- Prime Healthcare (Redding, CA)
- …family. For more information, visit www.shastaregional.com. Responsibilities The Senior Medicare - Medicaid Biller/Collector is responsible for both billing and ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- General Dynamics Information Technology (Fairfax, VA)
- …on a Data Analyst/Statistician joining our team to support the Centers for Medicare and Medicaid Services. You will support a diverse and multi-disciplinary ... focus on statistical methods + Five years of experience working with Medicare or Medicaid or private healthcare payer as a statistician or healthcare economist +… more
- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE (Program of All-Inclusive Care for the ... SLA's. With speed, accuracy, and integrity, ensures that enrollee data for Medicare Advantage, Medicare Supplement, NaviCare, Summit Elder Care, Fallon Health… more
- Guidehouse (El Segundo, CA)
- …from home._** **Essential Job Functions** + Account Review + Appeals & Denials + Medicare / Medicaid + Insurance Follow-up + Customer Service + Billing + UB-04 & ... CMS 1500 + Complete all business-related requests and correspondence from patients and insurance companies. + Responsible for working on 40-70 Accounts Per Day + Complete all assigned projects in a timely manner. + Assist client and patients in all requested… more
- Prime Therapeutics (Frankfort, KY)
- …drives every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President ... Government Programs - Medicare & Managed Medicaid is responsible for the development, administration, and execution of strategic plans that advance Prime's… more
- OhioHealth (Columbus, OH)
- …**Job Description Summary:** This position is responsible for preparing and reviewing the Medicare and Medicaid cost reports for all OhioHealth entities. * This ... position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid ) reimbursement is received for OhioHealth. * This position is… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- Summary The Centers for Medicare and Medicaid Services (CMS) seeks candidates, including accountants and attorneys, to fill a vacant position on the Provider ... five-member panel that adjudicates disputes over institutional reimbursement matters in the Medicare program. Responsibilities Serves as a Member of the five Member… more
- Geisinger (Danville, PA)
- Job Summary We are seeking a detail-oriented professional with expertise in Medicare and Pennsylvania Medicaid cost reporting to join our team. The ideal ... candidate will have a strong understanding of Medicare settlement processes, compliance requirements, and hospital reimbursement regulations. This role requires the… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …This position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM). As a ... you will provide technical expertise concerning clinical aspects of the Medicare fee-for-service program and Medicare Shared Savings Program. Responsibilities… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid ... Innovation (CMMI), Research and Rapid Cycle Evaluation Group (RREG). As a Supervisory Social Science Research Analyst (Group Deputy Director), GS-0101-15, you will provide direction on models, demonstrations and research studies related to health care… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Human Capital, Division of Pay ... and Benefits (DPB), Benefits Branch. As a Human Resource Specialist (Employee Benefits & Compensation), GS-0201-13, you will serve as a principal advisor and recognized HR center authority on a variety of HR issues pertaining to client employee benefits and… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Information Technology, IT Capital ... Planning Group (ICPG) . As a IT Specialist (Policy/Planning), GS-2210-15, you will serve as the senior technical authority for enterprise-wide IT contract portfolio optimization initiatives, conducting comprehensive contract lifecycle management analysis to… more
- Highmark Health (Buffalo, NY)
- …improvement models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, ... office based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement… more
- CareFirst (Baltimore, MD)
- …applicable, corporate audit, HRD and the Corporate Compliance Office. Ensures that all Medicare and/or Medicaid requirements for training are met by internal ... experience. **Experience:** + 8 years progressively responsible corporate compliance, Medicare / Medicaid or government work experience and/or related experience,… more
- Humana (Columbia, SC)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence… more
- Humana (Nashville, TN)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... caring community and help us put health first** The Vice President, Medicaid Clinical Economics & Quality provides strategic and operational leadership for clinical… more
- Humana (Madison, WI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of our caring community and help us put health first** The Wisconsin Medicaid Market CFO provides strategic financial leadership for Humana's Medicaid operations… more
- Humana (Tampa, FL)
- …Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare , or both Medicare and Medicaid , achieve their best possible ... are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. … more
- Humana (Washington, DC)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... process and facilitate key Lean Portfolio Management (LPM) ceremonies for the Medicaid portfolio. The Lead Product Manager will be responsible for optimizing intake… more
- Humana (Boise, ID)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer… more