- SUNY Upstate Medical University (Syracuse, NY)
- …Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) across seven Primary Care clinics. This role ... supervision of a licensed provider. The RN/CNS will report to the UUMAS Director of Quality and Practice Operations and collaborate closely with Primary Care clinic… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for ... current NYS DOH, CMS regulations and standards if managing members of Medicare programs, and other regulatory requirements as applicable. + Carries out job… more
- Houston Methodist (Katy, TX)
- …procedures, and provides quality reviews. Reports results of key performance metrics to director on a timely basis. **FINANCE ESSENTIAL FUNCTIONS** + Assists in the ... to ensure operational billing compliance with government/regulatory agencies and the Medicare and Medicaid programs. + Ensures optimization of timely cash… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing ... home health, SNF, DME, dual Medicare /Medicaid and Waiver requests. The Medical Director ...dual Medicare /Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Jackson, MS)
- …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing ... home health, SNF, DME, dual Medicare /Medicaid and Waiver requests. The Medical Director ...dual Medicare /Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
- CenterWell (Boston, MA)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will… more
- NORC (Washington, DC)
- …econometric modeling and other advanced quantitative research methods. The Program Area Director should have familiarity and experience leading Medicare and ... at the University of Chicago seeks a Program Area Director for our Applied Health Care Economics team. The...on outcomes and cost using data files derived from Medicare , Medicaid, and commercial payer administrative data. In addition… more
- Presbyterian Homes and Services (Roseville, MN)
- Overview Presbyterian Homes & Services is seeking a Lead RAI Director to join our team. The Lead RAI Director is a critical role to support the RAI Directors and ... clinical best practices across PHS designated care centers, and the Lead RAI Director will assist with training and mentoring RAI Directors, provide critical support… more
- St Croix Hospice (Oakdale, MN)
- Director of Revenue Cycle Management Job Details Job Location Administration - OAKDALE, MN Position Type Full Time Description Work Where You Matter!At St. Croix ... part of an extraordinary team of caregivers, then come work where you matter. Director of Revenue Cycle Management Position OverviewThe Director of Revenue Cycle… more
- Humana (Jefferson City, MO)
- …of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more