- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the ... involves close collaboration with program leadership, operations teams, and external provider partners. The ideal candidate will have excellent organizational and… more
- Commonwealth Care Alliance (Boston, MA)
- …is responsible for overseeing relationships and performance with community-based Long-Term Services and Supports (LTSS) provider organizations that serve One ... ongoing engagement of CCA's LTSS network, including ASAP and LTSC agencies. + Lead the monitoring and analysis of provider performance using utilization,… more
- Commonwealth Care Alliance (Boston, MA)
- …a variety of audiences - Experience with managing clinical services for Medicaid /Medicare patients - Demonstrated ability to lead and navigate large scale ... evaluates efficiency and productivity of utilization management functions for physical health services and long term services and supports. Works closely with… more
- NORC (Chicago, IL)
- …at the University of Chicago seeks an experienced Senior Research Scientist to lead and contribute to prescription drug programs and policy projects, with an ... care delivery, from private marketplaces and employer-sponsored insurance to Medicare and Medicaid ; from large health care systems to small clinics; and from the… more
- Stanford Health Care (Palo Alto, CA)
- …responsible for overseeing the organization's compliance reporting and non-patient services reimbursement activities. This role ensures the timely and accurate ... The role also ensures the accuracy of invoicing for non-patient related services provided to external customers. The Director of Reimbursement plays a critical… more
- COOLSOFT (Harrisburg, PA)
- …Description : DHS and the HHS DC worked with the Centers for Medicare & Medicaid Services (CMS), and other federal partners responsible for the programs, to ... Child Development and Early Learning (OCDEL) - Centers for Medicaid & Medicare Services (CMS) - Administration...agencies, and this individual will also work cooperatively and lead other program PMs to ensure a successful implementation… more
- Caris Life Sciences (Irving, TX)
- …insurance companies to secure preauthorization required for patients to receive our services and contacting facilities for Medical Records when necessary. We need ... follow up on requests, and apply acquired knowledge of Medicare, Medicaid , and other Third-Party Payer requirements **Job Responsibilities** + Proficient in… more
- Seattle Children's (Everett, WA)
- …per the College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for RN's performing moderately complex point of care ... ART, etc. The Transport RN serves as a team lead within the mobile transport team and may be...the mobile transport team and may be required to provide supervision and delegation to other Registered Nurses, Respiratory… more
- COOLSOFT (Columbia, SC)
- …new and ongoing Cybersecurity efforts for South Carolina Department of Health and Human Services (SCDHHS), the Medicaid agency for SC. The Senior ISSO will ... information system operating environments. A successful Senior ISSO will lead the establishment, implementation and/or enhancement of Information Systems Security… more
- Cordis (Trenton, NJ)
- …of our experiences and backgrounds enhances the careers of our teammates, the service to our customers, and ultimately, the lives of our patients.If you love ... physician users and re-engaging lost customers. + Ability to conduct in- services and presentations to all staff (including Physicians, Mid-Level providers, nurses,… more
