• Director Governmental Reporting

    Houston Methodist (Houston, TX)
    …all internal and external financial and governmental reporting requirements. Requirements include Medicare cost reports, Federal Tax Returns Health and Human ... Services (HHS)/Centers for Medicare and Medicaid Services (CMS) reporting, Federal ...for employee engagement, adequate staffing levels, budget development and compliance , staffing decisions such as hiring and terminating employment,… more
    Houston Methodist (09/01/25)
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  • Home Health Administrator

    Always Best Care Senior Services (Honolulu, HI)
    …care services. We are looking for a Home Health Administrator with expertise in Medicare compliance , billing, and coding to ensure our agency operates smoothly ... we'd love to meet you! Key Responsibilities * Ensure compliance with Medicare guidelines for Home Health...in a fast-paced environment. * Knowledge of state and federal home health regulations is a plus. Why Join… more
    Always Best Care Senior Services (08/28/25)
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  • Provider Contract Templates Lead

    Humana (Nashville, TN)
    …update provider contracting templates for Medicare and Medicaid programs, ensuring compliance with federal , state, and company requirements. + Analysis of ... judgment and decision making on complex issues related to our Medicare and Medicaid provider contract templates. Key responsibilities include creation and… more
    Humana (09/13/25)
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  • Supervisor Call Center Operations (Hybrid - Troy,…

    Henry Ford Health System (Troy, MI)
    Primary Objectives To supervise, organize and coordinate the HMO, Medicare Advantage and Federal Government call center operations associated with HAP's Customer ... the efficiency of the call center productivity. + Ensure compliance with the Centers for Medicare &...identity, sexual orientation, and genetic information, or any other protected status in accordance with applicable federal and state… more
    Henry Ford Health System (09/15/25)
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  • Product Management Senior Advisor - Express…

    The Cigna Group (St. Louis, MO)
    **Product Management Senior Advisor - Medicare Solutions, Express Scripts** **Description of Position:** + The Product Management Senior Advisor provides leadership ... will ensure their capabilities are compliant with the Center for Medicare and Medicaid Services (CMS) regulations, lead implementation of enhancements, provide… more
    The Cigna Group (07/23/25)
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  • Care Coordinator, RN Field Based

    Humana (Greenwood, IN)
    …care team staff to address the member's identified needs + Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as ... and benefits of members who are also eligible for Medicare . + Primary point of contact for the Interdisciplinary...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (09/24/25)
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  • Medical Investigator I/II

    Excellus BlueCross BlueShield (Rochester, NY)
    …Maintains accurate and up-to-date knowledge of all Government Programs regulations (Medicaid, Medicare , Federal Employee Program, New York State Department of ... investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating referrals, case… more
    Excellus BlueCross BlueShield (09/17/25)
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  • CLIVE Patient Access Representative I, M-F Days

    Trinity Health (Clive, IA)
    …basics of coding diagnoses and procedures as required for insurance authorizations and Medicare compliance . Utilizes online program for Medicare ... physician offices. Ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals. Provides excellent… more
    Trinity Health (09/17/25)
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  • Broker Manager

    CVS Health (Trenton, NJ)
    …**Position Summary** **Are you passionate about contributing to the well-being of the Medicare population? Would you like to plan an integral and strategic part in ... CVS Health/Aetna is working to transform the way New Jersey Medicare beneficiaries experience health care - improving quality, emphasizing whole-person wellness,… more
    CVS Health (09/16/25)
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  • Medical Biller/Collections Specialist

    Robert Half Accountemps (Duarte, CA)
    …reimbursements. * Maintain comprehensive and accurate patient billing records in compliance with Medicare , Medi-Cal, and payer-specific requirements. * Follow ... claims and ensure timely reimbursements. * Stay up-to-date on federal , state, and local billing regulations to ensure strict...and appeals. * Strong knowledge of billing regulations and compliance standards set by Centers for Medicare more
    Robert Half Accountemps (09/17/25)
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