• MDS Director (RN)

    National Health Care Associates (Storrs, CT)
    …understanding of Electronic Medical Record (EMR), PDP, MDS 3.0, Medicaid and Medicare requirements + Interest in the nursing needs of the aged and the ... the Mansfield Center for Nursing & Rehabilitation! **-** MDS Director , RN **What You'll Do:** As an MDS ...Director , RN **What You'll Do:** As an MDS Director , you will manage the Minimum Data Set (MDS)… more
    National Health Care Associates (01/26/25)
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  • Director , Formulary Strategy Development

    Elevance Health (Smithfield, RI)
    …care. CarelonRx's Pharmaceutical Rebates Org is looking to hire a ** Director , Formulary Strategy Development.** This high-performing individual contributor will play ... in driving affordability across multiple lines of business (Commercial, Medicaid, Medicare , ASO clients) by partnering with internal and external stakeholders to… more
    Elevance Health (01/22/25)
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  • Fraud Waste and Abuse (FWA) Audit Manager

    Fallon Health (Worcester, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical records pertaining to FWA investigations Compare to information submitted on… more
    Fallon Health (11/09/24)
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  • Senior Program Manager, Government Services…

    Fallon Health (Worcester, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... Twitter and LinkedIn. **Brief Summary of Purpose:** With general direction from the Director of Quality, the Senior Program Manager ensures that the health plan is… more
    Fallon Health (01/08/25)
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  • Manager, Home Care-Summit Eldercare Grove Steet

    Fallon Health (Worcester, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief Summary of purpose:** ... data collection and quality surveillance as required. + Collaborates with the Site Director to establish goals and objectives related to home care services. +… more
    Fallon Health (01/01/25)
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  • Authorization Coordinator - $23.50/hr

    Fallon Health (Worcester, MA)
    …and provides direction and support. + Works with Department Supervisors, Manager and/or Director , or Clinical Staff including the Medical Directors to resolve ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
    Fallon Health (01/01/25)
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  • Certified Occupational Therapist Assistant COTA…

    Elara Caring (Worcester, MA)
    …and continuing education opportunities for all employees + Comprehensive insurance plans for medical , dental, and vision benefits + 401(K) with employer match + Paid ... compliance with all federal, state, and local regulations along with current Medicare , Medicaid, and third-party reimbursement regulations and changes. + Assures the… more
    Elara Caring (12/30/24)
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  • Care Team Supervisor

    Elara Caring (Bellingham, MA)
    …package + Comprehensive onboarding and mentorship + Opportunities for advancement + Medical , dental, and vision benefits, 401K match and paid time off for ... in fast-paced office is preferred + Working knowledge of Medicare /Medicaid, home care benefits, and applicable state policies and...You will report to the Coordination Team Lead, Branch Director , or Alternate Branch Administrator. _This is not a… more
    Elara Caring (01/01/25)
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