and regulatory requirements as it relates to Medicare compliance and HPMS/CMS regulations. Oversee and monitor various of cross..., and seminars. Communicate with CMS ensure timely completion of CMS requirements and expectations. Ensure all Medicare...
, including but not limited to commercial payors, Medicare Advantage, Medicare Shared Savings Program, and Medicaid value-based... across departments including but not limited to analytics, IS, legal & compliance. Acts as a liaison to commercial and Medicare payors...
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits includi...
. Job Description Summary: This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth... entities. This position will be responsible for ensuring the appropriate governmental (Medicare and Medicaid) reimbursement...
+, Medicare and Medicare Supplement Senior members. The Senior Markets Call Center is open 7 days a week, 8:00 a.m. - 8:00 p.m... is resolved and that none are on the horizon. Medicare provides health coverage to individuals 65 and older or those with a severe...
Manager, Care Management (Medicare) Department: Care Management Office: Hybrid San Francisco Location: San... Francisco, CA Salary: $140000 - $154000 Per Year Reporting to the Director, Care Management, the Manager, Care Management...
by senior leadership, the Senior Manager, in collaboration with the Director, is responsible for all necessary product filings... to any new Medicare markets should Point32Health choose to expand its footprint in the future. Key Responsibilities/Duties...
, and hospitalization available 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...
. Job Description Could this be you? The Broker Manager is responsible for driving individual Medicare attribution growth in partnership with assigned broker... Manager supports Medicare Advantage (MA) attribution growth through the National Educate and Advise (E&A) call center...
for our residents! The Registered Nurse (RN) Case Manager is responsible for supervising Medicare Part A and facilitating managed care... programs by determining whether a resident is eligible for Medicare, ensuring paperwork is completed during the resident’s stay...
, reinstatements and Out of Area (OOA). Ensures members are properly process within Centers of Medicare and Medicaid (CMS), the third... to the Membership Director of Monthly submissions to 3rd party vendor including OOA, Retro Enrollments, Retro Disenrollments...
assigned by Medicare Quality Manager and/or Director How Corewell Health cares for you Comprehensive benefits package...Job Summary The Medicare Quality Specialist, Pharmacy will assist the Medicare Adherence Pharmacists Team to improve...
Job Title: Manager, Medicare Value-Based Programs Location: Denver, Colorado Reports to: Vice President... Healthcare is looking for a motivated Manager of Medicare Value-Based Programs to oversee the daily operations of our Medicare...
experience within a health care and/or managed care environment. Experience with Medicare and healthcare compliance as it relates... to CMS. Medicare Advantage experience preferred. Ability to lead all aspects of a cross-functional program. Highly organized...
report preparation, coordination of audits and monitoring of regulation changes. Assist the manager and director... intermediary for preparation of annual Medicare and Medicaid cost reports. Analyze regulations and calculates financial impact...
Professional, Medicare Stars Quality Program Manager 220 Alexander St, Rochester, NY 14607, USA • 303 S Broadway... and continuous improvement. To achieve this, we're looking for a Medicare Stars Quality Program Manager to join #TeamMVP...
for group benefit plans and work closely with the Director of Benefits Department to learn various aspects of Medicare... Medicare Licensed Sales Agent to join their Benefits Department. As a key member of their team, you'll approach prospects...
Reporting to the Director, Care Management, the Manager, Care Management (Medicare) is responsible for the operation... of the Medicare Care Management team, large-scale care management initiatives, managing staff, and oversight of functions...
under the direction of the Director, Corporate Program Management Office (CPMO). The Lead Corporate Program Manager supports...-to-day program management and significant issues while also aligning with program director’s broader needs and vision for the...
are executed effectively and efficiently. Collaborates closely with the Senior Program Director to identify and mitigate project... risks, address challenges, and adjust resources as needed. Provides detailed progress reports to Senior Program Director...