- Excellus BlueCross BlueShield (Rochester, NY)
- …in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and ... Acting as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit (SIU), Provider Relations (PR), or… more
- Serco (Herndon, VA)
- …successful candidate will apply experience from end-to-end change management projects to lead cross functional teams in aligning necessary program changes to meet ... such, the candidate in this role will closely collaborate with Serco leadership, Service Delivery, Operations, IT system teams, and CMS executives. The candidate in… more
- Sevita (Delran, NJ)
- …live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of ... including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service ...plan and cost of care; and identify and implement services to meet an individual's needs. + Provide… more
- Sevita (Webster, NH)
- …live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of ... of programs, including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service Members and… more
- USAA (San Antonio, TX)
- …with Legal, Risk and Compliance on interpretation of CMS (Center for Medicare and Medicaid Services ) rules to provide guidance and clarification to executive ... to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the...USAA is seeking a talented **Director, Retirement Income** to lead multiple teams of Health, Life or Retirement Income… more
- Public Consulting Group (Trenton, NJ)
- …streamline operations and achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services to help state ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- Sevita (Ypsilanti, MI)
- …live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of ... of programs, including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service Members and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …and post- service clinical reviews to determine the appropriateness of services requested for the diagnosis and treatment of members' medical health conditions, ... + Acts as a resource and liaison to the provider community in conjunction with Provider Relations,...assignments; cross-trained to review various levels of care and/or services . + Participate in committees and lead … more
- Elevance Health (Jacksonville, NC)
- … services , including LTSS, Behavioral Health, therapeutic, and physical health services . + Service delivery coordination, discharge planning or behavioral ... _We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young… more
- Humana (Madison, WI)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... living their daily lives. The CC provides comprehensive social service care management for frail elders and adults with...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more