- Humana (Baton Rouge, LA)
- …our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates ... Medicare Advantage and Prescription Drug Plans using approximately 40...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Indianapolis, IN)
- …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Heritage Ministries (Conneautville, PA)
- …pre-admission notes and face sheet, and the primary insurance coverage (other than Medicare ). Verifies the Medicare benefit and coverage as well as benefits ... insurances. (Admissions will obtain pre-authorization for primary insurances other than Medicare ). Obtains copies of the resident's insurance cards, POA or… more
- WellSpan Health (York, PA)
- …entries using the Crowe RCA tool. Assists in preparation and filing of Medicare and Medicaid cost reports, therefore, must stay abreast of current governmental ... for net revenue projections. + Assists in coordination, preparation, and submission of Medicare and Medicaid cost reports using data from company general ledger and… more
- New York State Civil Service (New York, NY)
- …staffing schedules* Developing daily staffing plans for nursing care* Ensuring compliance with established standards of nursing care in accordance with State, ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more
- Tidelands Health (Pawleys Island, SC)
- …ensure timely and accurate reporting of all regulatory financial information to Medicare & Medicaid. This position requires the ability to manage strict deadlines, ... This includes but is not limited to: IRS Form 990 Schedule H; Medicare , Medicaid & Tricare Cost Reports; Medicaid DSH; Joint Annual Reports. + Coordinate… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …coding (https://www.aapc.com/certification/medical-coding-certification.aspx) guidelines and regulations including compliance and reimbursement - allowing a CRC ... clinical care plans to Risk Adjustment Data Validation (RADV) Timelines. Medicare and Medicaid regulations and billing guidelines and AMA's publication CPT… more
- Penn Medicine (Plainsboro, NJ)
- …provide insurance verification and coordination for all commercial, Medicaid and Medicare cases across programs to facilitate patient access to clinical services ... health insurance, managed care companies, benefits and policies for commercial, Medicare and Medicaid populations + Possess significant knowledge of various Union… more
- New York State Civil Service (Ogdensburg, NY)
- …policies and procedures and ensure staff competencies are current and in compliance with nursing standards Minimum Qualifications Candidates from outside or within ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a… more
- Centene Corporation (Austin, TX)
- …fresh perspective on workplace flexibility. **Position Purpose:** Promote increased Medicare Supplemental Benefit efficiency, service levels, and value by capturing, ... Develop, plan, lead, monitor, and own multiple, concurrent resultant Medicare Supplemental Benefits utilizing cross functional teams to deliver defined… more