- State of Minnesota (St. Paul, MN)
- **Working Title: Medicaid Program Integrity Manager ** **Job Class: Human Services Manager 2** **Agency: Human Services Dept** + **Job ID** : 80422 + ... and_** Telework (https://dhs.intranet.mn.gov/buildings-facilities/hybrid-telework/telework/index.jsp) **_._** This position exists to manage Medicaid program integrity audits and… more
- CVS Health (Hartford, CT)
- …more personal, convenient and affordable. **Position Summary** Aetna is recruiting a Sr. Manager on the Medicaid Actuarial Growth and Strategy team. This ... position will be the point person for the Medicaid Actuarial team's involvement with Revenue Integrity ,...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …including whole person-centered service delivery, streamlined provider supports, strengthened program integrity , and modernized technology platforms. + Take ... Director of Technology Modernization, Medicaid Programs Durational Project Manager Recruitment...change success. + Cultivate relationships with internal and external Medicaid program stakeholders to ensure coordination on… more
- Genesis Healthcare (Morgantown, WV)
- …to make a difference.Bring your financial skills to Genesis in the role of Regional Medicaid Eligibility Manager where you will play an integral role in the ... re-determinations through either acceptance or appeals process. *Support the Medicaid Application Process by training assigned nursing centers' Business Office… more
- CVS Health (Dallas, TX)
- …life, every day. We are looking for people like you who value excellence, integrity , caring and innovation. As an employee, you'll join a team dedicated to improving ... helping you achieve your career goals._** **In this Texas Medicaid individual contributor role the contract negotiator:** + Negotiates...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Oklahoma City, OK)
- …more personal, convenient and affordable. **Position Summary** The Senior Contract Manager , Network Management negotiates, executes, conducts high level review and ... audits to identify issues and propose solutions to protect data, contract integrity and performance. * Manages contract performance and supports the development and… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Revenue Integrity Manager ** **Job Class: State Program Administrator, Manager Senior** **Agency: Human Services Dept** + **Job ID** : ... join our DCT Finance Team for an exciting and rewarding opportunity as a Revenue Integrity Manager ! This position is part of a growing Revenue Cycle Management… more
- Cedars-Sinai (CA)
- …us one of America's Best Hospitals. **What you be doing in this role:** The Manager , Compliance and Revenue Integrity (CRI) manages one or more functions within ... + Oversight of the team managing the Medicare and Medicaid RACs, government billed claims and inpatient stay reviews,...fuels innovation. **Req ID** : 5218 **Working Title** : Manager , Compliance & Revenue Integrity **Department** :… more
- State of Massachusetts (Boston, MA)
- …support of MassHealth members. The team is led by the Director of Program Integrity , who reports to the Deputy Medicaid Director, and consists of 10 internal ... The Deputy Program Integrity Director is a policy,...federal entities such as the Centers for Medicare and Medicaid Services, State Auditor's Office, and Office of Inspector… more
- Houston Methodist (Katy, TX)
- …patient account resolution, appeals/denials, customer service, cash applications, revenue integrity , etc. The manager position responsibilities include managing ... Manager , experienced with Hospital Billing. + Certified Epic CDM Charge Description Manager and Epic HB. + Revenue Integrity experience within a large… more
- Henry Ford Health System (Troy, MI)
- Under limited supervision from the Manager , Revenue Integrity or other more senior Revenue Integrity leaders, the Revenue Integrity Senior Specialist is ... responsible for the facilitation of multiple Revenue Integrity initiatives involving multiple clinical departments and practices focusing on revenue cycle … more
- Spaulding Rehabilitation (Charlestown, MA)
- …) **Description** **Job Summary** Under the direction of the Clinical Documentation Integrity (CDI) Manager , facilitates improvement in the overall quality, ... accuracy of medical record documentation to ensure compliance with Medicare and Medicaid (CMS) regulations and guidelines and assure appropriate case mix index,… more
- Marshfield Clinic (Marshfield, WI)
- …any time have been or be excluded from participation in any federally funded program , including Medicare and Medicaid . This is a condition of employment. ... exciting missions in the world!** **Job Title:** Clinical Documentation Integrity Educator/Analyst (Wisconsin Remote/Hybrid) **Cost Center:** 101651052 HIM-Clinical Doc… more
- AristaCare (Cranford, NJ)
- …should have at least a few years of experience as a SNF Business Office Manager with thorough knowledge of the Medicaid process. Purpose of Your Job Position ... procedures related to billing and accounts receivable, census processing and Medicaid applications. The Business Office Manager processes facility information… more
- LifePoint Health (Martinsville, VA)
- …for the ideal candidate who willcoordinate, evaluate and measure revenue integrity operations; develops systems to manage medical necessity denials; and develops ... Databases to ensure that all timelines are met. . Manager the submission of records and respond to denials...Illness Bank package for full-time employees . Employee Assistance Program - mental, physical, and financial wellness assistance .… more
- Comunilife (Bronx, NY)
- Program Manager -(OMH) RTS Program Job...data in CAIRS and AWARDS to ensure that data integrity in compliance with Medicaid billing requirements. + ... for aProgram Managerfor its newRehabilitation and Tenancy Support Services Program (RTS).The Program Manager is...by NYS Office of Mental Health (OMH) to bill Medicaid for certain services. The program is… more
- City of New York (New York, NY)
- Job Description The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs, for the City of New York. Applying ... Program (MAP), is recruiting for one (1) Administrative Manager NM-III, to function as the Executive Director, of... areas: Managed Care Client Services (MCCS), Recipient Restriction Program (RRP), and Comprehensive Medicaid Case Management… more
- Adelante (Phoenix, AZ)
- 340B Program Manager Job Details Job Location..., including, but not limited to HRSA/OPA rules and Medicaid changes + Ensure that the 340B program ... from accredited school Job Category Health Care Description POSITION SUMMARY The 340B Program Manager is responsible for Adelante's 340B drug pricing program… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- … Program Monitor Supervisor--DHH by the absence of supervisory responsibility. Differs from Program Manager 1-A--DHH and Program Manager 1-B--DHH by ... and gaps as it relates to provider questions and concerns. Responds to program integrity audit findings. Provides programmatic oversight to service provider on… more
- Children's Mercy Kansas City (Kansas City, MO)
- …improve the lives of children beyond the walls of our hospital. Overview The Program Manager is responsible for organization of the Transplant Center programs, ... formulation, and communications and outreach for the Center. The Program Manager participates in department and hospital...our core values of kindness, curiosity, inclusion, team and integrity . Additionally, it's important to us that we remain… more