-
Prime Therapeutics
-
Nashville, Tennessee
...
**
Clinical Program Manager Remote
Job Description
This Clinical Program Manager opening is ... utility player/SME of the department.
The Clinical Program Manager is responsible for the management
...
-
CVS Health
-
Nashville, Tennessee
...
, analytic, and consultative skills to join our team of Medicare Advantage Manager, Business Consultants (MANAGER, BUSINESS CONSULTANT) who offer clinical insights and solutions to help improve health plan
...
-
HCA Healthcare
-
Nashville, Tennessee
...
reports to leadership
Works with team members in billing, revenue integrity and/or the Medicare ... , lead, manager, international log) 2 Job Description
Periodically works with their manager to
...
-
HCA Healthcare
-
Nashville, Tennessee
...
, revenue integrity and/or the Medicare Service Center to resolve alerts/edits
Communicates coding revisions to the applicable party (e.g., CIS, lead, manager, international log)
Completes MOCK
...
-
Takeda Pharmaceuticals
-
Nashville, Tennessee
...
Manager of Payer Contracting. Where you will lead the development and implementation of assigned Payer and PBM contracts with an emphasis on drafting and editing complex agreements for Commercial and Medicare
...
-
HealthEdge Software Inc
-
Nashville, Tennessee
...
Overview
Position Overview:
As a Senior Product Manager, within theclaimsvalue ... key stakeholders including Customers, Account Executives, Sales, Professional Services, Support and
...
-
Merck
-
Nashville, Tennessee
...
collaborating with the in-scope customer team: Customer Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more.
**Position Qualifications
...
-
Elevance Health
-
Nashville, Tennessee
...
government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs.
The Audit and Reimbursement Lead will support our Medicare
...
-
Elevance Health
-
Nashville, Tennessee
...
Audit & Reimbursement III- Medicare Cost Report Audit
Locations: _This is a ... Elevance Health’s family of brands. We administer government contracts for Medicare and partner with the
...
-
The Cigna Group
-
Nashville, Tennessee
...
What You’ll Do
The Medicare National Contracting Advisor position is an integral member of the National Development and Network Solutions team, reporting directly to the Medicare National
...
-
Centene Corporation
-
NASHVILLE, Tennessee
...
Purpose:** The Account Executive II supports Account Executives and Account Management Teams in assigned ... account management teams to increase new sales and penetrate Health Plan’s book of business.
Travels
...
-
The Cigna Group
-
Nashville, Tennessee
...
the Midwest and MidAmerica markets of our Medicare Advantage business. We are seeking a creative and ... .
Responsible for analysis and interpretation of moderate to complex Medicare Part C and D financial information
...
-
The Cigna Group
-
Nashville, Tennessee
...
) team within a highly complex and regulated Medicare Advantage business. The individual hired to this position will manage the MidAmerica market. The Medicare Advantage business includes a broad portfolio of
...
-
Prime Therapeutics
-
Nashville, Tennessee
...
problems and issues.
If supporting Medicare Part D, will be responsible for implementing CMS ... Structure**
Reports to Manager or Sr Director in the Finance department
Responsibilities
3
...
-
Elevance Health
-
Nashville, Tennessee
...
Audit & Reimbursement Senior - Medicare Cost Report Audit
Locations: _This ... member of Elevance Health’s family of brands. We administer government contracts for Medicare and partner
...
-
Elevance Health
-
Nashville, Tennessee
...
Audit & Reimbursement II Medicare Cost Report Appeals
Location : This is a virtual ... of brands. We administer government contracts for Medicare and partner with the Centers for Medicare
...
-
Elevance Health
-
Nashville, Tennessee
...
Audit & Reimbursement III- Medicare Cost Report Audit
_This is a United States based ... of brands. We administer government contracts for Medicare and partner with the Centers for Medicare
...
-
HCA Healthcare
-
Nashville, Tennessee
...
.
Prepares documentation for Notification of Non-covered Medicare Services or Advance Beneficiary notices to ... Practice Manager or designee as they arise.
Attends required meetings and participates in committees
...
-
Elevance Health
-
Nashville, Tennessee
...
government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to ... Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid
...
-
Vanderbilt University Medical Center
-
Nashville, Tennessee
...
requirements of regulatory and accrediting agencies including the Centers for Medicare/Medicaid Services, the
...
-
Humana
-
Nashville, Tennessee
...
Become a part of our caring community and help us put health first
The Group Medicare ... proposals (RFPs)/request for renewals (RFRs).
The Group Medicare Proposal Development/Contract Review
...
-
Humana
-
Nashville, Tennessee
...
(typically 10+ years) in the insurance brokerage industry, with a significant focus on Medicare products and ... qualifications and personal attributes are also sought:
In-depth knowledge of Medicare regulations, market
...
-
Humana
-
Nashville, Tennessee
...
need, when they need it. These efforts are leading to a better quality of life for people with Medicare
...
-
HCA Healthcare
-
Nashville, Tennessee
...
applications with providers or payors, including escalation to the Provider Enrollment Account Management team ... , such as Medicare/Medicaid Enrollment or Managed Care Enrollment.
Relevant education may substitute
...
-
CVS Health
-
Nashville, Tennessee
...
available for highly motivated individuals as Medicare Sales Specialist. The position will be a part of a specialized team who will focus on educating existing Medicare members on available plan offerings to help
...
-
Cardinal Health
-
Nashville, Tennessee
...
professional communication
Clear knowledge of Medicare (A, B, C, D)
1-2 years of Pharmacy and/or ... -being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA
...
-
Highmark Health
-
Nashville, Tennessee
...
), Pennsylvania Department of Health, Department of Labor, the Center for Medicare and Medicaid Services (CMS) and
...
-
HCA Healthcare
-
Nashville, Tennessee
...
experience in lieu.
Previous experience with government programs such as Disability or Medicaid/Medicare ... revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include
...
-
The Cigna Group
-
Nashville, Tennessee
...
Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement industry is highly competitive
...
-
Public Consulting Group
-
Nashville, Tennessee
...
Responsibilities**
Provide strong leadership on all Medicare/Medicaid cost settlement and supplemental payment ... relevant Medicare or other government program regulations.
Develop a comprehensive understanding of
...
