- Sedgwick (Columbus, OH)
- …preparation for Medicare review and act as an internal resource regarding Centers for Medicare & Medicaid Services (CMS) guidelines. **ESSENTIAL ... Medicare Set-Aside proposals to make recommendation to Centers for Medicare & Medicaid ...and future medical cost projections. + Serves as a consultant to Medicare Compliance Nurses on claims.… more
- General Dynamics Information Technology (Fairfax, VA)
- …team. You will support an exciting new program focused vulnerability risk assessments for the Centers for Medicare & Medicaid Services. The role will allow ... regulatory or policy research related to Medicare and/or Medicaid . + Significant in-depth experience with Centers for Medicare and Medicaid programs,… more
- Excellus BlueCross BlueShield (Liverpool, NY)
- …(CS) for individuals and families. * Qualifies Medicare prospects onsite per Centers for Medicare & Medicaid Services (CMS) Regulations and closes ... NOTE: This role is onsite/in-person at our Liverpool Resource Center (7421 Oswego Road, Liverpool, NY 13090) Hours are...locations (examples include, but are not limited to Resource Centers , company lobbies and/or sales kiosks). The incumbent is… more
- MyFlorida (Tallahassee, FL)
- …of activities between the work unit, other areas of the Agency, and the Centers for Medicare and Medicaid Services. The individual: *Assembles and ... 68064188 - HEALTH SERVICES & FACILITIES CONSULTANT Date: Mar 1, 2025 The State Personnel...for all matters pertaining to the state licensure and/or Medicare certification of assigned programs, and for the coordination… more
- Elevance Health (Denison, TX)
- …of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health ... **Outreach & Education Consultant ** **_Location:_** _This position follows a hybrid model,...for coordinating, developing and or conducting training programs for Medicare or Tricare providers which include new provider training… more
- MyFlorida (Delray Beach, FL)
- …for state licensure and federal certification requirements for participation under Medicare / Medicaid . The incumbent will document findings and complete written ... 68030839 - PUBLIC HEALTH NUTRITION CONSULTANT Date: Feb 15, 2025 The State Personnel...notify the agency hiring authority and/or People First Service Center (###). Notification to the hiring authority must be… more
- IQVIA (Wayne, PA)
- …advisory boards, congresses, field rides), transactional monitoring/auditing, distributor/third-party audits and Centers for Medicare and Medicaid Services ... designing, enhancing, and executing commercial compliance programs. In this Senior Consultant role, you will support IQVIA's Commercial Compliance Consulting team on… more
- Tufts Medicine (Burlington, MA)
- …Overview** This position performs accurate and timely reviews and validations of Medicare , Medicaid , Commercial HCCs and DxCG's through medical record reviews. ... experiences to consumers across Massachusetts. Comprised of Tufts Medical Center , Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of… more
- Aveanna Healthcare (Royal Palm Beach, FL)
- …may changeat any time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... Physical Therapist - Pediatric Day Health Center ApplyRefer a FriendBack Job Details Requisition #:...services to pediatric clients! Our Pediatric Day Health Care Centers are bright, fun places designed especially for children… more
- Aveanna Healthcare (West Palm Beach, FL)
- …may change at any time with or without notice. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements ... Occupational Therapist (OT) - Center Based ApplyRefer a FriendBack Job Details Requisition...services to pediatric clients! Our Pediatric Day Health Care Centers are bright, fun places designed especially for children… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …must comply with milestones and Special Terms & Conditions (STCs) as mandated by the Centers for Medicare & Medicaid Services (CMS). Essential Functions: 50% ... / East Baton Rouge Parish Announcement Number: OBH/EL/207186 Cost Center : 3301010206 Position Number(s): 50684910 This vacancy is being...The agency acts as a monitor and subject matter consultant for Medicaid 's Coordinated System of Care… more
- HCA Healthcare (Denver, CO)
- …Prevention and Control of Infections.** **P. Serves as Infection Control Officer for Centers for Medicare and Medicaid Services (CMS) Conditions of ... clinical and regulatory programs.** **M. Serves as administrative lead consultant and content expert resource for Communications/Marketing on infection prevention… more
- CenterWell (Daytona Beach, FL)
- …on continuously improving consumer experiences + **Preferred Qualifications** + Knowledge of Medicaid and Medicare programs + Excellent oral and written ... and supervise health care services offered in the medical centers . Work in conjunction with the Area Medical Directors...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- CenterWell (Dallas, TX)
- …will plan, organize, manage and supervise health care services offered in the medical centers . Work in conjunction with the Center Medical Directors to motivate ... consumer experiences . **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …but not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare , Medicaid , product pricing, and government price reporting. Coordination ... senior management. **Responsibilities** - Lead drafting and negotiating contracts for commercial, Medicaid and Medicare coverage, as well as other government… more
- City and County of San Francisco (San Francisco, CA)
- …Francisco General Hospital and Trauma Center , Laguna Honda Hospital and Rehabilitation Center , and over 15 primary care health centers . The Population Health ... to meet all of the following criteria: + Be eligible to participate in Medicare , Medicaid , and/or other federal healthcare programs + Possess a National Provider… more
- Kelsey-Seybold Clinic (Houston, TX)
- …Kelsey-Seybold Clinic, has achieved an overall rating of 5-out-of-5-stars as part of the Centers for Medicare and Medicaid CMS annual assessment for eight ... **Job Summary:** The Infectious Disease Physician serves as a consultant to other physicians for patients with infectious diseases in an outpatient and/or hospital… more
- Molina Healthcare (Victorville, CA)
- …Opportunity Employer (EOE) M/F/D/V. Key Words: community health advisor, enrollment, Medicaid , Medicare , Medi-Cal, family advocate, health educator, liaison, ... Health Interpreter, Public Health Aide, Connector, Sales, Marketing, Insurance Agent, Insurance Consultant , etc This role is community/ external facing and is in… more
- Methodist Health System (Dallas, TX)
- …the business office, coding, physician contracting, fraud & abuse laws, Medicare / Medicaid regulatory requirements, privacy, or other compliance related subject ... system and prepare reports for management and MHS Boards. + Serve as a consultant to entity compliance officers with respect to incidents that may arise at the… more
- Humana (Boston, MA)
- …procedures but also State and Federal rules and regulations, including those of the Center for Medicare and Medicaid Services (CMS). Other responsibilities ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more