Medical Documentation Review Analyst - Medicare
By Peraton At United States
Strong PC knowledge and skills
Experience in reviewing claims for technical requirements, performing medical review, and/or developing fraud cases
Make claim payment decisions based on clinical knowledge
Bachelors degree and 5-7 years, Masters degree and 3-5 years or PhD and 0-2 years of relevant experience.
Strong communication and organization skills
Ability to present issues of concern, citing regulatory violations, alleging schemes or scams to defraud the Government
Medical Assistant (Training Program)
By Forward At Glendale, CA, United States
Use clinical skills for lab collection, testing, medical procedures
Assist in care coordination of the patient experience
Process-oriented - You have exceptional organizational skills and enjoy building scalable operational processes
Experience in medical/clinical environment preferred
NOTE: Our MA role has an 18 month tenure minimum requirement
Work alongside physicians to provide personalized primary care
Medicare Stars Program Coordinator
By Health Partners Plans At Philadelphia, PA, United States
Exceptional presentation, oral and written communication, interpersonal, problem solving, multitasking and time management skills required.
Knowledge and experience in Medicare and/or Quality Improvement is strongly preferred.
Qualifications and Skills, We Value
Benefits & Wellness Program including generous Time Off
Manage & track all measure rates for the Medicare Stars Program
Lead cross-functional efforts to develop, deploy, and manage reporting dashboards
Medical Assistant (Training Program)
By Forward At Bellevue, WA, United States
Use clinical skills for lab collection, testing, medical procedures
Assist in care coordination of the patient experience
Process-oriented - You have exceptional organizational skills and enjoy building scalable operational processes
Experience in medical/clinical environment preferred
NOTE: Our MA role has an 18 month tenure minimum requirement
Work alongside physicians to provide personalized primary care
Medical Assistant (Training Program)
By Forward At Huntington Station, NY, United States
Use clinical skills for lab collection, testing, medical procedures
Assist in care coordination of the patient experience
Process-oriented - You have exceptional organizational skills and enjoy building scalable operational processes
Experience in medical/clinical environment preferred
NOTE: Our MA role has an 18 month tenure minimum requirement
Work alongside physicians to provide personalized primary care
Program Assistant (Enrollment - Medicare)
By CalOptima At Orange, CA, United States
Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
Ensures processes are accurate and compliant with the regulatory requirements by maintaining and documenting process workflows, desktop procedures and policies.
1 year of experience in eligibility and/or reconciliation required.
Experience with practices related to Medi-Care.
About Our Benefits & Wellness Options
Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
Clinical Program Coordinator Rn: Medicare / Medicaid (Remote)
By Providence Health Plan At , Beaverton, 97005, Or
Experience working with physicians in collaboration and management of patient care
Provide carecoordination, case management & care management services to Providence Health Plans(PHP) members
Care coordinationincludes: disease management programs, including educating, motivating and empowering members to manage their disease
Case management includes: triage and referral, transition of care planning, end of life care planning, other acute and catastrophic case management
Current nursing experience in the following areas: cardiology, endocrinology, pediatrics, obstetrics, oncology, respiratory, health education
5+ years clinical nursing experience
Program Manager, Medicare Advantage
By Premera Blue Cross At United States
(5) years of project/program management experience. (Required)
Experience leading projects within a Program/Project Management organization.
Professional project management work history.
Versed in multiple project management methods (e.g. Waterfall, Agile, Lean, Extreme, Prince2).
Experience working in different industries with a demonstrated history of natural progression with responsibilities and/or project size/complexity.
Develop and manage moderately complex project plans and budgets/financial data, and resource needs.
Shp Materials Program Manager - Cco, Medicare
By Samaritan Health Services At , Corvallis, 97339, Or $30.42 - $45.63 an hour
Leadership – Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
Bachelor’s Degree in a related field or equivalent experience required.
Five (5) years experience in a health-related field required.
Experience managing initiatives, projects and programs required.
Experience and/or training in computer applications, including word processing and spreadsheet software, required.
Lean Six Sigma experience preferred.
Technical Assistant, Medicare Section 111
By Liberty Mutual At , Remote $39,600 - $59,000 a year
General knowledge of the department's operations and objectives desirable.
Coordinates materials or special projects for staff which may include preparing material/reports, distributing, editing, formatting and proofreading material.
Ability to communicate well by listening actively and sharing clear and appropriately detailed information with those who need it.
Ability to effectively plan and organize work to ensure that work is completed within specified time and quality parameters.
Ability to deliver quality customer service using standard practices.
Medical Assistant (Training Program)
By Forward At San Francisco, CA, United States
Use clinical skills for lab collection, testing, medical procedures
Assist in care coordination of the patient experience
Process-oriented - You have exceptional organizational skills and enjoy building scalable operational processes
Experience in medical/clinical environment preferred
NOTE: Our MA role has an 18 month tenure minimum requirement
Work alongside physicians to provide personalized primary care
Medical Assistant (Training Program)
By Forward At Chicago, IL, United States
Use clinical skills for lab collection, testing, medical procedures
Assist in care coordination of the patient experience
Process-oriented - You have exceptional organizational skills and enjoy building scalable operational processes
Experience in medical/clinical environment preferred
NOTE: Our MA role has an 18 month tenure minimum requirement
Work alongside physicians to provide personalized primary care
Medical Assistant (Training Program)
By Forward At Los Angeles, CA, United States
Use clinical skills for lab collection, testing, medical procedures
Assist in care coordination of the patient experience
Process-oriented - You have exceptional organizational skills and enjoy building scalable operational processes
Experience in medical/clinical environment preferred
NOTE: Our MA role has an 18 month tenure minimum requirement
Work alongside physicians to provide personalized primary care
Program Director (Medicare) Jobs
By Cognosante, LLC At , Remote $156,016 - $249,630 a year
Oversight of a large Contact Center staffed with Trained Medicare Specialists handling case management activities.
Oversight and reporting to management and client for Financial Management Operations and legislative reporting functions.
Experience finding trends, errors, and reviewing data with report writing skills.
Project Management Professional (PMP) Certified.
Develop and maintain knowledge, awareness, and understanding of company policies and procedures, goals, and objectives.
Bachelor’s degree in a business discipline plus 5 years’ program/project experience working in government programs such as Medicare and Medicaid.
Medical Assistant (Training Program)
By Forward At Seattle, WA, United States
Use clinical skills for lab collection, testing, medical procedures
Assist in care coordination of the patient experience
Process-oriented - You have exceptional organizational skills and enjoy building scalable operational processes
Experience in medical/clinical environment preferred
NOTE: Our MA role has an 18 month tenure minimum requirement
Work alongside physicians to provide personalized primary care
Medical Assistant Program - Interested? Apply For More Details
By Lakeland Regional Health At , Lakeland, Fl

We are taking applications for fully fund Medical Assistant program through Lakeland Regional Health.

Medical Review Specialist Iii (Medicare Durable Medical Equipment)
By Empower AI Inc. At , Remote
Ensuring departmental compliance with quality managements system and ISO requirements.
Make clinical judgment decisions based on clinical experience when applicable.
At least four (4) years clinical experience as a Registered Nurse.
Performs first and second level of Medical Review in determination of claims payment review
Conducts in-depth claims analysis utilizing ICD-10-CM, CPT-4, and HCPCS Level II coding principles
Utilize electronic health information imaging and input medical review decisions by electronic database module.
Medical Director - National Medicare Team - Humana
By Jobs in New York State At Albany, NY, United States
Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance.
Prior experience participating in teams focusing on quality management or utilization management.
Current and ongoing Board Certification in an approved ABMS Medical Specialty
No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.
Excellent verbal and written communication skills.
Evidence of analytic and interpretation skills
Medical Assistant (Training Program)
By Forward At Scottsdale, AZ, United States
Use clinical skills for lab collection, testing, medical procedures
Assist in care coordination of the patient experience
Process-oriented - You have exceptional organizational skills and enjoy building scalable operational processes
Experience in medical/clinical environment preferred
NOTE: Our MA role has an 18 month tenure minimum requirement
Work alongside physicians to provide personalized primary care

Are you looking for an exciting and rewarding career as a Medical Assistant? Join our Medicare Program and help us provide quality care to our patients! We offer competitive salaries, great benefits, and a supportive team environment. Come join us and make a difference!

Overview The Medicare Program Medical Assistant is responsible for providing administrative and clinical support to the Medicare Program. This includes providing assistance with patient care, scheduling appointments, and performing administrative tasks. The Medical Assistant must be knowledgeable about Medicare regulations and procedures, and must be able to communicate effectively with patients and other healthcare professionals. Detailed Job Description The Medicare Program Medical Assistant is responsible for providing administrative and clinical support to the Medicare Program. This includes providing assistance with patient care, scheduling appointments, and performing administrative tasks. The Medical Assistant must be knowledgeable about Medicare regulations and procedures, and must be able to communicate effectively with patients and other healthcare professionals. The Medical Assistant must be able to work independently and as part of a team. Job Skills Required
• Knowledge of Medicare regulations and procedures
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Ability to multitask and prioritize tasks
• Proficiency in computer applications such as Microsoft Office
• Knowledge of medical terminology
• Ability to maintain patient confidentiality
Job Qualifications
• High school diploma or equivalent
• Certification as a Medical Assistant
• Previous experience in a medical office setting
• Knowledge of medical terminology
• Ability to maintain patient confidentiality
Job Knowledge
• Knowledge of Medicare regulations and procedures
• Knowledge of medical terminology
• Knowledge of computer applications such as Microsoft Office
Job Experience
• Previous experience in a medical office setting
• Previous experience working with Medicare patients
Job Responsibilities
• Provide administrative and clinical support to the Medicare Program
• Schedule appointments and perform administrative tasks
• Assist with patient care
• Communicate effectively with patients and other healthcare professionals
• Maintain patient confidentiality
• Follow Medicare regulations and procedures