- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …with SQL, Power BI, and Medicare Advantageencounterdata submissions. Familiarity with CMS ACA EDGE, Minnesota Medicaid rejection reports, healthcare file formats, ... and CMS guidelines is highly valued. Strong problem-solving, communication, and...* Serves as senior subject matter expert associated with content , processes, and procedures. * May lead project teamsand… more
- Oracle (Salem, OR)
- …applications and dashboards that run in our clients EHR (Electronic Health Record) system to enable our clients' to track compliance with the requirements of the ... Centers for Medicare & Medicaid Services ( CMS ) and The Joint Commission (TJC). The compliance rate...you to work closely with multi-functional teams, including product management , submissions operations teams, and other software development teams… more
- Highmark Health (Cheyenne, WY)
- …clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services ( CMS ) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. ... Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses… more
- TEKsystems (Rockford, IL)
- …review and resolve medical claims. Your day‑to‑day responsibilities will include: Data & Case Management + Work within CMS portals to process incoming cases and ... systems like Microsoft Office, EMR tools, Salesforce CRM, and CMS databases to retrieve or input information Who You...Office (Excel, Outlook) + Medical terminology (a plus!) + CMS platforms + Salesforce CRM + EMR systems Job… more
- Compass Group, North America (Alexandria, KY)
- …compliance with multiple overlapping authorities including local and state health departments, CMS , The Joint Commission, and OSHA. The ideal candidate will bring ... proven healthcare leadership or management experience, deep knowledge of regulatory and sanitation standards,...walk-throughs to ensure full compliance with Department of Health, CMS , and Compass Group standards. + Direct and oversee… more
- General Dynamics Information Technology (Fairfax, VA)
- …as the base application of HIGLAS provides CMS with a uniform financial management system to account for over $1 Trillion in outlays for healthcare each ... Medicaid Services ( CMS ) program. HIGLAS is a very large, complex system with approximately 3,000 total users, processing an average of 4.5 million transactional… more
- Washington County (Stillwater, MN)
- …standards + Content Management & Site Structure: Manages content in enterprise CMS platforms (specifically CivicPlus or similar large-scale systems); ... maximize platform capabilities to enhance user experience while working within system constraints. + Large-Scale Website Management : Proven experience managing… more
- University of Michigan (Ann Arbor, MI)
- …accurate and up-to-date information in the UMH-AMC accreditation readiness data management system , including contributing to the collection, recording, and ... surveys and actions. The Director and their team coordinate Health System responses to regulatory surveys and actions. **Mission Statement** Michigan Medicine… more
- Zelis (MA)
- …digital content across web platforms. This role blends strategic onsite content management with data-driven decision-making to enhance user engagement and ... on audience behavior, intent, and lifecycle stage. + Ensure content and analytics platforms are integrated (eg, CMS...marketing experience + 5-7+ years of experience in web content management or web analytics, with proven… more
- Educational Testing Service (Princeton, NJ)
- …+ Oversee end-to-end configuration and optimization within the e-commerce CMS , preferably Salesforce Commerce Cloud, partnering with engineering and merchandising ... and guiding products from concept through launch. + Familiarity with APIs, system integrations, and modern data architectures. + Ability to balance strategic… more