Showing 1-10 of 1,484
Showing 1-10 of 1,484
Payer Medicare Manager jobs

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Kindred Healthcare - Perris, CA

Manage relationships with the payers, physicians, hospital referral sources, and your case management staff. Assist with on-site monitoring reviews by PRO, Blue...

ikaSystems Corporation - Southborough, MA

Knowledge of Medicare Advantage processes and CMS guidelines is required. Support all Centers for Medicare & Medicaid Services (CMS) and internal audit...

Brown & Toland Physicians - Oakland, CA

Assures compliance with all payer contracts and federal, state, and county regulations and mandates for utilization review....

Dubin Group - Philadelphia, PA

Knowledge of Medicaid, Medicare, and Managed Care Organizations payer requirements including working knowledge of Pecos, Promise, and CAQH systems....

RML Specialty Hospital - Hinsdale, IL

This includes complicated secondary payer and Medicare exhaust billing requirements. Develops and maintains effective professional relationships with...

Special Needs Network, Inc. - Los Angeles, CA

Experience in payer contracting/negotiations; Maintain Compliance program to ensure compliance with Medicare and other federal agencies·....

Commonwealth Care Alliance - Boston, MA

Current knowledge of insurance payer coding and reimbursement guidelines. The Manager oversees hospital and payer credentialing for all CCA providers....

Avalere Health - Washington, DC

Federal and state implementation of the Affordable Care Act’s health insurance exchanges, evolving benefit designs in public and private payers, Medicare...

Aegis Sciences Corporation - Nashville, TN

The Medicare Collection Specialist ensures the timely resolution of accounts receivable for Medicare accounts....

Focus Care - Woburn, MA

Our leadership team and clinical staff provide vital experience and insight in the areas of Medicare reimbursement, payer technologies, managed care risk...


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