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The claims billed to insurances include but are not limited to: AARP, Aetna, Amerigroup, AmeriHealth, Anthem, Argus Vision, BCBS, Cigna, CCA, Communicare, Connecticare, Davis Vision, Envolve/Opticare, EyeMed, Fallon, Humana, KeyCare Advantage, March Vision, Medica, MEDEX, Molina, Optumcare/Anthem, Priority Health, Spectera, Superior Vision, Tricare, Tufts, UCARE, United Healthcare (UHC), WellCare, State Medicaid, and Medicaid Managed Care plans in 17+ states.
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Anthem Blue Cross and Blue Shield. is a proud member of the Elevance Health family of companies offering Medicare plans, Medicaid, individual and family plans, and group insurance plans in Colorado, Connecticut, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, Ohio, Virginia and Wisconsin.
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Foster state relationships for DSNP, in partnership with the Medicaid President, LTSS leader, and Government Relations. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.
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Anthem Blue Cross and Blue Shield is a proud member of the Elevance Health family of companies offering Medicare plans, Medicaid, individual and family plans, and group insurance plans in Colorado, Connecticut, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, Ohio, Virginia and Wisconsin.
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Delivers and proactively develops plans on Medicaid incentive opportunity in LA County. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes.
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Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 Worlds Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion.
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Anthem Blue Cross and Blue Shield is a proud member of the Elevance Health family of companies offering Medicare plans, Medicaid, individual and family plans, and group insurance plans in New York, Colorado, Connecticut, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, Ohio, Virginia and Wisconsin.
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The National Payer Relations Manager (NPRM) is pivotal in supporting the US Market Access Department's mission to ensure patient access to best-in-class technologies and products for Advanced Wound Management, including Grafix, Oasis, and PICO. The NPRM will focus on government payers (such as Medicare, Medicaid, and Veterans Affairs) and commercial payers (including United, Anthem, Cigna, Aetna, Blue Cross, etc.
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Medicare sales experience. Sells and promotes Senior Services products by coordinating and delivering formal sales presentations to consumer groups, arranging private appointments, making outbound phone calls to prospects, managing temporary support staff, and managing customer records in the automated lead tracking system according to the departments' standards.
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Primary duties are to review, resolve, and obtain payment on claims billed to Medicare Replacement, BCBS, Private Insurance and Medicaid / Medicaid Managed Care plans. HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities.
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The Regional Vice President (RVP), Payer Contracting is the managed care leader at the Division level for Providence responsible for a payer portfolio of managed services across Commercial, Exchange, Medicare Advantage and Medicaid product lines.
$240,000 - $280,000 a yearExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Understanding of State Medicaid programs and the policy development process. Collaboration with the US Market Access Team, Clinical and Medical Affairs, VP of Healthcare Strategy, Healthcare Systems colleagues, and Sales leadership is essential to ensure strategic alignment and successful execution of payer initiatives.
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Your Wellbeing: Medical, Dental, Vision, Health Savings Account (Employer Contribution of $500+ annually), Employee Assistance Program, Parental Leave, Fertility and Adoption Assistance Program. Proven understanding of reimbursement methodologies by site of care (e.g., hospital inpatient, outpatient, ASC, physician's office, etc.
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Anthem Blue Cross and Blue Shield is a proud member of the Elevance Health family of companies offering Medicare plans, Medicaid, individual and family plans, and group insurance plans in Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, Ohio, Virginia and Wisconsin.
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The Staff Vice President, Customer Success is responsible for the retention and growth of Anthem as a client and will serve as the primary relationship owner across Anthem's Diversified Business Group (DBG) Business Units and internal Anthem clients (Medicare and Medicaid) at senior levels.
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