summary reporting, balance sheet account reconciliations, Medicare /Medicaid billing and adherence to Sunrise Senior Living business ... **When you join Sunrise Senior Living, you will be able to use...collections of accounts receivables; develop effective working relationships with Medicare /Medicaid billing office to resolve claims and obtain timely… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... services of Dignity Health. The position maintains current knowledge of Medicare Medicaid and other State and Federal regulations. The Sr. Reimbursement… more
- Henry Ford Health System (Troy, MI)
- …pharmacy member appeals and grievances for Health Alliance Plan's (HAP's): Commercial, Medicare Advantage, Medicare -Medicaid Program (MMP), and Medicaid lines of ... of regulatory requirements from State and Federal agencies and speak before members, senior leaders and other key stakeholders to present appeal cases on an ongoing… more
- Geisinger (Williamsport, PA)
- …of Geisinger throughout the assigned region. Job Duties Cultivates new sales of Medicare Advantage HMO and PPO plans, and Medicare supplemental plans. Influences ... developing sales strategies to implement in designated region. Deliver sales presentations to Medicare eligible audiences in a group setting as well as in a home… more
- Masonicare (Wallingford, CT)
- …and how it relates to facility care practices + Manages the patient's Medicare benefit by communication of skilled needs to the patient, family and interdisciplinary ... care team. + Organize and participate in the daily Medicare meeting, utilization review and monthly end of close meetings. + Assists with Medicare denial… more
- Humana (Bismarck, ND)
- …the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid, and other health plans to millions. By integrating insurance ... Strategy team plays a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's total revenue… more