Average salary: $55,000 /yearly
More statsSearch Results: 229 vacancies
...to Us:**
The Director of Regulatory Compliance works directly with the Vice President Health Plan Regulatory Compliance/National Medicare Compliance Officer to develop and maintain an effective Health Plan Regulatory Compliance Program. This position is responsible...
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Remote job
For contractors
Work experience placement
Local area
...healthcare? Bring your true colors to blue.
What we need:
As an integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual contributor while collaborating and providing guidance...
Suggested
Full time
Local area
Shift work
...us transform healthcare? Bring your true colors to blue.
Reporting to the SVP, Sales & Client Management, the Director, Group Medicare Sales, is an integral member of the leadership team-driving BCBSMA's purposeful re-entry into the Group Medicare Advantage Market...
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Full time
Temporary work
Flexible hours
Shift work
...Why This Role is Important to Us
Under direction of the Director of Medicare Compliance, the primary focus areas of this position include development and oversight of the regulatory coompliance program. This includes: Corrective Action Plan (CAP) management, regulatory...
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Work experience placement
...DSNP plans offering Dental, Hearing and Vision and monthly debit card for Groceries and Utilities. AEP in quarter 4 for a year round Medicare selling opportunity.
Also a year round SEP for Veterans to enroll in the UHC Patriot Plan which includes Dental, Hearing and...
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Full time
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Second job
Local area
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...Job Description
Job Description
Medicare ACO Registered Nurse (R.N.) Care Manager $82,016 - $ 96,489
Part Time
Reports to: Care Management Lead RN
Position Summary:
As an integral member of the care management team the Registered Nurse (RN) Care...
Suggested
Part time
Local area
Flexible hours
...full remote, however the selected candidate must live and work from one of the New England states (ME, NH, VT, MA, RI, CT)
The Medicare Coverage Analyst (MCA) is responsible for reviewing clinical research protocols, Informed Consent Forms, Clinical Trial Agreements...
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Remote job
...device and identity protection.
We are the Good Hands. We dont follow the trends. We set them.
Make a Difference
As a Medicare Benefit Advisor, youll utilize your in-depth Medicare knowledge and sales skills to consult retired seniors on the most beneficial...
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Hourly pay
Full time
Contract work
Remote job
Work from home
Work visa
...communication, analytical, and interpretation skills are essential. The ideal candidate will have a background in inpatient care or with a Medicare-type population and be familiar with managed care, including Medicare Advantage.
Applicants for the Medical Director position at...
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...restore the independence and joy of practicing medicine, particularly in the context of an aging population and the challenges of Medicare. They are seeking a Vice President of Customer Success to lead a team of Relationship Managers in engaging with physician practices...
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Work experience placement
Local area
...Specialties
Population Health Management
Value-based Care
Healthcare Analytics
Quality Measures
HEDIS Measures
Medicare Advantage
MSSP
and NCQA DAV
About the Role
The Regional Vice President will be responsible for fostering and maintaining...
Suggested
...approved clinical license (e.g., LCPC, LCSW, LMFT, PhD in Clinical Psychology, etc.)
Comfort treating adolescents (13-17), adults, and Medicare clients (preferred)
Individual professional malpractice liability insurance policy
Submission of a fully completed, signed...
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Hourly pay
Full time
Contract work
Part time
Private practice
Local area
Remote job
Flexible hours
Weekend work
Afternoon shift
...clinical license (e.g., LCPC, LCSW, LMFT, or PhD in Clinical Psychology, etc.)
Comfort treating adolescents (13-17), adults, and Medicare clients (preferred)
Individual professional malpractice liability insurance policy
Submission of a fully completed, signed...
Suggested
Hourly pay
Full time
Contract work
Part time
Private practice
Immediate start
Remote job
Flexible hours
...strategy, defining the roadmap, and launching the first Minimum Viable Product (MVP) for innovative behavioral health solutions aimed at Medicare Advantage members with polychronic chronic conditions. The successful candidate will be responsible for developing a 12+ month...
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...non-coverage. Explains UR process and insurance coverage requirements. Obtains physician written concurrence when necessary; e.g., Medicare patients.
Informs the patient and/or next of kin when insurance coverage must be terminated for the current admission. Issues...
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Holiday work
Permanent employment
Full time
Work experience placement
Weekend work
..., patient confidentiality, product reimbursement, and access. The role requires a seasoned leader with in-depth knowledge of FSS, Medicare Part D, Medicaid, and private payer policies, as well as experience in developing processes for coordination with HUB, co-pay, and...
Remote job
...Categories
Health Care
Information Technology
Specialties
Medicaid Managed Care
Behavioral Health Care Services
Medicare Advantage SNP
Pharmacy Benefits Management
Specialty Pharmacy
and Long Term Services and Supports
About the Role
The...
Contract work
...About Garity Advantage
is an independent marketing organization that specializes in the senior market — namely, Medicare products. The firm proudly serves as a key intermediary between insurance carriers and a network of independent sales agents. GarityAdvantage...
Full time
Local area
...affiliate repatriations.
Assesses, via electronic systems, patients insurance plans and benefits, such as MassHealth eligibility and Medicare benefits and facilitates coordination with Patient Financial Services
Prepares, explains to patients, and documents delivery of...
Full time
Work experience placement
Shift work
...property insurance contents coverage and business interruption.
7) Provides financial data to Payment Systems Department for the Medicare cost reports.
8) Ad hoc projects for VP's and Managers
9) Maintains strict compliance with Lahey Clinic Confidentiality Policy...
