- Russell Tobin & Associates (Roanoke, VA)
- …Ability to multi-task. Preferred Qualifications: Experience working in a call center . Healthcare and/or insurance industry experience Medicare knowledge ... Responsibilities: Handling in-bound phone calls professionally and provide excellent customer service . Research and Resolve Sales Agent's questions relating to: How… more
- CommuniCare Health Services Corporate (Richmond, VA)
- Regional Medicaid Specialist, Virginia Communicare Health Services is currently recruiting a dynamic individual with prior Business Office or Admissions ... in a long term care setting + Must possess a thorough understanding of Medicare . Medicaid , Private Insurance, managed care programs + Must have the ability… more
- Elevance Health (Norfolk, VA)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and… more
- Elevance Health (Roanoke, VA)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and… more
- Elevance Health (Richmond, VA)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and… more
- Public Consulting Group (Richmond, VA)
- …experience is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular ... improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG...Business Enablement + Business Solutions + Project Assurance The Medicaid marketplace is changing, and PCG is at the… more
- Somatus (Mclean, VA)
- …ensure program compliance with governing bodies' regulations, including the Center for Medicare and Medicaid Services . This role will partner with ... well-being + Community engagement opportunities + And more! The Sr. Director, Medicare Risk Adjustment (MRA) will lead the execution strategy and implementation of… more
- Mathematica (Richmond, VA)
- …in our Health unit will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts will ... related to monitoring and improving the following Medicaid programs: Medicaid payment and financing policies (fee-for- service base and supplemental payments,… more
- University of Virginia (Charlottesville, VA)
- …delegated credentialing and enrollment processes to maintain provider eligibility to bill Medicare / Medicaid /Department of Defense and managed care payors for the ... provision of professional health care services . Such functions include enrollment of all new physicians...delays with professional billing. + Handles enrollment information for Medicare and Medicaid to ensure the highest… more
- Humana (Richmond, VA)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services ' Medicare Shared Savings Program ... our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service… more
- American Institutes for Research (Arlington, VA)
- …assistance, and operations projects funded by Federal Agencies (such as Centers for Medicare and Medicaid Services (CMS) and the Centers for ... senior team members on various tasks including querying large datasets including Medicare , Medicaid , and commercial payer claims data, cleaning and imputing… more
- CVS Health (Richmond, VA)
- …(PA) and/or medical necessity appeals for commercial clients, governmental ( Medicare / Medicaid ) programs and individual client requested coverage determinations ... Anchored in our brand - with heart at its center - our purpose sends a personal message that...(PA) and/or medical necessity appeals for commercial clients, governmental ( Medicare / Medicaid ) programs and individual client requested coverage… more
- Elevance Health (Richmond, VA)
- …is a plus. + Prior experience with claim review of Medicare helpful. + CMS ( Centers Medicare Medicaid Services ) experience. _If this job is assigned ... for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. **Location:** **This is a… more
- Humana (Richmond, VA)
- …data into advanced analytic solutions. The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for ... our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service… more
- Mathematica (Richmond, VA)
- …include:* * As part of the AI Health Outcomes Challenge held by Centers for Medicare and Medicaid Services , members of this team developed a cloud data ... Health unit will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts will be… more
- General Dynamics Information Technology (Fairfax, VA)
- …Scientist joining our team. GDIT is under contract to the Centers for Medicare & Medicaid Services (CMS) to design, develop, engineer, implement, ... and prevent potential fraud, waste or abuse in the Medicare and Medicaid programs. At GDIT, our... programs. At GDIT, our people are at the center of everything we do. As a Data Scientist… more
- American Institutes for Research (Arlington, VA)
- …will work on projects funded by Federal Agencies such as the Centers for Medicare and Medicaid Services (CMS) and state and local governments. The ... in the areas of education, health, the workforce, human services , and international development to create a better, more...participating in healthcare programs or demonstrations. + Experience with Medicare , Medicaid , or healthcare service … more
- American Institutes for Research (Arlington, VA)
- …analyst will lead tasks related to AIR Health's work with the Centers for Medicare & Medicaid Services (CMS). In addition, the candidate will be expected ... care quality initiatives. Ideally, the candidate will have experience with the Medicare Access and CHIP Reauthorization Act (MACRA) and the Quality Payment Program… more
- Serco (Herndon, VA)
- …position reports to IT Operations Network Manager. Serco supports the Centers for Medicare & Medicaid Services , a federal agency within the United States ... a high profile and challenging Security Engineer position supporting Centers for Medicare and Medicaid ...Department of Health and Human Services that administers the Medicare program and… more
- Elevance Health (Richmond, VA)
- …government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit ... Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and… more
