• Encounter Data Management Lead

    Humana (Frankfort, KY)
    …organization (HQRI). This support includes submission of encounter data to Medicaid, Medicare , and DSNP states and will require the ability to manage inventory, ... tools to enhance the encounter acceptance rate by Medicaid, Medicare , and DSNP. This role will work on strategic...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (08/19/25)
    - Related Jobs
  • Lead Analyst, Quality Analytics and Performance…

    Molina Healthcare (Milwaukee, WI)
    …health plan reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP * Develops custom health plan reports related to managed care data ... Reporting modules related to Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Computer… more
    Molina Healthcare (08/17/25)
    - Related Jobs
  • Family Birth Center Advanced Practice Provider

    SUNY Upstate Medical University (Syracuse, NY)
    …+ NYS licensed/registered NP or PA required. Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for ... Medicare Enrollment within 6 months of hire. + CPR-BLS Certification required at the time of appointment. + Must successfully pass pre-employment and credentialing clearances. Preferred Qualifications: + Neonatal experience preferred Work Days: 12 hour… more
    SUNY Upstate Medical University (08/16/25)
    - Related Jobs
  • Primary Care Physician

    CenterWell (Delray Beach, FL)
    …Medicine or Geriatric Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five years directly applicable ... experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best...environment in a value-based relationship environment . Knowledge of Medicare guidelines and coverage . Knowledge of HEDIS quality… more
    CenterWell (08/15/25)
    - Related Jobs
  • Nurse Practitioner - Albany

    SUNY Upstate Medical University (Syracuse, NY)
    …of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible ... for Medicare Enrollment within 6 months of hire (eligibility criteria for NP requires National Certification through AANP or ANCC, and Master's Degree). Initial… more
    SUNY Upstate Medical University (08/15/25)
    - Related Jobs
  • Physician S. Rainbow

    CenterWell (Las Vegas, NV)
    …be screened for TB **Preferred Qualifications** + 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 Practice in coordinated care… more
    CenterWell (08/14/25)
    - Related Jobs
  • NP/PA Gastroenterology

    SUNY Upstate Medical University (Syracuse, NY)
    …of certification must be consistent with practice). Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible ... for Medicare Enrollment within 6 months of hire (eligibility criteria for NP requires National Certification through AANP or ANCC, and Master's Degree) (eligibility… more
    SUNY Upstate Medical University (08/14/25)
    - Related Jobs
  • Clin Supv-HC

    Covenant Health Inc. (Knoxville, TN)
    …+ Assurance of verification of benefits and authorization for services on all non- Medicare patients as obtained by intake and authorization staff. + Reviews on-call ... + Assurance of verification of benefits and authorization for services on all non- Medicare patients as obtained by intake and authorization staff. + Reviews on-call… more
    Covenant Health Inc. (08/14/25)
    - Related Jobs
  • Hospital At Home Advanced Practice Provider

    SUNY Upstate Medical University (Syracuse, NY)
    …+ NYS licensed/registered NP or PA required. Have a NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible for ... Medicare Enrollment within 6 months of hire. + AHA CPR-BLS Certification required at the time of appointment. + Must successfully pass pre-employment and credentialing clearances. Preferred Qualifications: + Experience in home health, community health, or… more
    SUNY Upstate Medical University (08/14/25)
    - Related Jobs
  • Nurse Practitioner/Physician Assistant-Ortho…

    SUNY Upstate Medical University (Syracuse, NY)
    …Certification consistent to the clinical practice also required. NPI number and be Medicare enrolled with a Medicare Identification Number (or PTAN) (or eligible ... for Medicare Enrollment within 6 months of hire). CPR-BLS Certification required at the time of appointment. Preferred Qualifications: 1-2 years orthopedic surgery experience. Work Days: Saturday - Sunday, 6:00 am - 4:30 pm Message to Applicants: Part-Time… more
    SUNY Upstate Medical University (08/14/25)
    - Related Jobs