- Bon Secours Mercy Health (Cincinnati, OH)
- …protocols specific to hospital revenue cycle risk areas highlighted by the OIG, Medicare , State Medicaid , State Insurance Fraud; Managed Care or Governmental ... or as an employee/manager required. + Demonstrated working knowledge of Medicare and Medicaid , Insurance Managed Care including documentation, coding,… more
- Prime Therapeutics (Jefferson City, MO)
- …pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid . The Sr Director , Pharm Trade Relations leads a team of ... + Direct the oversight of Trade formulary strategies for Commercial, Exchange, Medicare Part D and/or Medicaid template formularies, including items such… more
- WellSense (Boston, MA)
- …functional areas** **.** **Works closely with internal stakeholders, to include the WellSense SUD Medical Director and NH Medical Director as appropriate ... company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans....Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services… more
- Humana (Bismarck, ND)
- …US. At the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating ... a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the...to execution **Additional Information** This role reports to the Director of Strategy, works collaboratively with members of rest… more
- Erie 2-Chautauqua-Cattaraugus BOCES (Williamsville, NY)
- …of the agency, the Office for People With Developmental Disabilities OPWDD, Medicaid , Medicare , insurance companies, municipalities, Department of Health, school ... the Professions, the Office for People With Developmental Disabilities (OPWDD), Medicaid , Medicare , insurance companies, municipalities, Department of Health,… more
- Guthrie (Corning, NY)
- … Medical Staff Officers, Chiefs of Service, Committee Chairmen and the Medical Director . Provides each new applicant with a letter identifying information ... and standing, Queries the National Practitioner Data Bank and Medicare / Medicaid site for fraud and abuse and...references and past hospital affiliation, Reviews completed application with Medical Director and Chief of Service. Advises… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …+ REPORTING REQUIREMENTS: Timely submits required data to the Center for Medicare and Medicaid Services (CMS). + CHART AUDITS/COMPLIANCE: Coordinates monthly ... department. Requirements + At least 3-5 years of experience as a Medical Records Director / Health Information Manager of a skilled nursing facility + Skilled… more
- CenterWell (Deerfield Beach, FL)
- … medical expertise with the care team through daily huddles. . Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Internal Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum of two to… more
- CenterWell (San Antonio, TX)
- … medical expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... this role, you will be required to be screened for TB **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum of two to… more
- WellSense (Manchester, NH)
- …health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ... with the Senior Manager of Care Management and the Director of Care Management will assume responsibility for critical...than 440,000 members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans.… more