- Commonwealth Care Alliance (Boston, MA)
- …clinical, operations, pharmacy, dental, reporting, and member services. + Supports the Senior Appeals & Grievance Coordinator and A/G Coordinator in day-to-day tasks ... and update operational processes. Complaints Monitoring: + Supports daily monitoring of Medicare and EOHHS's Complaints Tracking & Management (CTM) Module and timely… more
- Sanofi Group (Morristown, NJ)
- …in commercial reimbursement changes, changes to government programs (ie, Medicaid, Medicare , 340B), new payment models, innovative pricing strategies, and potential ... into quantifiable impact to the business. + Skilled at conducting senior leadership engagements & presentations. + Thorough understanding of payer landscape… more
- Sodus Rehab & Nursing Center (Gowanda, NY)
- …care plans + Ensure compliance with state and federal regulations related to senior care facilities + Develop and implement policies and procedures to enhance ... nursing home facilities + Strong knowledge of long-term care regulations, Medicare /Medicaid, and healthcare management. + A commitment to providing high-quality care… more
- University of Miami (Miami, FL)
- …including room reservations, catering, and greeting visitors. + Provide coverage for Senior Administrative Assistants as needed. + Track, process, and submit faculty ... + Assist with credentialing and re-credentialing, maintain provider licenses, DEA, Medicaid/ Medicare records. + Coordinate with clinical operations staff to align… more
- WellSpan Health (York, PA)
- …and voluntary value-based/pay for performance programs with Contracted Commercial, Medicare Advantage and Medicaid MCO Payors and appropriate WellSpan Health's ... and Federal MCO regulatory programs + Collaborates with Quality Directors, Senior Management, and other value-base team members to provide financial information… more
- Signature Healthcare (Clarksville, 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 ... To learn more about our benefits offered, please contact Jenny Collins, Senior Director of Talent Acquisition, directly at ### or ###@signaturehealthcarellc.com. At… more
- First Atlantic Health Care (Saco, ME)
- …Healthcare, part of the Atlantic Heights Community, is a fully-licensed Medicaid/ Medicare -certified facility offering 105 beds. Our Maintenance Team at Seal Rock ... long standing reputation for excellence in long term care, assisted living and senior living. As an Activities Assistant you will: + Assist with planning and… more
- Cassia (Des Moines, IA)
- …Develop initial and temporary care plans. + Assist Case Manager with Medicare scheduling, monthly billing, charting, and issuing notices of non-coverage. + Document ... discounts, and connecting with our amazing residents. Cassia is a nonprofit, mission-driven senior care organization with over 200 years of experience. As a Cassia… more
- Prime Therapeutics (Santa Fe, NM)
- …Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs, ... or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible… more
- CVS Health (Lansing, MI)
- …operational plan + Evaluates and prioritizes recommendations for quality improvement to senior health plan management + Helps to evaluate the Plans HEDIS Strategy ... Certification - Lean Six Sigma (Green/Black Belt) - Tableau Dashboards/Analytics - Medicare / Medicaid experience -Experience with HEDIS Metrics, CAHPS Member… more