- CVS Health (Springfield, IL)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California, Florida, Illinois, ... "Work from Home" position primarily supporting the Aetna Illinois Medicaid plan and the UM team; but part of...Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a… more
- CVS Health (Frankfort, KY)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid managed care plans in multiple states: Arizona, California, Florida, Illinois, ... working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus **Preferred Qualifications:**… more
- Genesis Healthcare (PA)
- …and payer-specific trends; develop and execute corrective action plans. + Supervise Market Medicaid Advisor , Market Eligibility Advisor , Market Business ... Responsibilities Genesis HealthCare is seeking a **Market Revenue Cycle Advisor ** to lead and improve revenue cycle operations across...center teams on all payer types, with priority on Medicaid Pending and Private accounts. + Oversee and train… more
- Centene Corporation (Columbus, OH)
- …may also include additional forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is committed ... clear metrics and accountability. + Serve as a trusted advisor on population health strategy as part of the...+ Build and maintain strong partnerships with the state Medicaid regulator to ensure compliance and program … more
- Molina Healthcare (Los Angeles, CA)
- …Employer (EOE) M/F/D/V. Key Words: health care, insurance, health insurance, Medicaid , Medicare, health coach, community health advisor , family advocate, ... Health Worker, Equity, DPBH, HMO, SDOH, ICF/DD, Cal Fresh, DHCS, Access Program , MCAP, eligibility , benefits, providers Same Posting Description for Internal… more
- Ascendis Pharma (Princeton, NJ)
- …Oversee the administration of rebate programs, including government rebates (eg, Medicaid , Medicare), managed care rebates, and commercial rebates. Ensure accurate ... access, finance, procurement, legal, and contracting partners. Serve as a trusted advisor on contracting and pricing matters, providing guidance and support as… more
- Mount Sinai Health System (New York, NY)
- …Surgery) + Registration (Clinic - New Registrations) + Insurance Verification and Eligibility Determination + Medicaid Eligibility and Enrollment + ... serves on the High-Risk Evaluation Committee and acts as a trusted advisor to: + Transfer Services Department + International Services Department + Rehabilitation… more
- Dignity Health (Phoenix, AZ)
- …and possibly family medicine). + May have roles as Core Faculty and Advisor , support and maintain residency program curricula. + Oversees, prepares and ... and needs of the comumnity. + Single practice. 60% Medicaid . Approximately 40% Private. + General pediatrics age 0-18...**Job Requirements** + MD or DO Degree + Board Certification/ Eligibility + Must have or be eligible for medical… more
- Houston Methodist (Houston, TX)
- …continued stay, and resource use, appropriate level of care and program compliance. Identifies when services no longer meet evidence-based criteria, initiates ... to facilitate efficient use of resources and seeks assistance from the Physician Advisor when necessary. Informs management of the possible need for issuing Medical… more
- Houston Methodist (The Woodlands, TX)
- …admission, continued stay and resource use, appropriate level of care and program compliance. Identifies when services no longer meet InterQual/Millman l criteria, ... case manager to facilitate discharge planning, seeks assistance from the physician advisor , if needed, and informs management of the possible need for issuing… more