- Humana (Springfield, IL)
- …management. + One (1) or more years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), ... to take the Interagency Language Rating (ILR) test as provided by the Federal Government. **WAH Internet Statement** To ensure Home or Hybrid Home/Office employees'… more
- CVS Health (Albany, NY)
- …+ Outstanding relationship building and account management skills. + Experience with Medicare Advantage, Medicare Supplement, and Prescription Drug Plans. + ... and events. + Knowledge of CMS Marketing and Sales compliance guidelines. + Knowledge of local geography and key...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
- Kestra Medical Technologies, Inc (Kirkland, WA)
- …+ Promote a culture of continuous process improvement. + Ensure regulated compliance processes and procedures are in place and followed. + Provide direction ... and weekends + Kestra manufactures and provides life-saving products regulated by the Federal Food and Drug Administration and under contract with Medicare .… more
- New York State Civil Service (West Brentwood, NY)
- …assessments as part of treatment plan development * Monitors patient compliance with treatment goals.* Completes required client and facility documentation (both ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain licensure, certification and Medicaid/ Medicare … more
- Highmark Health (Buffalo, NY)
- …outcomes as a result of workflow transformation, superior coding accuracy, and Medicare STARS gap closure to providers based upon each individual gain/risk share ... accuracy, cost and utilization reports, medical loss ratio reports, Medicare STARS gaps and other risk revenue opportunities. +...includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well… more
- Penn Medicine (Lancaster, PA)
- …within 30 days of hire. + A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs, ie not excluded ... of Care. + Maintains a safe working environment through compliance with established evidence-based practice policies and procedures and...from participation in Medicare , Medicaid or any other federal or… more
- MyFlorida (Port Charlotte, FL)
- …Nursing Homes. . Ensures the Florida Department of Veterans' Affairs (FDVA) remains in compliance with all State and Federal Billing regulations. . Manages and ... billing or Medical Health insurance billing. . Knowledge of Medicare , Medicaid, and 3rd party billing. . Strong accounts...and experience. . Knowledge of State of Florida and Federal laws and rules regarding billing regulations. . Experience… more
- Healthfirst (FL)
- …to members and their families as needed. + Keeps up to date on federal ( Medicare ) and state (Medicaid) regulations. + Interacts with community mental health ... advocate and liaison with various governmental and private agencies such as Medicaid, Medicare , and Social Security to maximize network of support and secure needed… more
- New York State Civil Service (Middletown, NY)
- …assessments as part of treatment plan development * Monitors patient compliance with treatment goals.* Completes required patients and facility documentation (both ... eligibility for full and unconditional participation in the Medicaid and Medicare programs. Failure to maintain Medicaid/ Medicare eligibility will result… more
- CenterWell (Nashville, TN)
- …innovation for chronically and temporarily homebound, polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director ... with clinicians, executives, and operational leaders. + Advanced knowledge of Medicare regulations, value-based care principles, and best practices for complex care… more