- SUNY Upstate Medical University (Syracuse, NY)
- …candidate skills, experience, and qualifications, as well as internal equity, market and business considerations. Recruitment Office : MedBest Medical Management ... Testing andAnesthesia linked appointments. + Works in conjunction with billing office to ensure that appropriate referrals or authorizations have been obtained… more
- CareFirst (Baltimore, MD)
- …requirements, analyzing financial data to evaluate implications across various business lines, while ensuring compliance with company policies and procedures, ... internal workgroups and committees, ensuring compliance and advising on business strategies. **ESSENTIAL FUNCTIONS:** **Contract Development and Negotiation** +… more
- Highmark Health (Pittsburgh, PA)
- …Researches federal and state regulations and other regulatory materials (ex: Medicaid bulletins, CMS Coverage Determinations, etc.), various business requirement ... and DOH. Supports the integration of new vendors and lines of business , including processes, procedures, risk identification, education, and delegation follow up.… more
- Public Consulting Group (VA)
- …services from one of three Virginia DD- Home and Community Based Services Medicaid Waivers. + An IRQR (Internal Interviewer Reliability and Qualification Review) is ... and his/her team. Common locations ae at the individual's home, a CSB/BHA office , a Day Support Program, a licensed residential provider's location or virtually. +… more
- Centene Corporation (Pittsburgh, PA)
- …is a mostly remote role with minimal travel (up to 10%) to the office for occasional in-person meetings with providers. Preference will be given to applicants who ... in Mechanicsburg, Pittsburgh, Philadelphia, Erie, or Moosic). Additional Details: * Business Unit: Pennsylvania Health & Wellness * Department: MED-Connections //… more
- YAI (Manhattan, NY)
- …of education, experience and/or training. + Ability to report on-site to our Manhattan office at least three (3) days per week in accordance with the Agency's Return ... to Office Policy. + Familiarity with benefits and entitlements in...and entitlements in the healthcare and/or I/DD field including Medicaid , Medicare and applicable regulatory agencies. + Strong written… more
- SUNY Upstate Medical University (Syracuse, NY)
- …candidate skills, experience, and qualifications, as well as internal equity, market and business considerations. Recruitment Office : MedBest Medical Management ... Testing and Anesthesia linked appointments. + Works in conjunction with billing office to ensure that appropriate referrals or authorizations have been obtained and… more
- Philips (Chicago, IL)
- …and identifying payer issue trends. + Knowledge of insurnace payers, including Medicare, Medicaid , Blue Cross Blue Shield and commercial plans. You have the ability ... that we are better together than apart. For our office -based teams, this means working in-person at least 3...the lives of others. + Learn more about our business . + Discover our rich and exciting history. +… more
- Queen's Health System (Honolulu, HI)
- …repetitive arm/hand motions and gripping of an object. * Operates various office equipment such as computer, copier, facsimile, telephone, typewriter, etc. III. ... communicable diseases and other conditions common to a hospital and office environment. IV. MINIMUM QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: * High… more
- TEKsystems (Jefferson City, MO)
- …to prioritize and manage multiple tasks independently. + Proficiency in Microsoft Office and strong technical aptitude to learn new systems. + Familiarity with ... Medicare, Medicaid , and commercial health plan guidelines preferred. + Adaptability...and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business … more