- NORC (Washington, DC)
- …The Program Area Director should have familiarity and experience leading Medicare and Medicaid demonstration evaluations that use experimental or quasi-experimental ... delivery interventions on outcomes and cost using data files derived from Medicare , Medicaid, and commercial payer administrative data. In addition to providing… more
- Stanford Health Care (Palo Alto, CA)
- …and regulatory reports to government agencies, including but not limited to: * Medicare and Medi-Cal cost reports *Financial disclosures to the Department of Health ... timely and accurate filing of annual government cost reports, including Medicare , Medi-Cal, and HCAI submissions. + Maintain comprehensive knowledge of federal… more
- US Tech Solutions (May, OK)
- **Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. You ... information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity to initiate a… more
- US Tech Solutions (AZ)
- …**Job Description:** + As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related to their pharmacy benefits. ... information when needed, and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity to initiate a… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …guidance and plans they need for healthy living. Outreach and Retention Associate (ORA)- Medicare Advantage CPHL is a Medicare Advantage Prescription Drug plan ... and options they are eligible for, + Answer inquiries related to all CPHL Medicare products *Licensed Agents Only. + Educate potential members about Medicare … more
- Centene Corporation (Stockton, CA)
- …needed. + Meets or exceeds assigned annual sales goals and penetration of the Medicare book of business. + Travels within market to engage with local community based ... issues for assigned accounts + Participates in and conducts Medicare product training + Develops best practices and work...teams + Serves as subject matter expert in growing Medicare product lines + Submits reports upon request and… more
- New York State Civil Service (Buffalo, NY)
- …ANDEligibility for full and unconditional participation in the Medicaid and Medicare programs.OROpen Competitive:Possession of a license to practice medicine in New ... for full and unconditional participation in the Medicaid and Medicare programs. OR Provisional Opportunity - Possession of a...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- University of Rochester (Brighton, NY)
- …+ Self-Referral Law, the False Claims Act, Civil Monetary Penalties, and + Medicare and Medicaid billing regulations (including CMS, Medicare Advantage and New ... Compliance on relevant reimbursement and billing issues and requirements (including CMS, Medicare Advantage, and New York State Medicaid). Stays abreast of … more
- New York State Civil Service (East Syracuse, NY)
- …from appointment.You are responsible for payment of all required fees.Medicaid and Medicare : In order to be eligible for appointment and to maintain employment, ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more
- Cedars-Sinai (CA)
- …applicable rules and regulations including but not limited to AB1455 and Medicare Claims Processing Guidelines. This position is responsible for maintaining routine ... DHCS. Duties and Responsibilities: + Ensures all services provided to Commercial, Medicare and Medi-cal managed care members are in compliance with program… more