- Molina Healthcare (WI)
- …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
- Medical Mutual of Ohio (Brooklyn, OH)
- …cash receipts and adjustments. Balances daily cash deposits via next day reports. Sr . Payment Control Specialist Processes routine to complex and/or varied ... self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans....account and invoice. + Performs other duties as assigned. Sr . Payment Control Specialist + Balances daily… more
- Medical Mutual of Ohio (OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Acts as a subject ... matter expert and collaborates with various internal departments to ensure that Medicare Advantage (MA) clinical programs and regulatory reporting are compliant with… more
- UCHealth (Colorado Springs, CO)
- Description Patient Access Specialist Sr Location: UCHealth Printers Park Medical Plaza, US:CO: Colorado Springs Department: MHS Adult OP Patient Access FTE: ... + Verifies insurance eligibility for governmental insurance payors (ie Medicaid, Medicare , Tricare, etc.). May complete Medicare Secondary Payor Questionnaire… more
- Molina Healthcare (Southaven, MS)
- …and must live in Mississippi _** **Job Description** **Job Summary** The Sr Specialist , Provider Engagement role implements Health Plan provider engagement ... meetings and action plans. Addresses practice environment challenges to achieve program goals and improve health outcomes. Tracks engagement activities using… more
- Molina Healthcare (Victorville, CA)
- …your community? Do you enjoy building relationships? **Molina Healthcare** is hiring a ** Sr Community Engagement & Growth Specialist ** in SW San Bernardino ... **Specific ONLY to CA: Completion of Molina /DHS/MRMIB Marketing Certification Program /Covered CA Certified. **Must have valid driver's license with good driving… more
- University of Rochester (Rochester, NY)
- …drugs (HazD) in compliance with USP 800 standards, Centers for Medicare and Medicaid Services┐ Conditions of Participation, Department of Health regulations, ... development and implementation of a quality assurance and control program that collects and reports relevant data for adherence...health system. Documents the review of the quality assurance program and findings on at least annually in the… more
- UCHealth (Aurora, CO)
- …physician. Verifies insurance eligibility for governmental insurance payors (ie Medicaid, Medicare , Tricare, etc.). May complete Medicare Secondary Payor ... a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program ! UCHealth provides employees with free assistance navigating the PSLF program… more
- HCA Healthcare (Hendersonville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Medicare Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work...make a difference. We are looking for a dedicated Medicare Specialist like you to be a… more
- WMCHealth (Valhalla, NY)
- Sr . Revenue Integrity Analyst (CCS/CPC/CCA/RHIT) - On-site position Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: ... Internal Applicant link Job Details: Job Summary: The on-site Sr . Revenue Integrity Analyst reviews and revises accounts to achieve… more