- Humana (Boise, ID)
- …but not limited to: + Reviewing pricing software vendor specifications. + Identifying system changes needed to accommodate CMS logic. + Assisting with ... Analyst will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies.… more
- Guidehouse (Atlanta, GA)
- …**:** + Lead quantitative analysis and modeling of real-world data, including CMS , commercial claims, and clinical health data, to generate actionable insights for ... experience in health data science and epidemiology, including deep experience analyzing CMS or commercial claims data, clinical data, or other large health datasets… more
- Fallon Health (Milford, MA)
- …Health Risk Assessments, Service Plans, and Care Plans in the TruCare system (care management platform) according to Regulatory Requirements and Program ... is an integral part on an interdisciplinary team focused on care coordination, care management and improving access to and quality of care for Fallon members. The… more
- St. Luke's University Health Network (Allentown, PA)
- …to ICD-10-CM/PCS and CPT-4 coding conventions, UHDDS guidelines and CMS directives. Completes data entry of abstracted inpatient/outpatient diagnosis and/or ... procedure codes into Network's health information system . Collaborates with the Health Information/Medical Records and Finance departments to ensure appropriate flow… more
- St. Peters Health (Helena, MT)
- …Regulations and medical staff policies + Maintains knowledge of standards of DNV-GL, CMS and State and Federal regulations related to medical staff organization and ... Previous credentialing experience highly preferred. Familiarity with DNV-GL and CMS standards preferred. Knowledge of Microsoft applications required. Knowledge of… more
- University of Utah Health (Salt Lake City, UT)
- …EO/AA_ Under the direction of the RN Nurse Coordinator and Transplant Management , the Transplant Program Specialist proactively collaborates with the Transplant team ... transplant in accordance with regulatory requirements from UNOS and CMS . The position operates as the liaison between patient...University of Utah Health is an integrated academic healthcare system with five hospitals including a level 1 trauma… more
- CenterWell (Houston, TX)
- …the distribution of medication adherence reports to PCP. + Train/educate teams on CMS Star measures, one-on-one or in a setting with multiple team members ... etc. . Minimum of 2 years' experience working with CMS STARs quality measures. . Prior experience in a...to seniors, including wellness visits, physical exams, chronic condition management , screenings, minor injury treatment and more. Our unique… more
- BAE Systems (Falls Church, VA)
- …**smart card infrastructure** and credential issuance + Administer **Intercede MyID** Credential Management System ( CMS ) + Participate in incident response, ... Manager** + Experience with **Intercede MyID** or other smart card CMS platforms + External/public certificate management (Sectigo, DigiCert, GoDaddy)… more
- Highmark Health (Charleston, WV)
- …contribute to highest levels of performance. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but limited to: involved in hiring and ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct, and control… more
- ABM Industries (Middleburg Heights, OH)
- …| Front Line Team Members (https://wpe-media.abm.com/wp- content /uploads/AnnualBenefitFlyers/Recruiting%20Flyer%20-%20Frontline.pdf) | (Programa de Beneficios de ... reports to nursing personnel and ABM Healthcare Support Services management ._ _Ensures patient safety, including those in restraints, while meeting… more
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