- Daiichi Sankyo, Inc. (Bernards, NJ)
- …but not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare , Medicaid , product pricing, and government price reporting. Coordination ... by senior management.Responsibilities- Lead drafting and negotiating contracts for commercial, Medicaid and Medicare coverage, as well as other government… more
- Guidehouse (Hanover, MD)
- …technical competency, business development, client service and people development. As a Consultant , you will work with an experienced team to support the development ... of client deliverables, internal and client presentations, day-to-day project logistics, and any additional project tasks. This position provides individuals the opportunity to serve clients across a wide variety of functions including strategy, process… more
- Public Consulting Group (Columbus, OH)
- …Deep Medicaid experience is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined ... marketplace is changing, and PCG is at the forefront. We are looking for an experienced Medicaid Consultant to join our team and help lead our growth efforts.… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …Program Section. Prepares special reports as requested. Corresponds and meets with the federal Centers for Medicare and Medicaid Services staff on federal ... Medicaid Program Manager 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4624354) Apply Medicaid Program Manager 2 Salary $5,477.00 -… more
- MyFlorida (Tallahassee, FL)
- …encounter submissions, and provider enrollment. - Remain informed about Medicare policies, national Medicaid -related research and demonstration projects, ... 68021778 - GOVERNMENT OPERATIONS CONSULTANT III Date: Sep 4, 2024 The State...entity. The Agency is responsible for administering the Florida Medicaid program, the licensure and regulation of nearly 50,000… more
- WellSense (Boston, MA)
- …health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ... Sr. Provider Relations Consultant - (MA residents)-$5000 sign on bonus WellSense Health...**Competencies, Skills, and Attributes:** + Knowledge or familiarity with Medicaid and Medicare required + Understanding of… more
- Signature Healthcare (Raleigh, NC)
- …our skilled nursing facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been ... cognitive care, and telemedicine. A growing number of our centers are earning quality assurance accreditation and pioneering person...with the Administrator, FAB, and requirements set forth by Medicaid and Medicare . + Evaluate accuracy of… more
- MyFlorida (Tallahassee, FL)
- …coordination of activities between the work unit, other areas of the Agency, and the Centers for Medicare and Medicaid Services. The individual: * Assembles ... 68061372 - HEALTH SERVICES & FACILITIES CONSULTANT Date: Sep 5, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify… more
- Signature Healthcare (Louisville, KY)
- …our skilled nursing facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been ... Clinical Care Consultant Candidate would have working knowledge of Medicare , Medicaid and Managed Care coverage, referral, and reimbursement methods.… more
- Marshfield Clinic (Rice Lake, WI)
- …support the most exciting missions in the world!** **Job Title:** Lactation Consultant **Cost Center :** 451561326 RLHos-Womens Health **Scheduled Weekly Hours:** ... have been or be excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must… more
- Huntington Ingalls Industries (Woodlawn, MD)
- …selected for this position will support the Director, Division of Strategic Information (DSI), Center for Medicare and Medicaid Services (CMS) and other ... seeking a Senior Cyber Supply Chain Risk Management (C-SCRM) Consultant for a hybrid of telework and work at...who have ICT products/services that connect to or traverse Centers for Medicare & Medicaid … more
- Banner Health (AZ)
- …Understand physician, facility and ancillary service contract reimbursement methodologies for Medicare , Medicaid , Exchange and Commercial fee for service ... (BPN) is a nationally recognized healthcare leader that integrates Medicare and private health plans. Our main goal is...opportunities. In the role of a Managed Care Contract Consultant , you will leverage your experience in hospital contracting… more
- Adecco US, Inc. (Pittsburgh, PA)
- …required + Basic skills in MS Excel, MS Word and Outlook + Related experience of Center for Medicare / Medicaid Services (CMS) guidelines for Medicare Part ... a well-known National Pharmaceutical client, recruiting for an Associate Medicare / Medicaid Eligibility Coordinator in Pittsburgh, PA. **Schedule:** MON-FRI… more
- CVS Health (Columbus, OH)
- …utilization experience highly preferred + Outpatient Clinical experience + Knowledge of Medicare / Medicaid + Managed care experience + Med Compass Experience ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...8:00AM-5:00PM EST. As a Utilization Management (UM) Nurse Consultant , you will utilize clinical skills to coordinate, document… more
- Public Consulting Group (Columbus, OH)
- …implementing federal regulations and creating or revising programs. + Experience partnering with the Centers for Medicare and Medicaid Services (CMS) for the ... HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- Summary These positions are located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Acquisition ... personnel of other agencies on matters related to contracts. Serves as consultant on the procurement process at high level meetings and conferences. Requirements… more
- Vanderbilt University Medical Center (Nashville, TN)
- …reporting ( Medicare Cost report, Tennessee Joint Annual Report (JAR), Medicaid Disproportionate Share Hospital (DSH) are examples) + Defends the hospital's ... **Discover Vanderbilt University Medical Center :** Located in Nashville, Tennessee, and operating at...990 Schedule H or specific components of the annual Medicare cost report. Can serve in the roles of… more
- Aveanna (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 ... Physical Therapist - Center Based ApplyRefer a FriendBack Job Details Requisition...team members and family. * Serve as a resource consultant for clinical staff. * Supervises other personnel (PTA,… more
- Rush University Medical Center (Chicago, IL)
- …machines, calculator and other office equipment as necessary. * Advanced knowledge of Medicare , Medicaid and insurance benefits. * Normal office and clinical ... **Job Description** **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** Specialty Drug Solutions **Work Type:** Full Time (Total… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …exit interviews of care providers; + May supervise and participate in hospital Medicare and Medicaid reimbursement programs including preparation of appeals on ... as required by Joint Commission on Accreditation of Healthcare Organizations (JCAH) and/or Medicare and Medicaid standards and regulations at the level of… more
