- Healthfirst (NY)
- …on Medicaid and other program issues as well as on changes in Medicaid// Medicare //HMO laws and shares information with other Social Work and Care Team members as ... pre-enrollment screening: Meets with individuals who may qualify for enrollment in Senior Health Partners or Montefiore MSO throughout the 5 boroughs, Westchester… more
- CenterWell (Daytona Beach, FL)
- …budgeting, staffing, operational excellence, and clinical initiatives *Champion our senior -focused primary care strategic vision and initiatives and foster ... indicators (KPIs), such patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals *Personally… more
- Evolent (Helena, MT)
- …+ Not under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid, and is not identified as an "excluded ... Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the… more
- CenterWell (Columbia, SC)
- …staffing, operational excellence, and clinical initiatives + Champion our senior -focused primary care strategic vision and initiatives and foster stakeholder ... (KPIs), such as patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally… more
- Healthfirst (NY)
- …eligibility, exclusion, and exemption codes. + Searches in Marx (CMS) for Medicare eligibility, enrollments, and special elections. + Achieves daily, weekly, and ... all field and tele video conference appointments for HF CompleteCare Specialist and Intake Nurses in Salesforce. + Schedules Entitlement Advocates appointments… more
- Louisiana Department of State Civil Service (LA)
- …in fire alarm or fire sprinkler or special hazards + Life Safety Code Specialist certification from CMS (Centers for Medicare and Medicaid Services) + None ... and interviewing witnesses. Attends schools and/or training programs to develop program area expertise and investigative abilities. Assists other law enforcement… more
- CenterWell (Kent, WA)
- …+ Complete End of Period claim workflow as part of Billing Specialist responsibilities. This includes confirming all orders are signed appropriately and coordinating ... to and participate in Agency's mandatory HIPAA / Privacy Program and Employee Compliance Program . + Read...to problem solve effectively. + Must possess knowledge of Medicare guidelines governing home health and hospice agencies. +… more
- Geisinger (Scranton, PA)
- …and efficiency in the delivery of healthcare for the Medicaid, Medicare and Commercial populations. + Completes structured clinical assessments for identified ... clinical guidelines in conjunction with the primary care provider or specialist . + Contacts patients through written correspondence and telephone calls, and… more
- Access Dubuque (Dubuque, IA)
- …General Manager - Dairy Queen Dairy Queen Plant Maintenance Technician Prairie Farms Senior Controls Specialist Simmons Pet Food Director of Aviation Maintenance ... + Benefit from ownership in Medical Associates Health Plans company (a 5-star Medicare plan). + Medical Associates enjoys joint ownership of the Tri-State Surgery… more
- LA Care Health Plan (Los Angeles, CA)
- …and/or staff, managing relationships with multiple stakeholders and have worked as a senior CRC Specialist . Health care product experience including one of the ... following health care programs: Medicaid/Medi-Cal, Covered California, or Medicare Special Needs Plan. Experience working cross-functionally with Care Management,… more