- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Senior Product Manager will be responsible for the supporting the management of the Dual Eligible Special Needs Plan (D-SNP) product ... and solution/impact analyst recommendations + Familiarity with all State DSNP Medicaid Agency Contract (SMAC) provisions. + Familiarity with all DSNP Model… more
- Humana (Frankfort, KY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... caring community and help us put health first** The CenterWell Strategy Senior Consultant provides data-based strategic direction to support broader team and… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... with a strong reputation for quality of care and research . We have over 38,000 employees working together to...within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System… more
- CVS Health (Charleston, WV)
- …per year, depending on business needs) **Preferred Qualifications** + Previous Medicaid / Medicare investigatory experience + Exercises independent judgement and ... and every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known or… more
- UNC Health Care (Smithfield, NC)
- …credits to resolve credit balances through refunds or posting adjustments. Compiles Medicare / Medicaid Cash Reports and quarterly Credit Balance reports. 6. Payor ... and well-being of the unique communities we serve. **This Revenue Cycle Rep Senior will be an onsite position in Smithfield, NC.** Summary: Responsible for… more
- Humana (Jefferson City, MO)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... part of our caring community and help us put health first** The Senior CyberSecurity Engineer develops and tests information security tools, applications, and system… more
- Humana (Indianapolis, IN)
- … Senior Quality Compliance Professional completes annual quality reviews and research . The Senior Quality Compliance Professional work assignments involve ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Novo Nordisk (Washington, DC)
- …areas may include, but are not limited to: NN Foundation, Quality, Medicare , Medicaid , Transparency, Adherence, Importation, Reference Pricing, Pricing / Price ... you ready to realize your potential? The Position The Senior Director works on complex issues that require an...Increases, Stem-Cell, Research , NIH, Reimbursement, IP, Labor / Employment, Tax, Trade,… more
- Weill Cornell Medical College (New York, NY)
- …ICD-10 coding. + Working knowledge of third party payor reimbursement - Medicare , Medicaid , Managed Care and commercial insurance. **Licenses and ... Title: Senior Medical Secretary Location: Upper East Side Org...laboratory/diagnostic tests and prescription requests. + Maintains physicians' administrative ( research and academic) and clinical/surgical schedules. + Prepares charges… more
- Humana (Frankfort, KY)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of healthcare through AI excellence. We are seeking a Senior Data Scientist to develop reliable, interpretable, and steerable...+ Master's Degree and 3+ years of experience in research /ML engineering or an applied research scientist… more