Medical Review Manager – CMS Medicare - United States - Remote

Descripción del puesto · Estamos buscando un Agente de Seguros Licenciado para ayudar a las personas a navegar los programas de Medicare. En este puesto, educarás a los clientes sobre las opciones de Medicare (Partes C y D, así como planes Suplementarios/Medigap y productos auxil ...

Nuestros valores fundamentales · • Propiedad extrema: asumimos la responsabilidad de nuestras acciones y · obligaciones, ofreciendo los mejores resultados posibles para nuestros clientes. · • Por encima del reproche: mantenemos los más altos estándares de integridad y · ética en ...

· At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sec ...

· At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sec ...

As a Medicare/Medicaid Enrollment Specialist at BetterHelp you'll manage the end-to-end enrollment of designated entities into Medicare and Medicaid programs across all applicable states.Ensure accurate compliant timely submission of enrollment applications while serving as the p ...

We are seeking an experienced Certified Coder to support medical review activities through complex coding validations and quality assurance efforts. · Perform complex coding validations for accuracy reviews · Contribute documentation and analysis for coding validation deliverable ...

· Overview · Empower AI is AI for government. Empower AI gives federal agency leaders the tools to elevate the potential of their workforce with a direct path for meaningful transformation. Headquartered in Reston, Va., Empower AI leverages three decades of experience solving co ...

Position: Compliance Manager – Medicare / Health Insurance · Location: Remote – United States · Compensation: Salary – Starting at $80K + Bonus · Compliance Manager – Medicare / Health Insurance · About the Role · We are seeking a detail-oriented and knowledgeable Compliance Mana ...

Position Overview · We are seeking a Licensed Insurance Agent to assist individuals in navigating Medicare programs. In this role, you will educate clients on Medicare options (Parts C & D as well as Med Supp/MediGap and ancillary products), recommend suitable plans based on the ...

Navitus Health Solutions is seeking a Director Technical Operations with no less than 5 years of experience at a PBM health plan or managed care environment to join our team. · ...

Aquia Inc. seeks a results-driven Director of Business Development with proven expertise in the Public Sector, focusing on the United States Department of Health and Human Services (HHS) ecosystem. · ...

The RN Senior Medical Reviewer provides advanced medical review expertise and supports oversight of the medical review process, focusing on complex services and quality assurance. · ...

· At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sec ...

· The World at TSPi · Solving the world's most pressing issues and improving the quality of life for people worldwide is what we do every day at TSPi. Creating a more equitable world is no small task, but we are driven by big challenges. · Only by sharing our commitment, energy, ...

See Yourself at Telix · The Government Program Manager will be relied upon for price reporting obligations for programs administered by Centers for Medicare and Medicaid Services (CMS) and the associated contractual obligations. As a member of the Market Access Team, the GPM will ...

Job Title: BI Developer - Medicare Advantage & Epic Tapestry · Location: 5767 W Century Blvd Ste 400, Los Angeles, CA % Remote acceptable) · Duration: 52 weeks contract w/ possibility of extensions · Notes: · 100% Remote role. · Work Schedule: Monday to Friday, 8 AM – 5 PM (Pacif ...

We're looking for a certified pharmacy technician experienced in managed care specifically Part D/MAPD and who has had additional PBM collaboration relative to the administration of Part D and Part B pharmacy claims. · At Devoted Health, we're dedicated to providing personalized, ...

As a Senior Health Economist you'll own the end-to-end economic narrative that translates Twin Health's AI-driven outcomes into a rigorous defensible value proposition. · Sales Engineering: Join sales calls with Health Plan Actuaries to explain our methodology for calculating PMP ...

· Company · Navitus · About Us · Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the peo ...

· It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. · Job Summary: · The Coder manages the day to day responsibiliti ...