- Caris Life Sciences (Irving, TX)
- …cross-functional initiatives and manage timelines, resources, and deliverables. + Experience with Medicare Advantage plans and familiarity with Xifin is a plus. ... + Demonstrated ability to lead teams, manage change, and drive performance in a fast-paced environment. + Proficiency in Microsoft Office Suite (Excel, Word, Outlook, Access) and healthcare billing systems. + Strong interpersonal, communication, and… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... as MSHP's subject matter experts on: Facility related Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the forefront of implementing Facility and Ancillary… more
- Trinity Health (Westerville, OH)
- …(https://www.mcmg.mountcarmelhealth.com/) , a college of nursing (https://www.mccn.edu) , a Medicare Advantage plan (https://www.medigold.com) , and extensive ... outreach and community wellness programs, Mount Carmel Health System (https://www.mountcarmelhealth.com/) serves more than a million patients in central Ohio each year, and we've been a pillar of this community for more than 130 years. As a proud member of… more
- CareFirst (Baltimore, MD)
- …performing analyses and problem resolution to meet business operational requirements for Medicare Advantage (MA), Affordable Care Act (ACA) & Medicaid Lines of ... Business (LOB). Additional responsibilities include establishing and maintaining business policies, process and technical workflow documents, collaborating with multiple stakeholders at various levels throughout the Company, as well as external entities,… more
- ChenMed (Atlanta, GA)
- …physicians are true hands-on caregivers transforming the health and lives of seniors on Medicare Advantage . Through our Value Based Care approach, you and your ... patients thrive in our high-touch, relationship-centered model - something the traditional, FFS healthcare model cannot provide. As a ChenMed physician, you have all the resources and team support you need to succeed. **As part of the ChenMed team:** **Our… more
- Community Health Systems (Franklin, TN)
- …and value-based quality programs. This includes but is not limited to Medicare Traditional and Advantage , Commercial, governmental, ACO, BPCI, CJR, and ... goals. + Support annual regulatory reporting submission requirements related to Medicare Quality programs (CQM, eCQM, MIPS, etc.) through coordination of data… more
- Henry Ford Health System (Rochester Hills, MI)
- …our Specialty Pharmacy or Mail Order Services department at Pharmacy Advantage , below is additional information about these departments. Specialty Department: The ... team monitors medication adherence across multiple patient populations, including Medicare , Medicaid, Transplant, Transition of Care, and Commercial. By identifying… more
- Tufts Medicine (Boston, MA)
- …characteristics and needs that indicatean appropriate hospice referral. Presents the advantage of the hospice Medicare /Medicaid benefits to referral sources. ... + Thoroughly understands the Medicare /Medicaid hospice benefit, the Medicare home health benefit, the Medicare /Medicaid long term benefit and the Medicare… more
- Ventura County (Ventura, CA)
- …for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare , and general insurance reimbursement requirements. IDEAL CANDIDATE The ideal ... health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal. Skilled in the Medi-Cal Provider Manual...applications to meet business needs. It is to your advantage to apply as soon as possible. Examples Of… more
- Hunterdon Health Care System (Flemington, NJ)
- …maintenance of medical necessity software, insuring compliance relating to Medicare billing requirements, conducting internal audits relating to medical necessity, ... regulations and guidelines for all physician practice specialties, takes advantage of outside education to enhance specialty coding skills...others by means of webinars and teleconferences offered by Medicare + General & Medicare Compliance: … more