• Medicare Pharmacy Audit Programs…

    CVS Health (Scottsdale, AZ)
    …In this role, you will be expected to familiarize yourself with all the Medicare Audit Programs and become a subject-matter-expert on assigned audit ... each year, you will be expected to develop solutions to flexibly adapt the Medicare Audit Programs to comply with the new requirements and new programs. You must… more
    CVS Health (04/25/25)
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  • Audit & Reimbursement Senior- Appeals

    Elevance Health (Columbus, OH)
    Medicare and Medicaid Services to transform federal health programs._ The ** Audit and Reimbursement Senior** will support our Medicare Administrative Contract ... + Requires a BA/BS and a minimum of 8 years of audit /reimbursement or related Medicare experience; or any combination of education and experience which would… more
    Elevance Health (05/30/25)
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  • Audit & Reimbursement III- Appeals

    Elevance Health (Atlanta, GA)
    Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement III** will support our Medicare Administrative Contract ... a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and experience, which would… more
    Elevance Health (05/30/25)
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  • Audit & Reimbursement Sr

    Elevance Health (Indianapolis, IN)
    …education requirements. + Requires a BA/BS and a minimum of 8 years of audit /reimbursement or related Medicare experience; or any combination of education and ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
    Elevance Health (05/20/25)
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  • Audit & Reimbursement III (US)

    Elevance Health (South Portland, ME)
    …Requirements:** + Requires a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and ... ** Audit & Reimbursement III** **Location** : This role...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare more
    Elevance Health (05/22/25)
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  • Audit & Reimbursement III

    Elevance Health (Indianapolis, IN)
    …requirements. + Requires a BA/BS degree and a minimum of 5 years of audit /reimbursement or related Medicare experience; or any combination of education and ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
    Elevance Health (05/20/25)
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  • Certified Pharmacy Technician, Specialty/Home…

    Walmart (Orlando, FL)
    …process Medicare orders to ensure compliance; and interpreting and documenting Medicare audit documents. + Ensures fulfillment of pharmacy prescriptions in a ... documentation; and maintaining a safe and clean work environment. + Complies with Medicare and Medicaid policies and procedures by implementing and adhering to rules… more
    Walmart (04/30/25)
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  • Product Management Lead Analyst - Express Scripts

    The Cigna Group (St. Louis, MO)
    …Scripts preparation and support for audit scope and document completion of all audit deliverables and findings for all Medicare (CMS Program Audit , Data ... operations accountabilities associated with all regulated lines of business including Medicare , Medicaid, and Marketplace (Exchange / Health Care Reform). The team… more
    The Cigna Group (05/22/25)
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  • Reimbursement GME Analyst

    Catholic Health Services (Rockville Centre, NY)
    …on all other reimbursement related duties as assigned. Answer audits of GME programs by Medicare Audit Contractors and KPMG for New York State. Answer audits of ... IRIS and GME software platforms (eg, MedHub, New Innovations) Knowledge of Medicare GME reimbursement regulations Familiarity with ACGME, CMS, and other GME… more
    Catholic Health Services (05/31/25)
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  • Coordinator, Graduate Medical Ed (GME) Program

    Charter Care Health Partners (Providence, RI)
    …year; submit executive summary and action plan to the GME Office + Prepare Medicare Audit documents, per the GME Office's instructions + Manage fellow financial ... program's New Fellow Orientation (print documents, etc.) + Research forms for Medicare reimbursements for fellowships with dedicated research time, if applicable +… more
    Charter Care Health Partners (04/12/25)
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