Health Insurance Specialist
Department of Health and Human Services
Duties
Provides strategic direction and technical advice on policies and operations for the Medicare Drug Rebate and Negotiation Programs, including implementation, execution, development, and long-term sustainability of MDRNG program requirements.
Serves as subject-matter expert and chief point of contact to external entities on system development and implementation. Develops and expands partnerships with key stakeholders.
Provides authoritative technical expertise to MDRNG staff, contractors, and CMS and HHS leadership on operations, systems, and product development needed to implement the Medicare Drug Price Negotiation and Inflation Rebate Programs.
Leads government and contractor teams on system design and development initiatives. Coordinates complex, high-priority assignments, directs long-term strategy implementation, and resolves policy and operational challenges.
$169.28k
...Centers for Medicare & Medicaid ServicesDepartment: Department of Health and Human ServicesSub agency: Center for Medicare (CM)Salary:... ...8344-IMPDocument ID: 879417500Grade: GS 15Job category: Health Insurance Administration (0107)Hiring path: fed-internal-search, fed-...Health InsurancePermanent employmentTemporary workRelocation- ...Supervisory Health Insurance Specialist As a Supervisory Health Insurance Specialist, GS-0107-15, serves as subject-matter expert, providing interpretations and supportive consultations of established and proposed policies associated with Medicare and Medicaid quality...Health Insurance
$48.08 - $57.69 per hour
...international labor and employment law firm, is seeking an Insurance Appeals Specialist to join our Legal Project Management Team. This role is... ...to challenge yourself.Our comprehensive benefits include health, dental, and vision insurance, a 401(k) with profit sharing...Health InsuranceHourly payFull timeWork at officeRemote workRelocation- Group Director Duties Serve as a Group Director and exercises supervisory authority over staff. Direct the development of testimony and the coordination of hearings. Lead briefings of the Administrator and other senior CMS and Departmental officials for appearances...Health InsuranceWork at office
- ...Supervisory Health Insurance Specialist This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Legislation (OL), Hearings & Policy Presentation Group (HPPG). As a Supervisory Health Insurance...Health InsuranceWork at office
- ...Health Insurance Specialist This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare, Medicare Drug Rebate and Negotiations Group (MDRNG) Front Office. As a Health Insurance Specialist...Health Insurance
- ...Health Insurance Specialist This position is located in the Department of Health & Human Services, Centers for Medicare & Medicaid Services, Center for Medicaid and Children's Health Insurance Program (CHIP) Services (CMCS). As a Health Insurance Specialist, GS-0107...Health Insurance
- Job Title Job Description Help Provide direct staff administration, including recruitment, scheduling, workload distribution, and the enforcement of performance and conduct standards. Oversee the full rule making life cycle, including drafting new rules, forecasting...Health Insurance
- ...interpreting, and evaluating national policies, regulations, legislation, procedures, and guidance governing Medicaid, CHIP, BHP, and related health programs. Reviewing state financing, reimbursement, eligibility, benefits, prescription drug, third-party liability, and other...Health Insurance
- ...Position: Health Insurance Revenue Cycle Specialist Location: Tampa, FL Job Id: 223 # of Openings: 1 Here we Grow Again! Join us for another record breaking Year! We are seeking Insurance Collections Representatives. Duties include: Following up on outstanding insurance...Health Insurance
$23.33 per hour
...Description Job Description Case Resolution Specialist Location: On-site Honolulu, HI... ...complex service issues within a healthcare insurance environment. This role serves as a key... ...Services, and Pharmacy. Research health plan benefits, contractual language, and...Health InsuranceFull timeContract workTemporary work$40k - $75k
...A local insurance agency in Waco, Texas is looking for a Life/Health Specialist. In this full-time role, you will market insurance products and services while developing client relationships. The ideal candidate should have excellent communication skills and a successful...Health InsuranceFull timeLocal area- ...Providence Medical Center – Kansas City, KS We are seeking a n Insurance Verification Specialist , sometimes referred to as a Hospital Insurance Verifier... ...demographic information within the hospital’s electronic health record system to support smooth admissions and billing...Health InsuranceFull timeLocal areaShift work
- ...JOB TITLE: Insurance Verification Specialist Ensures all records are maintained in absolute integrity and in compliance with applicable regulations... ...communication and customer relations. Benefits Comprehensive health, dental, and vision insurance Health Savings Account with...Health InsuranceLocal area
- ...Most Innovative Companies. Our team is growing: The Insurance Specialist will sell insurance to new and existing retail clients, and... ...and professionalism, particularly when dealing with sensitive health information. Understand and respect the required...Health InsuranceBank staffRemote work
- ...Summary This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services... ...CM), Division of Chronic Care Management (DCCM) As a Health Insurance Specialist, GS-0107-15, you will serve as a senior operational and policy...Health InsuranceWork at officeRelocation packageFlexible hours
- ...Job Title: Determination Specialist Position Type: Full-Time / Contract-to-Hire (High... ...disputes between healthcare providers and health plans. In this role, you will leverage your... ...out-of-network reimbursement, or health insurance dispute resolution . (Candidates...Health InsurancePermanent employmentFull timeContract workWork at officeLocal areaRemote work
$20 per hour
...different. We bring together the science of musculoskeletal health with the art of individualized care, consistently... ...outcomes for our patients. Join us as an Authorization and Insurance Verification Specialist! The Authorization / Insurance Verification Specialist...Health InsuranceFlexible hours- ...Surgery Partners, Inc in Midland, Texas is seeking an Insurance Verification Specialist to ensure all records are maintained with integrity and compliance... ...of medical terminology. Benefits include comprehensive health insurance and a 401(k) retirement plan. #J-18808-Ljbffr...Health Insurance
$17 - $23 per hour
...Healthcare in Scottsdale, AZ is hiring a full-time Verification Specialist , and we're looking for someone just like you. If you're... ...play a vital role in ensuring the accuracy and integrity of health insurance applications, this is your moment. As our Health Insurance Verification...Health InsuranceHourly payFull timeWork at officeMonday to Friday$40,000 - $50,000 per week
...detail oriented individual that is able to handle a fast paced office environment. Must have prior knowledge of dealing with health insurance authorizations/verifications.Duties include reviewing daily notes prior to being sent to Billing Company, patient insurance authorizations...Health InsuranceWork at officeLocal area- ...The hours for this role are 10:00 am - 6:30 pm CST. Insurance Verification Coordinator The Insurance Verification Coordinator is responsible... ...Knowledge of medical terminology and procedures. Knowledge of health insurance industry practices and/or medical billing procedures....Health InsuranceWork at office
- ...we serve.Job Description:Job PurposeThe purpose of the Insurance Follow-up and Billing Specialist is to ensure that issues related to payment are handled... ...including Medicare, Medicaid, Blue Cross, and other commerical health insurance carriers.Education/ExperienceMust have a high...Health InsuranceWork at office
- ...Insurance Verification Specialist Remote/West Palm Beach, Florida Billing Specialist Job Description Bluebird Kids Health is a dynamic organization that provides underserved communities with new access to value-based pediatric primary care. We are on a mission...Health InsuranceImmediate startRemote work
- ...Insurance Billing Follow-Up SpecialistUS:WA:Mount Vernon | Administrative Non-Clinical Support | Full Time 0.6 FTE or More25.09 - 36.39... ...team and/or committee meetings.Comply with all Skagit Regional Health, department and location specific policies and procedures.Perform...Health InsuranceFull timeWork at office
$16 per hour
...Insurance Reauthorization Specialist Location: Lafayette, LA Pay Rate: $16.00 per hour Shift: Monday Friday | 8 AM 5 PM Join the team. Be... ...Responsibilities: Obtain patient demographic and health insurance information; collect co-pay(s) when appropriate...Health InsuranceHourly payWeekly payWork at officeLocal areaMonday to FridayShift work$20 - $35 per hour
...Insurance Specialist This is a remote position for candidates located in the Pacific Time Zone. Initial onboarding and training will take... ...insurance verification and authorization/re-authorization for home health care services for new or existing patients in accordance...Health InsuranceWork at officeLocal areaRemote workFlexible hours- ...Description Job Description Are you a seasoned life insurance professional ready to take your career to the... ...professional for the role of Life Insurance Specialist. As a customer-oriented expert, you will market Life/Health insurance services and products to benefit...Health InsuranceCasual workWork at officeRemote workHome office
- Justworks, Inc. is seeking a Health Insurance Underwriting Assistant in Tampa to support the underwriting team with file review and data reconciliation for insurance applications. You will ensure documentation accuracy and timely collection, acting as a liaison with vendors...Health Insurance
- A dynamic health insurance firm is seeking a motivated Business Development Representative to foster and expand broker relationships. Responsibilities include developing partnerships, engaging potential leads, and collaborating with internal teams. The ideal candidate...Health Insurance
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