Showing 1-20 of 1,779
Showing 1-20 of 1,779

Payer Medicare Manager jobs

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AF Group-Southborough, MAEst. salary: $82,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

4+ years of work experience in a Medicare Advantage Plan, managed care environment, CMS payer role, regulatory/compliance analyst or as a consultant providing...

Benedictine Living Community of St. Peter-Saint Peter, MNEst. salary: $40,000 - $53,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Working knowledge of the RAI/MDS/Care Planning, Medicare A, B, C, D, Private Insurers, and State Case Mix (Medicaid) processes....

Amber Pharmacy-Omaha, NEEst. salary: $23,000 - $32,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Locates forms specific to the payer for claim re-submission or refund. Contacts the payer to research the best course for resolution....

AF Group-Southborough, MAEst. salary: $90,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

5 years of relevant experience in similar role (e.g., Chief Clinical Officer) implementing and managing an integrated, member centric approach to utilization...

Advanced Accelerator Applications USA, Inc.-Washington, DCEst. salary: $100,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Payers, societies) to realize business objectives. Collaborate with RAMs (Regional Access Managers) to achieve reimbursement and payer access goals with major...

NOMS Healthcare-Sandusky, OHEst. salary: $63,000 - $89,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Knowledge of rules and procedures of the Centers for Medicare and Medicaid Services (CMS), and various insurance payers. Duties and Responsibilities:....

Tennessee Health Management-Selmer, TNEst. salary: $43,000 - $62,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Minimum of two years’ experience, preferably in case management for post-acute, Medicare or long-term care....

Parallon-San Antonio, TXEst. salary: $64,000 - $84,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Government reimbursement – Medicare and Medicaid. Strong payer reimbursement experience, particularly with Medicare/Medicaid....

RML Specialty Hospital-Hinsdale, ILEst. salary: $46,000 - $66,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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

Five Star Home Health Care-Winchester, VAEst. salary: $74,000 - $97,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

We accept many payers. We advocate for our clients in dealing with the payers:. Medicare, Medicaid, commercial insurance companies, payment bundles and...

Good Samaritan Society-Sister Bay, WIEst. salary: $33,000 - $48,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Knowledge of health care payer systems including managed care and Medicare eligibility and coverage requirements;...

ClearSpring Pharmacy, Ltd.-Littleton, COSalary: $25 an hour

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Comply with all aspects of HIPAA, Medicare, Medicaid and other required programs. Facilitate and foster positive relationships within the organization and with...

Skilled Nursing and Rehabilitation Facility-Plymouth County, MAEst. salary: $32,000 - $42,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Medicare Benefit period and that there will be coinsurance. Responsible for timely and accurate AR collections based upon payers guidelines and requirements....

Hosparus-Louisville, KYEst. salary: $42,000 - $59,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Understands and is able to explain to patients/families various payer sources and the requirements for coverage by those payer sources....

Brown & Toland Physicians-Oakland, CAEst. salary: $78,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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

Catholic Medical Center-Manchester, NHEst. salary: $35,000 - $44,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Maintains open communication with Medicare, Medicaid, Anthem, Managed Care and other insurances as required retrieving information necessary for account...

Good Samaritan Society-Howard, SDEst. salary: $35,000 - $48,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Knowledge of health care payer systems including managed care and Medicare eligibility and coverage requirements;...

Kindred Healthcare-Denver, COEst. salary: $77,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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

Avalere Health-Washington, DCEst. salary: $96,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Medicare policy specific to Medicare Advantage and Part D; Serving as a subject matter expert on Medicare to meet the needs of clients focused on public policy...

Neuro Alert Services LLC-White Plains, NYEst. salary: $39,000 - $55,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Candidate must have strong knowledge of medical billing, third party payers, Medicare, CPT and ICD10 codes, and HIPPA as well as medical terminology, insurance...


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