- U of C NORC (Newburgh, NY)
- …a formal Salary Review Committee (SRC). Other Important Details to Note The Medicare Current Beneficiary Survey (MCBS) is a continuous, multipurpose survey of a ... nationally representative sample of the Medicare population, conducted by the Office of Enterprise Data...Enterprise Data and Analytics (OEDA) of the Centers for Medicare & Medicaid Services (CMS).This is an SCA project,… more
- Lundbeck (New York, NY)
- …internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid, Commercial) using Lundbeck resources. Local Market & Therapeutic ... Area Expertise - Gather and validate key trends and dynamics in the market, map account linkages, and apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Demonstrates a clear and detailed understanding of the disease state… more
- Lundbeck (Bronx, NY)
- …anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - ... Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products.REQUIRED EDUCATION,… more
- UnitedHealthcare Medicare Solutions (New York, NY)
- …will be someone who wants more out of life than just a job. Selling Medicare products to individuals in your community is meaningful and rewarding work. We have ... trained thousands of people just like you to be successful agents. The ideal candidate can come from many different backgrounds. Having a history in sales is beneficial but not necessary. This opportunity is great for people of all ages. Whether you are a… more
- Careerbuilder-US (Brooklyn, NY)
- …established guidelines and processes. . Ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. . Communicates ... with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization. . Coordinates referrals and authorizations for services required to improve the patient/resident's health status. .… more
- ProKatchers (Bowling Green, NY)
- …and audit medical charts for compliance with a focus on HEDIS, QARR, Medicare Advantage Star measures and quality improvement activities. This position will assist ... in the development and participate in the implementation of initiatives across a broad array of clinical measures and health improvement activities. Quality audit findings from this position will contribute to the support and training of physicians on proper… more
- Creative Financial Staffing (New York, NY)
- …Minimum four years of experience Experience with medical billing specifically Medicare /Medicaid regulations Strong excel including v lookups and pivot tables ... Billing Manager Our client is a leading nonprofit organization focused on providing services for individuals in terms of treatment support, housing, and family support Work alongside one of the strongest accounting teams in nonprofit, with a chance to grow and… more
- Option Care Health (Brooklyn, NY)
- …and/or Director of Nursing of the home health agency per Medicare Conditions of Participation definition. Serves as Facility Infection Prevention Coordinator, ... ensuring compliance with regulations, rules, and standards as they relate to infection control practices.Ensures that all nurses providing care maintain the professional standards of nursing practice. Support and drive supply formulary compliance by ensuring… more
- Dialysis Clinic, Inc. (Auburn, NY)
- …and ensures the patients' charts are in order in accordance with Medicare and company policies and procedures.Schedule: Full-time, five 8-hour shifts starting at ... 8:00am; Sundays off; no overnight shiftsCompensation: Pay range from $16.50-$22.00 per hour, depending on more
- Creative Financial Staffing (Brooklyn, NY)
- …files are updated timely according to the schedule published by CMS Medicare / Medicaid and Managed Care Organizations regulations. Ensure contracted Managed Care ... Organization's portals are up to date including facilities and individual providers' profiles. Provide updated list of credentialed individual providers and facilities Complete primary source verification and prepare files for committee review Ensure all… more
