- Prime Healthcare (Inglewood, CA)
- …Responsibilities The Senior Medicare - Medicaid Biller/Collector ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- General Dynamics Information Technology (Fairfax, VA)
- …You will support an exciting new program focused on identifying vulnerabilities in Medicaid , Medicare and the Marketplace. The position will monitor, inspect, ... when mistakes are found. + Work collaboratively within a team of Medicare , Medicaid and/or Marketplace policy expert SMEs and analysts. + Synthesize complex… more
- Randstad US (Franklin, TN)
- edi scrum master (hipaa - medicare / medicaid , edi - itxa, sterling) - franklin,tn. + franklin , tennessee + posted 6 days ago **job details** summary + $45 - $55 ... per hour + temp to perm + bachelor degree + category computer and mathematical occupations + reference1065589 job details job summary: Serves as the "servant leader" of the Scrum team by removing impediments and helping the team remain successful and on… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE (Program of All-Inclusive Care for the ... Elderly)- in the region. Learn more at fallonhealth.org or follow us on Facebook, Twitter and LinkedIn. **Responsibilities** The Chart Review Specialist primary responsibility is to review, analyze and report on FCHP patient charts for the purpose of… more
- General Dynamics Information Technology (Fairfax, VA)
- …Our work is looking for a Data Scientist to help us support the Centers for Medicare and Medicaid Services (CMS). At GDIT, our people are at the center of ... tools to detect and prevent fraud, waste, and abuse (FWA) in the Medicare and Medicaid programs. In this role, a typical day will include: + Contributes to… more
- Centers for Medicare & Medicaid Services (Washington, DC)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Legislation (OL), Congressional Affairs ... and special studies of policy issues and topics relating to Medicare , Medicaid , Children's Health Insurance Program (CHIP) and private health insurance programs.… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Strategic Operations and Regulatory ... 1) Managing regulation components that impact major healthcare programs to include Medicare , Medicaid , Children's Health programs, and Affordable Care Act at… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Medicare ... three years, through 2025. The bill will also allow Medicare to negotiate prescription drug prices, implement improvements to... to negotiate prescription drug prices, implement improvements to Medicare Part D including a benefit redesign and new… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid ... Innovation (CMMI), Executive Operations Staff (EOS). As a Management Analyst, GS-0343-13, you will provide authoritative recommendations on key issues affecting the operations of CMMI programs, specifically related to the CMS travel system and applicable… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Information Technology (OIT), ... three years, through 2025. The bill will also allow Medicare to negotiate prescription drug prices, implement improvements to... to negotiate prescription drug prices, implement improvements to Medicare Part D including a benefit redesign and new… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), Data Analytics ... & Services Group (DASG), Division of Provider Systems Management (DPSM). As an Information Technology Specialist (Systems Analysis), GS-2210-14, you will serve as an Information Technology Specialist providing speciality in the development and anlaysis of… more
- Centers for Medicare & Medicaid Services (Washington, DC)
- …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Legislation (OL), Office of the ... Director. As a Correspondence Liaison Specialist, GS-0301-11, you will be responsible for ensuring control, coordination, and effective management of all incoming Congressional correspondence received in CMS directed to the Administrator, Deputy Administrator,… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Acquisition and Grants Management, ... (OAGM) . As a Contract Specialist, GS-1102-13, you will serve as a senior Contract Specialist, with responsibility for all pre-award and post-award functions involving highly specialized procurements of significant importance to the HHS health, regulatory, or… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Strategic Operations and Regulatory ... Affairs, Issuances, Records and Information Systems Group. As a IT Specialist, GS-2210-13, you will serve as an IT expert and technical advisor for functions related to information technology (IT) and digital business systems, which includes the development of… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Acquisition and Grants Management. As ... a Contract Specialist, GS-1102-11/12, you will you will be responsible for pre-award and post-award functions including price/cost analysis, negotiation, and administration for services for one or more organizations within Health & Human Services (HHS).… more
- The Cigna Group (Bloomington, MN)
- …The Network Advisor is responsible for initiating maintenance and strategy solutions for all Centene Lines of Business. Responsible for the planning, internal ... coordination, maintenance, and communication of client Network activities and performance for Line of Business initiatives while maintaining key client relationships. Utilizes technology, tools, processes and resources to anticipate and exceed client needs and… more
- AdventHealth (Altamonte Springs, FL)
- …Manager with the preparation of work papers for the filing of the annual Medicare , Medicaid , and Champus/Tricare cost reports, audit preparation and other cost ... and submission of accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for the Adventist Health System's… more
- AdventHealth (Altamonte Springs, FL)
- …Senior Reimbursement Analyst is responsible for preparing and filing the annual Medicare , Medicaid , and Champus/Tricare cost reports; preparation of reopening ... Prepare and submit accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for AdventHealth's hospitals +… more
- General Dynamics Information Technology (Fairfax, VA)
- …Analytics Advisor joining our team to support the mission of protecting the Medicare and Medicaid programs from fraud, abuse, or misuse through collaboration ... and recommendations to our team and customer, The Centers for Medicare & Medicaid Services (CMS). **Responsibilities:** + Lead a cross-functional team to conduct… more
- Humana (Columbus, OH)
- …opportunities. This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts ... Long-Term Services and Supports (LTSS), Home and Community Based Services, Medicaid and Medicare integration, D-SNPs, and Self-Directed Services. The… more