- Humana (Frankfort, KY)
- …in reporting tools such as SSRS or SSIS + Knowledge of Medicaid or Medicare services + Advanced data analytics skills and reporting experience to include working ... or related field + Experience working with Medicaid and Medicare data + Expertise in creating analytics solutions to...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CVS Health (Irving, TX)
- …pharmacy along with member dispute resolution for mail order and the Medicare Prescription Payment Program (M3P). **Key Responsibilities** -Lead the team and build ... improvements aligning with long-term organizational strategies -Maintain high standards of compliance including adherence to policies and regulations set forth by… more
- FlexStaff (Chappaqua, NY)
- …a dynamic Claims Management Specialist for our client to oversee their Medicare , Medicaid, and Out-of-Network Insurance operations in beautiful Chappaqua, NY. If you ... claims are processed accurately and efficiently while maintaining full compliance with government regulations. Bring your leadership skills, industry knowledge,… more
- CenterWell (Port Arthur, TX)
- …for TB. **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare ... in a value based relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Marshfield Clinic (Weston, WI)
- …months of hire. + Certified Application Counselor designation through the Centers for Medicare and Medicaid Services within three months from the first fall training ... time of hire. + Certified Application Counselor designation through the Centers for Medicare and Medicaid Services at time of hire. **Marshfield Clinic Health System… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …to monitor finances, payment, and spending in value-based care models to ensure compliance with policy; AND (3) Analyzing Medicare payment patterns and reporting ... Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare... Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation, Seamless Care Models Group Division… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation, ... Insurance Specialist, GS-13, you will develop, evaluate, and implement compliance , audit, and oversight requirements, policies, and operating procedures related… more
- Centers for Medicare & Medicaid Services (Atlanta, GA)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation ... GS-2210-13, you will provide analysis for decisions implementing Medicaid and Medicare health programs to guide healthcare financing, delivery, and costs, to… more
- Medtronic (Minneapolis, MN)
- …coding and billing expertise to engage in chart reviews, in accordance with compliance policies. + Leads the development and maintenance of coding, coverage, and ... payers. + Reviews and understands US reimbursement and payment systems, including Medicare payment systems, payer coverage policies, claims data sets, and sources of… more
- Humana (Augusta, ME)
- …environment affecting food intake and eating behavior. + Focus on the Medicare population with chronic conditions such diabetes, COPD, heart failure, etc. **Use ... + Experience in the health insurance + Experience with Medicare population + Experience working with Special Needs Plan...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more