وظيفة في Medicare في Denver

Actuary I (Medicare) Remote Hybrid We are currently all mainly working remote. Team will have onsite (Downtown LA HQ office) once a quarter meeting. Candidates must live in California local enough to Los Angeles to go into the office at minimum once a quarter. Los Angeles CA US

We are hiring an Accounting Manager for one of our clients in Paramus NJ. Job Description: Medicare Part A and Part B Skilled Nursing Facility Responsible to obtain reimbursement from Medicare and private insurance companies for skilled nursing care. This involves establishing cost المزيد...

Role: Dell Boomi Developer Location: Remote Required skillset: 1. Boomi B2B 2. Boomi FlowJob Required Skills: Technical Skills: Boomi B2B Boomi Flow Spring Boot Domain Skills: Payer Claims Medicare & Medicaid Claims Summary: Seeking a highly skilled Sr. Developer with 711 ye المزيد...

Retail Store Temps Job Description: The job assists with retail store work that may include customer contact involving greeting customers when they enter the store or call on the telephone to gather appropriate information scheduling meetings etc. Description: Do you like working in المزيد...

Credentialing Representative Consulting Claims Examiner Level 3 Visa US Citizen or Green Card Hybrid Role Doral FL Consulting Opportunity # of seats: 2 Hybrid Schedule: In office when needed General Purpose Processes and Adjudicates Facility UB04 and Professional C المزيد...

Sr. Software Engineer About The Job: Client is acquiring a Medicare software business (confidential) with a long history of profitability and stability. The role of Director of Engineering & Actuarial will be pivotal to the longterm growth and success of the business. The c المزيد...

The Regional Clinical Director will cover Iowa and can reside anywhere in the state. InState Travel four (4) days per week is required. The RDCS has several key functions. They include providing clinical support to each hospice program concerning conflicting issues of patient appropri المزيد...

JOB SUMMARY/PURPOSEDevelops implements and maintains auditing practices related to medical record coding and documentation to enhance risk adjustment outcomes for Medicare members. Ensures member medical records comply with CMSs Risk Adjustment Data Validation procedures. Responsible المزيد...

100% Remote EST work hours Possible CTH role Technical QNXT Benefit Configuration; Front End Must Haves: 3 years of QNXT benefits configuration ***Needs to be front end Ideally know commercial side; but if they are super strong on QNXT Benefit Configuration would consider jus المزيد...

Nurse Practitioner:POSITION SUMMARY: The Nurse Practitioner (NP) is a Registered Nurse who possesses additional clinical and didactic education to function at an advanced level of nursing practice. They will be clinically competent in physical diagnosis psychosocial assessment and man المزيد...

Shift FullTime MF day shift (hybrid position) The F&R Consultant completes contract build/modelling performance reporting and maintenance within Epic EMR; assists with new payer/plan build and design within Epic; negotiates payment on individual nonnetwork cases; assists with thir المزيد...

Sr.PM position in Healthcare Insurance Remote Manage mediumscale or low to medium to high complexity projects within programs and standalone projects Exp needed with insurance medicare/ medicad Make sure theyve used ALM (ADO) SNOW Medicare advantage DSNP Exchange programs Market pl المزيد...

Nurse Practitioner:POSITION SUMMARY: The Nurse Practitioner (NP) is a Registered Nurse who possesses additional clinical and didactic education to function at an advanced level of nursing practice. They will be clinically competent in physical diagnosis psychosocial assessment and man المزيد...

Shift: Days WHAT YOU WILL DO IN THIS ROLE: EXPERIENCE/EDUCATION/QUALIFICATIONS Masters degree in Mental Health Social Work Clinical Psychology or a closely related field required. Current unencumbered Oregon credential/licensure in one (1) of the following required: Licensed Cl المزيد...

Responsibilities: Saturday and Sunday. 8 or more hours each day available Process all referrals for Medicare Certified Home Health services Qualify all intake requests for both clinical appropriateness and financial reimbursement Ensure all intake data is accurate Articulate an und المزيد...

DEPARTMENT DESCRIPTIONThe social services teams provide direct services to clients impart information and make referrals screen and assess clients and intervene in crisis situations most often in their area of practice. We are an integral part of the multidisciplinary team working clo المزيد...

with proven verifiable success to lead the agencies delivery of hospice and palliative care services. We are looking for a superstar with proven verifiable performance! You will oversee the clinical and financial operations of the multidisciplinary staff ensure care is provided to المزيد...

Please go through JD if you would like to submit your profile Feel free to reach me on Ext 3512 Phone . Position: Manager of Claims Health Plans (FullTime) Location : Corvallis OR 97330 Salary: $73000.00 to $90000.00 Per Year with All Benefits. Hybrid position will be onsite in المزيد...

DEPARTMENT DESCRIPTIONThe social services teams provide direct services to clients impart information and make referrals screen and assess clients and intervene in crisis situations most often in their area of practice. We are an integral part of the multidisciplinary team working clo المزيد...

Healthcare Project Coordinator Remote Full time Candidates should be in US to apply for this position!!! Job Description Seeking a curious and creative Healthcare Project Coordinator willing to learn how to weave together health care policy and technology in a fastpaced constantl المزيد...