- ChenMed (Chicago, IL)
- …and procedures in a healthcare environment + Network Management experience/understanding + Understanding of cost as it relates to Medicare parts A, B and D + ... meetings. + Communication with Network Director regards to PPL- Report any errors, concerns or feedback in regard to...decision based of the data + Experience working in Medicare managed care environment + $52,775/$75,393 Salaried + Employee… more
- Centene Corporation (Dover, DE)
- …initiatives for both the Long-Term Services and Supports (LTSS) and Medicare -Medicaid Duals populations. Additionally, the Medical Director will collaborate with ... other key stakeholders to provide leadership in utilization management and cost effectiveness while ensuring compliance with regulatory and accreditation standards .… more
- New York State Civil Service (East Syracuse, NY)
- …the title(s),* be investigated through a Criminal Background Check (CBC). You must report all convictions. Conviction of a felony or misdemeanor or any falsified or ... are responsible for payment of all required fees.Medicaid and Medicare : In order to be eligible for appointment and...can bid on positions but must be able to report to work within fourteen (14) days and be… more
- Dartmouth Health (Lebanon, NH)
- …payable to capture all cost reportable items for inclusion on the cost report . * Manages End-Stage Renal Disease Quality Reporting System (EQRS) process, ... counsels the patient in the application process for a wide range of Medicare , Medicaid and private insurance carriers. The Transplant Financial Coordinator also has… more
- Penn Medicine (Philadelphia, PA)
- …in preparation for the Quarter and Annual Financial Audits, in preparation of the 990, Cost Report , JCAHO and Medicare Audits, as well as participates on ... + Supervisory/leadership responsibility + Basic Understanding of data analytics reports and report language + Ability to learn and efficiently use other finance… more
- University of Rochester (Rochester, NY)
- …are set up correctly in the system. - Examples of reports:- - - 2nd insurance level report - - Medicare and Medicaid credit balance report - - Over $10,000 ... claims prior to billing. Review include potential of high cost , and late charges to facilitate any necessary manual...- - Review all accounts on the Medicaid and Medicare credit balance report - - Request… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- …drive the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) Next Generation Desktop platform initiative. The ... of the overall strategy and chosen CRM solutions. The Centers for Medicare & Medicaid Services (CMS) provides healthcare services to approximately 79 million… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **PMO ... and removal of barriers. Manage communication aspects of project status and track and report major issues. . Assists in managing all stages of the projects assigned… more
- CVS Health (Frankfort, KY)
- …and help implement creative initiatives that will drive efficiencies. This position will report to the Lead Director of Medicare Grievances. This position has ... analytics and strategic thinking to help incorporate solutions within the Medicare Grievance department operations. This is an opportunity to partner across… more
- New York State Civil Service (Schenectady, NY)
- …individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). ... appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a...can bid on positions but must be able to report to work within fourteen (14) days and be… more