- Highmark Health (Dover, DE)
- …Description :** **JOB SUMMARY** This job assures that members with complex medical and/or psychosocial needs have access to high quality, cost-effective health care. ... Physician Advisors and other interdepartmental contacts. + Maintain knowledge of Medical Terminology and Medical Diagnostic Categories/Disease States + Educate… more
- Elevance Health (Wallingford, CT)
- …management, particularly with projects involving federal and state regulatory compliance for Medicaid, Medicare and commercial businesses preferred. + Proven ... **Title:** Project Manager - Federal and State Mandates **Location:** Norfolk, VA **Schedule:**...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …throughout the organization including, but not limited to, Medicare Product, Medicare Operations, Medicare Compliance , Risk Adjustment, Sales, Marketing, ... + Knowledge of federal legislative, regulatory changes, and industry trends impacting Medicare including Medicare Part D program + Knowledge of health plan… more
- AdventHealth (Maitland, FL)
- …The CFO will also oversee the improvement of clinical documentation accuracy for Medicare and Exchange members. While under the direction of the PHSO Executive ... the consolidated PHSO entity. o Responsible for leading government/regulatory relationships and compliance , including all regulatory and rate filings. o Serve as the… more
- MetroLink (Los Angeles, CA)
- …benefits provided to you by SCRRA, which exceeds $50,000, be added to your Federal , State, and Medicare taxable earnings for W-2 reporting. This amount is ... regarding station design, grade crossings, separations, and utilities to ensure compliance with railroad engineering standards and regulatory requirements. This is a… more
- CareOregon (Portland, OR)
- …CareOregon is a federal contractor and must comply with all federal laws. Job Title Medical Assistant Exemption Status Non-Exempt Department Housecall ... support activities in an appropriate and timely fashion to maintain patient's medical record. + Maintains patient/family confidentiality in compliance with HIPAA… more
- Covenant Health Inc. (Knoxville, TN)
- … claims. Demonstrates enhanced knowledge and comprehension of State and Federal regulations, Medicare , TennCare, and other Third-Party Payer requirements ... Overview Medical Biller Full Time , 80 Hours Per...to accurately submit claims in all payer categories, ie, Medicare , TennCare, Blue Cross, Commercial, and Managed Care. This… more
- AdventHealth (La Grange, IL)
- …insured and, if so, gathers details (eg, insurer name, plan subscriber) + Performs Medicare compliance review on all applicable Medicare accounts in order ... scheduled appointments and during or after care for unscheduled patients + Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …contact center solutions. Desired qualifications/non-essential skills required: * Experience with Federal Government, Center for Medicare and Medicaid (CMS) and ... Baltimore **Position ID:** J0525-2241 **Employment Type:** Full Time US - CGI Federal roles - What we do matters (https://youtu.be/cT09CQZNzt4) By playing this video… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …cybersecurity best practices. Desired qualifications/non-essential skills required: * Experience with Federal Government, Center for Medicare and Medicaid (CMS) ... Baltimore **Position ID:** J0525-2242 **Employment Type:** Full Time US - CGI Federal roles - What we do matters (https://youtu.be/cT09CQZNzt4) By playing this video… more