- Novo Nordisk Inc. (San Mateo, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... and legal requirements. Manages discretionary territory budget and marketing promotional program budget to support territory sales goals Demonstrates a clear and… more
- Medical Mutual (Cleveland, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Builds and sustains ... reconcile discrepancies and identify issues, proposes solutions, and escalates issues to senior leadership as needed. *Prepares and leads weekly, monthly, and ad hoc… more
- Center for Elders' Independence (Oakland, CA)
- Description The Center for Elders' Independence (CEI) provides a Program of All-Inclusive Care for the Elderly (PACE) - a comprehensive healthcare model specifically ... integrated healthcare services to the elderly. Position Description: The Intake Specialist I (IS I) will navigate the intake/enrollment process and introduce… more
- SCAN (Long Beach, CA)
- …health care required. 3+ years compliance experience Demonstrated knowledge of the Medicare Advantage Program and its governing regulations. Strong interpersonal ... SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in...healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented,… more
- Illuminus (New Berlin, WI)
- …- Company Paid Voluntary Ancillary Coverage Referral Bonuses Employee Assistance Program Illuminus is a faith-based, not-for-profit senior living management ... skills to join our team as a Clinical Reimbursement Specialist who is a registered nurse. In this role...mission, vision, and values. Will ensure center adheres to Medicare coverage requirements; such as certification, assessment, and advance… more
- State of Washington (Olympia, WA)
- …nation! The Opportunity WSDOT is currently seeking an Electrical & Electronics Systems Specialist 3 (EESS3) to join the Olympic Region's (OR) Signal Shop. This ... region-wide role acts as the senior -level technician, conducting diagnoses, preventative maintenance, repair, and installation of traffic signals, ramp meters,… more
- Banner Health (Phoenix, AZ)
- …Name: Clinical Decision Making Work Shift: Day Job Category: Physicians The Senior Medical Director, Network Performance is a senior clinical executive ... of Banner Health's network of employed and contracted providers across Medicare Advantage, Medicaid, Commercial, and government value-based programs. This role leads… more
- StateJobsNY (Thiells, NY)
- …Therapist, Chief Physical Therapist, Chief Recreation Therapist, Developmental Disabilities Program Specialist 1, Developmental Disabilities Program ... Specialist 1 (Spanish Language), Developmental Disabilities Program Specialist 2, Developmental Specialist 4, Head Occupational Therapist, Head Physical… more
- Molina Healthcare (Atlanta, GA)
- …the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Manage ... for all Medicare lines of business the annual Medicare and Medicare -Medicaid Plan Applications and Plan Benefit Package design, as well as provide… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** ... Eligibility & Marketplace Integration (DEMI)** **Bureau of Third-Party Health Insurance, Medicare Savings Program and Recoveries** **Telecommuting Option:** This… more
