Medicare Jobs in Springfield, MA (NOW HIRING)

Medicare - Medicare Follow-up Specialist is responsible for the resolution of Medicare and Medicare Advantage claims to ensure timely and accurate reimbursement. Successful candidates are expected to ...

Medicare Follow-Up Specialist Medicare Follow-Up Specialist is responsible for the resolution of Medicare and Medicare Advantage claims to ensure timely and accurate reimbursement. Successful ...

Medicare - Medicare Follow-up Specialist is responsible for the resolution of Medicare and Medicare Advantage claims to ensure timely and accurate reimbursement. Successful candidates are expected to ...

Medicare - Medicare Follow-up Specialist is responsible for the resolution of Medicare and Medicare Advantage claims to ensure timely and accurate reimbursement. Successful candidates are expected to ...

Health Payer Technology Medicare Consultant Job Level: Senior Level THIS IS WHAT YOU WILL DO... You will be adapting existing methods and procedure to create possible alternative solutions to ...

This role is fully dedicated to Medicare and is responsible for helping shape, inform, and advance the broader Medicare network strategy, including network design to support distinct Medicare member ...

Medicare Clinical Appeals Reviewer III Fully Remote-United States Job Type Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and technical services and ...

Asa Senior Manager Business Compliance (Medicare) you will play a critical role by leading and delivering complex compliance initiatives that support regulatory adherence and operational excellence.

Medicare Appeals Reviewer I (Dispute Resolution Reviewer I) Fully Remote • United States Job Type Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and ...

Position Summary The Senior Manager, FP&A Medicare/Medicaid Drug Revenue is responsible for leading the financial planning and performance management of Medicare and Medicaid drug revenue and volume ...

Position Summary The Manager, FP&A Medicare/Medicaid Network Peformance COGS is responsible for leading the financial planning and performance management of Medicare and Medicaid drug COGS and volume ...

Position Summary The Analyst, FP&A - Medicare/Medicaid COGS & Network Performance supports financial planning, forecasting, and variance analysis for Medicare and Medicaid pharmacy network costs ...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who ...

Completion of the 100 day Medicare Part A and Managed Care Log * Completion of the Weekly Medicare Part A/Managed Care and RUG-IV 48 Report * Completion of RUG-IV 48 supporting documentation Audit ...

Position Summary As a Senior Manager, Medicare Compliance - Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk ...

You will also ensure proper Medicare/Medicaid billing, supervise business office staff, and provide exceptional customer service to our residents and families. Key Responsibilities: * Oversee and ...

Ensure proper Medicare/Medicaid billing * Supervise Business office staff Qualifications: * Working knowledge of various software programs, required. * Knowledge of Medicare and Medicaid billing ...

You will also ensure proper Medicare/Medicaid billing, supervise business office staff, and provide exceptional customer service to our residents and families. Key Responsibilities: • Oversee and ...

Responsibilities: • Oversee and manage facility A/R, resident trust accounts, general ledger and A/P • Ensure proper Medicare/Medicaid billing • Supervise Business office staff Qualifications ...

MassHealth, HSN, Medicare, Medicaid, and Commercial Payer Expertise * Pharmacy Revenue Cycle (Retail & 340B) Oversight * Contracting, Capitation, and Wrap Payment Management * Cross-Functional ...