- Luke Staffing (Butner, NC)
- …Proficient in database software. . Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited to: . Medicare ... . Medicare Outpatient Prospective Payment System . Medicare Ambulatory Surgical Center Payment Rates . Medicare Part B Physician Fee Schedule . Medicare … more
- AdventHealth (Altamonte Springs, FL)
- …activities. These activities include preparation and filing the annual Medicare , Medicaid, and Champus/Tricare cost reports; preparation of reopening and ... of proposed operational decisions; and serves as subject matter resource for Medicare and Medicaid reimbursement matters. The Director is responsible for creating a… more
- UTMB Health (Galveston, TX)
- …calculations and estimates and ensures UTMB compliance with Medicare and Medicaid regulations. **Scope:** Institutional **Responsibilities:** + Responsible ... for technical aspects, calculations and analyses of multiple areas of Medicare and Medicaid reimbursement components including, but not limited to, cost report… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new ... in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and...to various Centers Plans or Healthy Living Advantage Care Medicare HMO Plan sites located throughout the five (5)… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …The Impact You Will Have We are looking for an Actuary for our Medicare Provider Relations team! You will apply broad actuarial principles and modeling technical ... in the areas of health insurance primarily for the Medicare line of business. As a key part of...line of business. As a key part of the Medicare Provider Relations team, independent actuarial analysis, actuarial judgement,… more
- Fresenius Medical Center (Aberdeen, MS)
- …options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid, Medicare Supplement, State Renal programs and COBRA). + ... + Discusses insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …for internal and external use. Designated staff may focus primarily on supporting the Medicare Advantage line of business. **NATURE AND SCOPE** + This role does not ... of experience in the health industry accounting functions including billing, coding, Medicare or statistical analysis of financial information is required + Provider… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of the Actuary. As a Actuary, GS-1510-14, you ... a technical and actuarial expert for the modeling of Medicare and/or Medicaid program rates and estimates for both...law and for proposed changes. Analyzing, monitoring, and evaluating Medicare Advantage (MA) and Medicare Part D… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Medicare ... tasks on complex activities and issues pertaining to the Medicare prescription drug benefit. Consult and advise the Group...sector, to include: Coordinating projects and tasks on the Medicare Part D prescription drug benefit or on quality… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this critical role, you will ... drive the strategic planning, development, and optimization of our Medicare Advantage Risk Adjustment solution, ensuring that our deliverables support the… more