- Commonwealth Care Alliance (Boston, MA)
- …Required Experience (must have): * 5+ years * Experience with Medicaid and Medicare products and programs * Value-based program oversight and performance ... the demonstrated ability to handle multiple projects. * Strong understanding of Medicare , Medicaid, duals program , and health plan operations, including… more
- Spurwink Services (Portland, ME)
- …claims processing inconsistencies and communicate findings to the Patient Accounts Manager . + Respond to any patient inquiries regarding claims processing. + ... other duties as deemed appropriate and necessary by the Patient Accounts Manager , Director of Patient Accounts, or the CFO/Treasurer. QUALIFICATIONS: High School… more
- BAYADA Home Health Care (Raleigh, NC)
- …fill the position of **RN Clinical Manager ** for our Raleigh, NC Medicare Certified Senior Living home health office. This office provides best-in-class care ... to adult and geriatric clients living in Senior Living Communities. **As an RN Nurse ...more years of experience as an RN + Recent Medicare Certified Home Care experience. + Comprehensive knowledge of… more
- CVS Health (Albany, NY)
- …individual will play an instrumental role in helping to strengthen our Medicare Telesales organization. Our Technology Implementation Manager will be responsible ... for coordinating and implementing all initiatives through end-to-end program oversight across DTC Sales operations technology. The Operations Technology Project … more
- CenterWell (Lake Worth, FL)
- …experience + This role is considered patient facing and is part of Humana/ Senior Bridge's Tuberculosis (TB) screening program . If selected for this role, ... caring community and help us put health first** The Manager , Clinic/Center Administration plans and directs the work of...Degree + Basic knowledge of Population Health Strategy + Medicare knowledge + Managed care experience + Value Based… more
- CenterWell (Casselberry, FL)
- …experience + This role is considered patient facing and is part of Humana/ Senior Bridge's Tuberculosis (TB) screening program . If selected for this role, ... of our caring community and help us put health first** The Practice Manager , Clinic/Center Administration plans and directs the work of professional and support… more
- Commonwealth Care Alliance (Boston, MA)
- …engagement The Manager of Provider Communications will report to the Senior Director of Delegation Partnerships and Performance and will support the ongoing ... complex, cross-functional projects and meeting deadlines. + Strong understanding of Medicare , Medicaid, duals program , and health plan operations, including… more
- CVS Health (Hartford, CT)
- …health care landscape in new and exciting ways every day. Aetna is seeking a ** Senior Manager - HRP Testing Subject Matter Expert (SME)** who will bring in-depth ... and implement effective testing strategies, ensuring high-quality deliverables. The Senior Manager - Testing SME will also...+ Serve as a subject matter expert for testing Medicare benefit plan designs on the Health Rules Payer… more
- BAYADA Home Health Care (Marlborough, MA)
- BAYADA Home Health Care is currently seeking a **Client Services Manager ** to join our **Marlborough, MA M** **edicare certified Home Health Senior Living ... career opportunity in a growing industry, a Client Services Manager could be the position for you. BAYADA believes...management of your caseload by monitoring metrics (admissions, % Medicare , referrals rejected by reason, etc.) + Client Services… more
- Amazon (San Francisco, CA)
- …among clinical and operational teams to eliminate avoidable harm. As the RN Program Manager , you will leverage your clinical and patient safety backgrounds ... ensure adherence to patient safety regulations, including OSHA, CDC, CMS, and Medicare guidelines. - Cross-Functional Collaboration: Work with senior leadership,… more