- CareFirst (Baltimore, MD)
- …This position may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also include assistance with ... CareFirst's new and existing reimbursement arrangements/networks and assist management or senior level staff in the development of fee schedules, payment policies,… more
- Corewell Health (Grand Rapids, MI)
- …Eligible Special Needs (HIDE-SNP) Long-Term Services and Supports (LTSS) is a senior leadership role responsible for the strategic and operational oversight of ... LTSS. It also ensures that LTSS operations align with the integration of Medicare and Medicaid benefits under Michigan's HIDE SNP model, meeting CMS and MDHHS… more
- Elevance Health (Waukesha, WI)
- …care provider or a healthcare services enablement company-and is well-versed in Medicare and Medicaid risk adjustment policies, RADV auditing, and the infrastructure ... high quality encounter submissions and disease documentation. + Liaises with senior CareBridge and Elevance Health leadership across Product, Analytics, and Clinical… more
- Humana (Sacramento, CA)
- …interrelate across segments and/or enterprise-wide. **Regional VP of Health Services, Humana Medicare Advantage** As the Regional VP of Health Services, you will ... serve as the senior clinical executive responsible for shaping and executing the...and relationship builder, ensuring alignment with Humana's mission and Medicare Advantage goals. **Primary Responsibilities:** Clinical Engagement & Provider… more
- CenterWell (Corpus Christi, TX)
- …Care Organization (PCO) is the largest and fastest growing value-based care, senior -focused primary care network in the country. The Primary Care Physician (PCP) ... two to five years directly applicable experience preferred + Experience managing Medicare Advantage panel of patients with understanding of Best Practice in… more
- Sunrise Senior Living (Charlottesville, VA)
- **When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will ... meaningful ways to serve, grow, and shine together.** **Sunrise Senior Living was again certified as a Great Place...+ Reviews and assists in case management of both Medicare & non- Medicare guests/residents. + Ensures interdisciplinary… more
- Erickson Living (Silver Spring, MD)
- Location: Riderwood Village by Erickson Senior Living We are hiring Registered Nurse - Home Care (Flex/PRN) for our gated community. No driving required! We have a ... nursing care according to established policies and procedures for a Medicare -certified home care agency. Compensation: $46.00 - $48.00 per hour, commensurate… more
- CenterWell (Myrtle Beach, SC)
- …and help us put health first** The Associate Operations Director (AOD) leads Senior Focused Primary Care clinical operations in a multi-physician office or clinical ... for growing and expanding the IPA network by recruiting providers and growing the Medicare Advantage population of the IPA. In addition, would represent the scope of… more
- Always Best Care Senior Services (Honolulu, HI)
- …services. We are looking for a Home Health Administrator with expertise in Medicare compliance, billing, and coding to ensure our agency operates smoothly and in ... difference, we'd love to meet you! Key Responsibilities * Ensure compliance with Medicare guidelines for Home Health services. * Prepare, submit, and track … more
- Cassia (Edina, MN)
- Cassia, a nonprofit, senior living organization, is hiring an Accounts Receivable Specialist to join our growing team! Based at our Edina, MN corporate office, you ... In this vital role, you'll focus on billing for Medicare A, Managed Care, and Medicaid. Our ideal candidate...family members About Us: Cassia is a nonprofit, mission-driven senior care organization with over 200 years of experience.… more