- Academy of Managed Care Pharmacy (Houston, TX)
- …to all, regardless of pre‑existing conditions. Community Health Choice (HMO D‑SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare ... and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits… more
- Prisma Health (Columbia, SC)
- …Clinical Quality Data, and Risk. Works collaboratively with data support specialist /analyst and the Senior Infection Preventionist to coordinate data collection and ... acquired infections. Adheres to reporting standards as set forth by Centers for Medicare and Medicaid Services (CMS), Centers for Disease Control (CDC) and other… more
- Hartford HealthCare (Farmington, CT)
- …Up/Denials Supervisor, in the day-to-day operations of the AR Follow Up & Denials Specialist Level 1, Level 2 and Level 3. Daily Operations consist of monitoring ... in the process of interviewing applicants and provides feedback to hiring manager . Assists in the onboarding and training of new AR Collections Specialists.**… more
- CVS Health (Springfield, IL)
- …As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our ... conditions. The CMS collaborates closely with the Registered Nurse Care Manager , Care Coordinator, Social Worker, and other interdisciplinary care team participants… more
- Gentiva (Conyers, GA)
- …Compassion. Inspire Excellence. Elevate Hospice Care.** We are seeking a Patient Care Manager Specialist to join our team, reporting to the Regional Director ... supporting compliance with company policies and regulatory requirements. **As a Patient Care Manager Specialist , You Will:** + Provide oversight for patient care… more
- MetroLink (Los Angeles, CA)
- Social Media Specialist Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/5183448) Apply Social Media Specialist Salary $63,277.00 - $98,080.00 ... Pacific + Description + Benefits + Questions SUMMARY The Social Media Specialist supports and enhances positive exposure and corporate image for Metrolink/SCRRA by… more
- Datavant (Pierre, SD)
- …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... workspace! **Preferred: In need for a FT IP auditing specialist . Auditing specialist will be responsible for...be responsible for reviewing and validating DRGs specific to Medicare and Medicare Managed Care. Interest in… more
- Hartford HealthCare (Farmington, CT)
- …arise *_Working Relationships:_* *This Job Reports To:* Audit and Education Specialist Manager *_Requirements and Specifications:_* **Education** . Minimum: o ... common practices across the system. *_Position Summary:_* The Audit & Education Specialist develops and implements an effective and comprehensive audit & education… more
- University of Washington (Seattle, WA)
- …Research Billing Specialist position will enable the Clinical Research Billing Manager and Lead to coordinate and engage in the planning and implementation of ... (eg, CTMS Target 3 rollout). The Clinical Research Billing Specialist will: + Support Billing team through day-to-day problem-solving...patient billing + Escalate issues to Team Lead or Manager as appropriate ** Medicare Rules: Application and… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Provides expertise to ... or related field. + 5 years of experience as a Sourcing Specialist or equivalent experience. **Professional Certification(s)** + Certified Purchasing Manager … more
