- Fallon Health (Worcester, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE- in the region. **Summary of ... as necessary. * Keeps current on changing rules and regulations regarding Medicare / Medicaid eligibilities. * Communicates changes in regulations affecting the… more
- Organon & Co. (Plymouth Meeting, PA)
- …role in ensuring compliance with federal and state government pricing programs, including Medicaid Drug Rebate Program (MDRP), 340B, Medicare Part B/D, and the ... GP. The role reports to US Market GP Associate Director (GP AD), supports and works closely with the...Pricing within the pharmaceutical industry. + Strong knowledge of Medicaid , 340B, Medicare Part B, and VA… more
- CenterWell (Alice, TX)
- …Best Practice in coordinated care environment in a value based relationship environment + Medicare Provider Number / Medicaid Provider Number + Knowledge of ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...the care team through daily huddles. + Helps RegionalMedical Director and Center Administrator in setting a tone of… more
- CenterWell (Spartanburg, SC)
- …least 2 years of relevant experience + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Experience managing ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...the care team through daily huddles. + Helps RegionalMedical Director and Center Administrator in setting a tone of… more
- Prime Healthcare (Gadsden, AL)
- …is also the areas highest rated hospital, receiving Four-Stars from the Centers for Medicare and Medicaid (CMS). Originally named Holy Name of Jesus Hospital, ... hospital policies, procedures, protocols and/or clinical pathways and notifies Department Director , House Supervisor and/or Medical Staff as appropriate… more
- UPMC (Washington, PA)
- …Management staff + Assists with management of departmental budget. + Collaborates with Director , Medical Director /Physician Advisor and staff to ensure ... Standards, Federal/State regulations relative to utilization/case management, discharge planning, Medicare , Medicaid , and other third party payor requirements,… more
- State of Colorado (Denver, CO)
- …This position is the centralized specialist responsible for all applicable financial and medical benefits (eg, Medicaid , Medicare , Social Security Insurance ... to proceed as a result of their mental illness. Medical services, o ccupational therapy, neuropsychological-rehabilitation services, and trauma-informed care… more
- Humana (Phoenix, AZ)
- …experience in revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Nestle (Bridgewater, NJ)
- …evolving healthcare market dynamics, including reimbursement models and payer landscapes ( Medicaid , Medicare , and private insurance). By negotiating and ... Deep understanding of healthcare trends, Healthcare Reform, Reimbursement, and Payer Sources ( Medicare , Medicaid , Private Insurance) + Experience with Med B… more
- Signature Healthcare (Ridgely, TN)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified ... a safe, secure environment for those in need of medical care, and we also specialize in customized dementia...centers are earning Five-Star ratings from the Centers for Medicare & Medicaid Services. We were also… more