- Penn State Health (Lancaster, PA)
- …General, The State Board of Pharmacy and Centers for Medicare and Medicaid Services. The importance of having a Regulatory & Accreditation Program ... Program Coordinator-Quality, helps maintain compliance to Centers for Medicare and Medicaid Conditions of Performance and legal protection for providers such as… more
- CVS Health (Jefferson City, MO)
- …willingness to thoroughly learn the role of care management within Medicare and Medicaid managed care. + Familiarity with community resources and services. + Ability ... **Preferred Qualifications** + Experience providing care management for Medicare and/or Medicaid members + Experience working with individuals with SDoH needs,… more
- CVS Health (Phoenix, AZ)
- …analytical, and business support for all assigned programs for Medicare, Medicaid , and Commercial products. Programs currently include End-Stage Renal Disease ... **Knowledge of:** + 3+ years of Pharmacy Benefit Management, Medicare Part D or Medicaid experience + 2 + years of in-depth knowledge of pharmacy products, services,… more
- Centene Corporation (Queens, NY)
- …Health (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS). The Clinical Quality Assurance RN will also create, analyze, ... Department of Social Services and Center for Medicare & Medicaid Services (CMS regulations). Working in a home care...forms of incentives. Benefits may be subject to program eligibility . Centene is an equal opportunity employer that is… more
- UPMC (Pittsburgh, PA)
- …Medical Assistance! Additionally, CHC is also for individuals that qualify for Medicare, Medicaid , or require a nursing facility level of care. The CHC Service ... access to needed LTSS and Medical Assistance services, as well as non- Medicaid funded medical, social, housing, educational, and other services and supports.… more
- Sanford Health (Fargo, ND)
- …the implementation and monitoring of reimbursement functions, which includes Medicare, Medicaid or other third party cost reports, related audits, appeals, ... the review and impact analysis of payor proposed and final Medicare and Medicaid regulation changes. Reviews and provides expertise in the impact analysis of payor… more
- UnityPoint Health (West Des Moines, IA)
- …practicum students Documentation and Administrative Functions . Maintain licensure . Maintain eligibility to bill for government payers (ie, not on the Medicaid ... compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and abuse. Brings any questions or concerns… more
- CVS Health (Boston, MA)
- …within Network; Examples include ensuring data standards are synchronized across Medicaid and Medicare platforms, ensuring duals workflows are support across ... experience in strategy and delivery leadership roles + 5+ years of Medicare/ Medicaid and/or Duals experience + Proven success navigating large scale cross functional… more
- Molina Healthcare (Green Bay, WI)
- …sales and marketing of Molina Medicare products to dual eligible, Medicare- Medicaid recipients within approved market areas to achieve stated revenue, profitability, ... the product choices available to them, the enrollment process ( eligibility requirements, Medicare review/approval of their enrollment application, timing of… more
- LittleStar ABA Therapy (Clarksville, IN)
- …motivated and energetic Recreational Therapist to provide services to families on the Medicaid Waiver in surrounding areas. Services will occur in the client's home ... continued education, and instruments + Public Service Loan Forgiveness (PSLF) program eligibility GREAT BENEFITS + Three options for medical and two options for… more