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BrightSpring Health Services
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MADISON, Tennessee
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fill the role of Patient Care Manager. The PCM plays a critical role on our team, ensuring the high ... Account (FSA)
Employee Assistance Program (EAP)
Employee discounts
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Prime Therapeutics
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Nashville, Tennessee
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**
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
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Covenant Health
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Sevierville, Tennessee
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Comp, Tenncare and Medicare. Incumbent is accountable for assuring all records are located and ... correct patient type based upon patient need and physician order
Documents account notes using
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Covenant Health
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Sevierville, Tennessee
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Comp, Tenncare and Medicare. Incumbent is accountable for assuring all records are located and ... correct patient type based upon patient need and physician order
Documents account notes using
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Covenant Health
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Sevierville, Tennessee
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Comp, Tenncare and Medicare. Incumbent is accountable for assuring all records are located and ... correct patient type based upon patient need and physician order
Documents account notes using
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CVS Health
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Nashville, Tennessee
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, 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
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HCA Healthcare
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Nashville, Tennessee
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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
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HCA Healthcare
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Nashville, Tennessee
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, 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
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Travelers Insurance Company
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Franklin, Tennessee
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medical and indemnity position of the claim with a Medical Case Manager. Independently handles assigned ... benefit entitlement, medical diagnoses, Medicare Set Aside to achieve resolution through the best possible
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Takeda Pharmaceuticals
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Nashville, Tennessee
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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
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HealthEdge Software Inc
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Nashville, Tennessee
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Overview
Position Overview:
As a Senior Product Manager, within theclaimsvalue ... key stakeholders including Customers, Account Executives, Sales, Professional Services, Support and
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Merck
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Nashville, Tennessee
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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
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Covenant Health
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Knoxville, Tennessee
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, HIPAA, Medicare/Medicaid guidelines, other Third Party Payor requirements, and self-pay/uninsured ... be resolved by the staff, referring to the CBO Operations Manager if necessary.
Searches
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Elevance Health
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Nashville, Tennessee
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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
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Elevance Health
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Nashville, Tennessee
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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
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The Cigna Group
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Nashville, Tennessee
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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
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Fresenius Medical Care North America
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Chattanooga, Tennessee
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availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal ... Medicare and Medicaid include but are not limited to:
Determining Medicare eligibility by meeting
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Centene Corporation
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NASHVILLE, Tennessee
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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
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The Cigna Group
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Nashville, Tennessee
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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
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The Cigna Group
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Nashville, Tennessee
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) 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
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Prime Therapeutics
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Nashville, Tennessee
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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
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Elevance Health
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Nashville, Tennessee
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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
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BlueCross BlueShield of Tennessee
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Chattanooga, Tennessee
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: Sr. Financial Analyst - Performance Reporting & Analysis**
Medicare/Medicaid experience
FP&A
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Elevance Health
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Nashville, Tennessee
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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
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Elevance Health
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Nashville, Tennessee
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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
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HCA Healthcare
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Nashville, Tennessee
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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
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Robert Half
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Chattanooga, Tennessee
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, with a focus on Medicare and Medicaid. You will also be involved in customer communications, primarily ... phone, email, and messaging
• Process customer applications related to Medicare and Medicaid
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Signature Healthcare
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BYRDSTOWN, Tennessee
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Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great Place to Work for
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Elevance Health
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Nashville, Tennessee
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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
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Humana
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Nashville, Tennessee
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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
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