- Dana-Farber Cancer Institute (Brookline, MA)
- …of research activity in an academic medical center + Knowledge of billing compliance and Medicare regulations/policy, applicable federal, state, and local laws, ... any state in the US (except Hawaii).** The Sr. Medicare Coverage Analyst (MCA) is responsible for reviewing clinical...which should be billed to the study sponsor. The Medicare Coverage Analyst determines whether proposed clinical research studies… more
- MVP Health Care (Schenectady, NY)
- …Conduct member orientations and provide support on plan benefits. + Complete annual Medicare training and maintain compliance with all regulatory and company ... thinking and continuous improvement. To achieve this, we're looking for a ** Medicare Field Sales Representative** to join #TeamMVP. This is the opportunity for… more
- US Tech Solutions (May, OK)
- …company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, ... + Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. +...As a Pharmacist Advisor you will be directly supporting Medicare Part D members and providers with requests related… more
- Highmark Health (Harrisburg, PA)
- …A key responsibility is the creation, revision and management of spreadsheets related to Medicare coverage analysis and compliance with Medicare rules and ... Health Network **Job Description :** GENERAL OVERVIEW: Responsible for the Medicare Coverage Analysis (MCA) for sponsored projects within WPAHS, budget development… more
- City of New York (New York, NY)
- …a variety of topics, including legal ethics, conflicts, privileges, federal grants, Medicare compliance , and outside employment. Division attorneys also conduct ... position of Assistant Corporation Counsel in the Ethics & Compliance Division. Attorneys with more than five years of...Senior Counsel position in the division. The Ethics & Compliance Division has counseling and ligation adjacent roles and… more
- Prime Healthcare (Ontario, CA)
- …in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the ... new members to join our corporate team! Responsibilities The Senior Medicare -Medicaid Biller/Collector is responsible for both billing and collections, gathering and… more
- Prime Healthcare (Redding, CA)
- …in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare -Medicaid. This includes maintaining the ... For more information, visit www.shastaregional.com . Responsibilities The Senior Medicare -Medicaid Biller/Collector is responsible for both billing and collections,… more
- Commonwealth Care Alliance (Boston, MA)
- … Medicare , and commercial payment methodologies and supports audit, compliance , and provider engagement initiatives. This role also provides support in ... have direct reports. **Essential Duties & Responsibilities:** + Analyze MassHealth and Medicare claim reimbursements to ensure compliance with contractual terms,… more
- Molina Healthcare (Scottsdale, AZ)
- …or related field (advanced degree a plus). **Experience** * 7+ years managing Medicare CTM, appeals & grievances, or related compliance functions-hands-on with ... **Job** ** ** **Summary** Safeguard member trust and plan compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM… more
- Always Best Care Senior Services (Honolulu, HI)
- …to join our team. The ideal candidate will have a strong understanding of Medicare compliance requirements for Home Health and will help ensure our operations ... Qualifications: * Prior experience in a Home Health administrative role, preferably with Medicare compliance knowledge. * Strong familiarity with Medicare … more