- GRAIL (Washington, DC)
- …issues and implementing strategic reimbursement plans. + Extensive knowledge of public program coverage, including Medicare and Medicaid . + Bachelor's degree ... the power of next-generation sequencing (NGS), population-scale clinical studies, and state -of-the-art computer science and data science to overcome one of… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …audits across coding, charge capture, and documentation to assess adherence to government , payer, and institutional billing guidelines as well as national coding ... the annual Billing Compliance work plan. They will monitor federal and state regulatory requirements and industry developments and work to determine applicability… more
- J&J Family of Companies (Denver, CO)
- …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
- Walgreens (San Francisco, CA)
- …the billing and submission of claims to government - sponsored health care programs , including Medicare, Medicaid , and all other third-party payers, as well ... the time of refills. + Enrolls and follows patients through clinical management programs . + Oversees the enrollment of patients with assistance programs , such… more
- Walgreens (Cicero, IL)
- …in the billing and submission of claims to government -sponsored health care programs , including Medicare, Medicaid , and all other third-party payers, as well ... the time of refills. + Enrolls and follows patients through clinical management programs . + Oversees the enrollment of patients with assistance programs , such… more
- General Dynamics Information Technology (Fairfax, VA)
- …Center of Program Integrity (CPI), the Centers for Medicare & Medicaid Services (CMS) has strong oversight and internal controls to protect consumers enrolled ... Description:** **Marketplace Investigator** **The Affordable Care Act (ACA) requires every state to establish a health insurance exchange (also called Health… more
- Fallon Health (New Bedford, MA)
- …strive to be the leading provider of government -sponsored health insurance programs -including Medicare, Medicaid , and PACE ( Program of All-Inclusive Care ... determine the number of hours' members require for MassHealth programs such as the personal care attendant program...rating category to ensure members are in the correct State defined rating category Maintains up to date knowledge… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …of DOC-related program issues or policies to other CMS and government components. Utilizes clinical and technical expertise to resolve beneficiary complaints or ... Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Hospital &...or staff advisory work for a medical facility's pharmacy program ; Planning, monitoring and evaluating medication programs … more
- City of New York (New York, NY)
- …of Legal Affairs (OLA); Information Technology Services (ITS); Operations personnel; federal; state and local government agency officials and social service ... social service programs and related support services. Attends professional local, state and federal conferences. - Mitigate issues that occur within the … more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM). As a Physician, GS-0602-15, you will ... provide technical expertise concerning clinical aspects of the Medicare fee-for-service program and Medicare Shared Savings Program . Responsibilities Serve as… more