- Humana (Lansing, MI)
- …caring community and help us put health first** The Associate Vice President (AVP) of Medicare and Medicaid Encounter Submissions is responsible for ... are implemented to achieve critical compliance requirements. The Associate Vice President (AVP) of Medicare and Medicaid Encounter Submissions… more
- Humana (Lansing, MI)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. +… more
- Humana (Lansing, MI)
- …and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other… more
- Humana (Lansing, MI)
- …of security, enabling people to live life fully and be their most productive. The Associate Vice President (AVP), Corporate Technology Solutions is a bold ... that advance the employment experience and vitality of the associate community. Through offerings anchored in a whole person...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Humana (Lansing, MI)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. +… more
- University of Michigan (Ann Arbor, MI)
- …level of care, administrative and outpatient denials. They manage and respond to Medicare , Medicare Advantage, Varis, Medicaid and other various commercial ... knowledge of CMS regulations, OPPS coding for surgical procedures and the Medicare inpatient only list to ensure accurate reimbursement. + Review readmissions and… more
- University of Michigan (Ann Arbor, MI)
- …seamless registration and admission process. Obtain signatures on consent-to-treat and Medicare admission forms. Collect copays for both Adult Emergency Department ... at-risk patients and families. Complete basic eligibility screening for Medicaid , Michigan Health Insurance Marketplace plans and/or M-Support financial assistance… more