- CenterWell (Delray Beach, FL)
- …local primary care "on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your ... Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Las Vegas, NV)
- …primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your ... be screened for TB **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five… more
- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... Each employee must complete a FlexWork Agreement with their manager which will outline arrangement parameters and aids both...+ Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or… more
- Beth Israel Lahey Health (Burlington, MA)
- …for ICD-9, ICD-10. Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned ... Coverage Determinations (LCD's), or Local Medical Review Policies (LMRP's) to ensure compliance with coding guidelines. 2. Stays current on quarterly CCI Edits,… more
- MyFlorida (Largo, FL)
- …and Health Information Systems. + Knowledge of State of Florida Medicaid and Medicare /CMS federal laws, rules, regulations related to Long Term Care billing and ... Training experience. POSITION DESCRIPTION Under the general supervision of the Business Manager III and Health Operations Manager , incumbent performs duties… more
- Banner Health (Phoenix, AZ)
- …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or ... direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and Human Services...are followed, necessary controls are effective and efficient, and compliance with current laws and regulations is achieved. 4.… more
- Bassett Healthcare (Sherburne, NY)
- …your name, "How may I help you?") as observed by Supervisor and as noted in compliance reports + Ends calls by asking patient if there is anything else we can do ... for them today as observed by Supervisor and as noted in compliance reports + Takes clear, complete and accurate phone messages,(and follows up on these messages to… more
- University of Colorado (Aurora, CO)
- …financial policies and procedures and ensure their consistent implementation and compliance with university, college, state, and federal requirements. + Serves as ... enrollment audits and provides feedback to the ED, Operations Manager , and O/E team. + Reviews agreements and MOUs...to support all service lines. + Supports 340B Pharmacy compliance by providing fiscal analysis and participating in audit… more
- Marshfield Clinic (Eau Claire, WI)
- …Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened ... months of hire. + Certified Application Counselor designation through the Centers for Medicare and Medicaid Services within three months from the first fall training… more
- CenterWell (Atlanta, GA)
- …for TB. **Preferred Qualifications:** . Active and unrestricted DEA license . Medicare Provider Number/ Medicaid Provider Number . Experience managing Medicare ... care environment in a value based relationship environment. . Knowledge of Medicare guidelines and coverage. . Knowledge of HEDIS quality indicators. **Additional… more