- LA Care Health Plan (Los Angeles, CA)
- …Manager II plays a valuable role in executing high-impact risk adjustment system implementations to continuously improving data and reporting processes to increase ... multiple teams for data regression testing, track and monitor system test cases, and user acceptance deliveries and drive...dependencies and evaluate risks, and communicate status to upper management and project partners. Serves as a resource on… more
- Idaho Division of Human Resources (Idaho Falls, ID)
- …appropriate experts and schedule them for trial if needed; + Work in the Case Management System ( CMS ) to document case work and timekeeping in accordance ... with SPD policy; + Practice vertical representation in all cases; + Follow the American Bar Association (ABA) standards for defending attorneys delivering indigent defense; and + Other duties as assigned. MINIMUM QUALIFICATIONS + Juris Doctorate (JD) from an… more
- Omaha Children's Hospital (Omaha, NE)
- …Maintains a central role in coordination, communication, education, and care management for timely, efficient, and cost-effective care across multiple healthcare ... of contact for patients and families, guiding them through the health care system to promote a positive patient and family experience. Leads program development… more
- Bristol Myers Squibb (Princeton, NJ)
- …Negotiation Program. + Strong understanding of the Part D market, including CMS regulations, plan bid process, and government pricing dynamics. + Proven ability ... to lead complex projects, collaborate effectively with internal stakeholders, and influence policy outcomes. + Exceptional written and verbal communication skills. + Experience in biopharmaceutical or healthcare industry preferred. + Familiarity with… more
- Prime Healthcare (La Palma, CA)
- …Palma Intercommunity Hospital benefit from the expertise of a large hospital system in a smaller, more personal setting. For more information visit ... Performs Diagnostic Radiographic Procedures according to department protocols, HFAP/TJC/local regulatory/ CMS , State and Federal Regulations. Functions as the first… more
- South County Hospital (Wakefield, RI)
- South County Health is an independent, non-profit healthcare system offering a comprehensive range of advanced inpatient, outpatient and home health services. ... 5-star rating on HCAHPS scores, a 5-star rating by CMS for overall hospital quality, and A's for hospital...knowledge of EHR programs and medical terminology; efficient time management skills and ability to multitask; excellent writing, oral,… more
- South County Hospital (Wakefield, RI)
- South County Health is an independent, non-profit healthcare system offering a comprehensive range of advanced inpatient, outpatient and home health services. ... years, which have included a 5-star rating on HCAHPS scores, a 5-star rating by CMS for overall hospital quality, and A's for hospital quality and patient safety by… more
- Avera (Sioux Falls, SD)
- …safety principles, laws, regulations, and standards associated with, but not limited to, CMS , The Joint Commission, DHHS, and OSHA if applicable. _Avera is an Equal ... Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability… more
- Corewell Health (Grand Rapids, MI)
- …to appropriate stakeholders in a timely manner. + Intern and Resident Information System (IRIS) report for Center for Medicare and Medicaid Services ( CMS ), ... requirements, and maintenance of resident/fellow profile and schedules in residency management suite. + Processes access and security requests for assigned learners… more
- Banner Health (AZ)
- …, you will be an integral part of the **Health Plan Quality Management Team** . This assignment-based role focuses on independent chart review, clinical assessment, ... of quality of care concerns that have been referred to the Quality Management Department for review and resolution. In addition, the position is also responsible… more
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