- Ascendis Pharma (Princeton, NJ)
- …methodology, and related analytics and reporting. + Deep expertise in US Federal and State Pricing Programs ( Medicaid , Medicare, FSS, PHS340B) and related ... Minimum 10+ years of progressive experience in pharmaceutical finance, pricing, market access, or government programs , with at least 5 years in a leadership or… more
- AbbVie (Irvine, CA)
- …(both Pharmacy and Medical reimbursement). Includes awareness of commercial, Medicare, Medicaid , other government , and specialty segments. + Experience with ... all payer and distribution channels including Commercial health plans, Medicare, Medicaid , VA/DoD, Employer, Health System, and Specialty Pharmacy. The purpose of… more
- UnityPoint Health (Cedar Rapids, IA)
- …Is aware of hospital and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and abuse. ... knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud, waste and… more
- UNC Health Care (Chapel Hill, NC)
- …programs . **Knowledge/Skills/and Abilities Requirements:** **Job Details** Legal Employer: STATE Entity: UNC Medical Center Organization Unit: Bone Marrow ... and obtains prior authorization/pre-certification for the transplant admission. Contacts government insurance agencies to obtain specific guidelines verify benefits… more
- Molina Healthcare (Tampa, FL)
- …a managed care organization ( Medicaid , Medicare, Marketplace and/or other government -sponsored program ), or medical office/hospital setting. * Completion of ... the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and… more
- Cayuse Holdings (Austin, TX)
- …of a team. **Preferred Qualifications:** + 4 years' experience and knowledge with Texas Medicaid programs . + 2 years' experience with the Project Enrollment and ... the Mission, Vision, and Core Values of Cayuse. **Responsibilities** + Analyzes program policies, procedures, and processes to determine the impact on business… more
- Southwest Nursing Center (Fort Worth, TX)
- …completion of final MDS and submits resident assessment data to the appropriate State and Federal government agencies. * Assigns, assists, and instructs staff ... data entry of resident information into appropriate computerized MDS programs . * Completes accurate coding of the MDS with...notice. Qualifications * Graduate of an approved Registered Nurse program and licensed in the state of… more
- J&J Family of Companies (Fresno, CA)
- …submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and launch products. + Collaborate with ... and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care, Commercial). + Execute business in accordance with the… more
- J&J Family of Companies (Titusville, NJ)
- …Management (PBM) companies, Governmental Agencies (CMS and VA/DoD System), Medicare, Medicaid , Long Term Care (LTC) facilities, Integrated Delivery Networks (IDNs), ... and execute against scientific exchange goals and 2) to shape clinical programs in conjunction with the Outcomes Research Directors and Population Health Teams… more
- Signature Healthcare (TN)
- …accuracy of billing under Medicaid and Medicare guidelines set forth by state and federal government . + Identify areas of concern and effectively communicate ... the REBOC and Controller and requirements set forth by Medicaid and Medicare. How you Will make a difference...assistance and comprehensive scholarship opportunities + Reward & Recognition Program (HEART) + Vital Links At Signature HealthCARE, our… more