- Lumen (Pierre, SD)
- …to manage integrations, troubleshoot issues, and drive enhancements that support content operations and digital experience delivery. **Location** This is a work ... authority for AEM Assets, including configuration, maintenance, and lifecycle management . + Ensure platform stability, security, and compliance with enterprise… more
- Gentiva (Fayetteville, NC)
- …and documentation abilities. + Familiarity with regulatory guidelines including Medicare, Medicaid, CMS , and JCAHO standards. + Ability to work independently and as ... Paid Time Off + 7 Paid Holidays + Wellness Programs (Telemedicine, Diabetes Management , Joint & Spine Concierge Care) + Education Support & Tuition Assistance +… more
- Prime Healthcare (Boonton Township, NJ)
- …seeking new members to join its award-winning team! Saint Clare's Health includes CMS 5-Star Rated hospitals and is an award-winning provider of safe, high quality, ... compassionate care, serving the communities of Morris, Warren and Sussex counties. Its network of hospitals and healthcare facilities include Denville Hospital, Dover Hospital, Behavioral Health Centers in Boonton, Denville, and Parsippany, and an Imaging… more
- CVS Health (FL)
- …expertise in healthcare and information technology to ensure efficient data management , promote data-driven insights, and enhance the delivery of healthcare ... statistical analysis to Healthcare Quality metrics spanning NCQA HEDIS measures and CMS Clinical Stars + Apply advanced statistical, machine learning, and deep… more
- Humana (Helena, MT)
- …including revising SQL queries and modifying lightweight automation solutions. Advanced system development is NOT required **Key responsibilities** + Contribute to ... sound professional judgment **Preferred Qualifications:** + Healthcare insurance experience, including CMS and MLR ( **Medical Loss Ratio)** reporting requirements +… more
- Avera (Cresco, IA)
- …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
- Liberty Healthcare Corporation (Morningside, MD)
- …+ Conducting provider reviews to determine alignment with person-centered principles and CMS regulations + Data collection and report writing + Participating in ... Reviewers with Liberty Healthcare work through a collaborative partnership with Precision Management Solutions - a minority and women-owned small business. If you… more
- Intermountain Health (Murray, UT)
- …This leader is responsible for the development, implementation, evaluation, and operational management of care management programs for all lines of business ... Health provides. The position requires an understanding of care management and utilization management industry benchmarks, best...Line of Business (LOB) they will oversee (eg NCQA, CMS ). + Three years of clinical experience, preferably in… more
- CVS Health (Tallahassee, FL)
- …hybrid field sales integrated tech stack the call interactions, COIs, and lead management protocols with new and existing members. + Develop, continuously train, and ... quality, sales effectiveness, retention, secret shopper initiatives, and state, federal, and CMS requirements for Medicare sales agents and programs + 0-3 Years… more
- Prime Healthcare (Denville, NJ)
- …seeking new members to join its award-winning team! Saint Clare's Health includes CMS 5-Star Rated hospitals and is an award-winning provider of safe, high quality, ... compassionate care, serving the communities of Morris, Warren and Sussex counties. Its network of hospitals and healthcare facilities include Denville Hospital, Dover Hospital, Behavioral Health Centers in Boonton, Denville, and Parsippany, and an Imaging… more