- Humana (Annapolis, MD)
- …beneficiaries, Medical Treatment Facility (MTF) and other Government staff, including senior military leaders, and civilian healthcare providers and facilities. The ... Ability to interpret and understand policy and/or government contracts (IE TRICARE, Medicare , Medicaid, CMS etc ) + Comprehensive knowledge of Microsoft Office Suite… more
- Kelsey-Seybold Clinic (Houston, TX)
- …They are trained to care for all ages, from children age 5 to senior adults. Because family practitioners are trained to treat the whole person, these specialists ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
- Molina Healthcare (Las Vegas, NV)
- …The Sr Specialist will collaborate with internal teams (Quality, Provider Relations, Medicare , and Marketplace) to align activities and ensure a cohesive approach. ... Place Certified **PREFERRED EXPERIENCE:** + Prior related work experience in a senior or lead capacity. + Solid understanding of Health Care Markets, primarily… 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 ... times, and client satisfaction. Provide regular reports and insights to senior management to inform strategic decision-making and drive continuous improvement in… more
- Signature Healthcare (Memphis, TN)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... centers are earning Five-Star ratings from the Centers for Medicare & Medicaid Services. We were also named one...more about our benefits offered, please contact Jenny Collins, Senior Director of Talent Acquisition, directly at ### or… more
- Sanofi Group (Morristown, NJ)
- …executing all government pricing calculations in full compliance with all Medicaid, Medicare and VA Healthcare Act regulations. + Ensure timely and accurate ... of OBRA 90, OBRA 93, Deficit Reduction Act, VA Healthcare Act, the Medicare Modernization Act, the Patient Protection and Affordable Care Act and the Inflation… more
- Evolent (Helena, MT)
- …is recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of disciplinary or legal action… 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. ... in-house experience a plus but not required. + Employee benefits, Medicare , health insurance, financial, privacy and/or regulatory background preferred. + Strong… more
- CenterWell (Olympia, WA)
- …AZ and NM. + Homecare Homebase (HCHB) experience + Experience with CMS/ Medicare regulations and accreditation standards + Knowledge of CMS PDGM billing requirements ... + Experience managing healthcare revenue. + Experience in Medicare home health **Preferred Qualifications:** + Previous experience in...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- Humana (Albany, NY)
- …Primary Care & Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + ... and deliver real value. + **Executive Access & Networking:** Engage with senior leaders and peers through speaker series, fireside chats, and curated networking… more