- ICF (Baltimore, MD)
- …investigation. This role requires a deep understanding of healthcare data systems, Medicare and Medicaid claims, and the government's healthcare fraud, waste, and ... + Lead and manage data analysis activities related to program integrity for Medicare and Medicaid. + Supervise a team of data analysts and ensure high-quality… more
- Aveanna Healthcare (Needham, MA)
- …offers both short-term and long-term care services, catering to individuals under the Medicare and Medicaid programs, as well as those with Private Insurance and ... be able to read and write English Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...from diverse backgrounds to apply. As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- CenterWell (Tamarac, FL)
- …Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum of two to five ... years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best...in a value based relationship environment . Knowledge of Medicare guidelines and coverage . Bilingual is a plus… more
- Marshfield Clinic (Eau Claire, WI)
- …months of hire. + Certified Application Counselor designation through the Centers for Medicare and Medicaid Services within three months from the first fall training ... time of hire. + Certified Application Counselor designation through the Centers for Medicare and Medicaid Services at time of hire. **Marshfield Clinic Health System… more
- Choctaw Nation of Oklahoma (Talihina, OK)
- …insurance eligibility and assign referrals to the Benefit Coordinator. 4. Complete Medicare Secondary Payer questionnaire for Medicare patients. 5. You will ... Education and Experience:** * Knowledge of HIPAA * Experience verifying and sequencing Medicare , Medicaid, and private insurance * One [1] year experience in a… more
- BAYADA Home Health Care (Honolulu, HI)
- …Care** is currently seeking a **full-time Clinical Manager (RN required)** in our Medicare certified **Oahu Visits office in Honolulu, Hawaii** . As one of the ... Hawaii Registered Nurse license. + Home Health experience preferred. + Recent Medicare Certified Home Health Care experience. + Comprehensive knowledge of the … more
- Rochester Regional Health (Rochester, NY)
- …necessary pre-registration information, including demographics, insurance information, and Medicare MSPQ, with documentation completed in the electronic medical ... potential financial responsibility and collect payment via phone, review issued Medicare ABN (Advance Beneficiary Notification), provide direction to facility and… more
- Humana (Jackson, MS)
- …clinical strategy, performance monitoring, and continuous quality improvement within the Medicare Advantage program to support improving the health of members. The ... MHA, MPH). + Experience in managed care, health plan operations, or Medicare Advantage programs (including various SNP products) or Managed Medicaid. + Familiarity… more
- Choctaw Nation of Oklahoma (Idabel, OK)
- …insurance eligibility and assign referrals to the Benefit Coordinator. 4. Complete Medicare Secondary Payer questionnaire for Medicare patients. 5. You will ... Education and Experience:** * Knowledge of HIPAA * Experience verifying and sequencing Medicare , Medicaid, and private insurance * One [1] year experience in a… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation ... Directors in the development, evaluation and implementation of a wide range of Medicare and Medicaid issues and policies relating to preventive and population health… more