- University of Delaware (Newark, DE)
- …THE JOB: Under the general direction of the Human Resources Benefits Director , the Retirement Specialist is responsible for administering retirement plan counseling ... in the HRIS system, vendor enrollments, ACH payments and returns, and Medicare -related programs such as TEFRA/DEFRA. Coordinate and ensure the accuracy of benefits… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** Position Summary: Reporting to the Director , Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. ... and federal healthcare regulations, particularly MassHealth (Massachusetts Medicaid) and CMS Medicare requirements. This role is housed within the Claims Operations… more
- Signature Healthcare (Memphis, TN)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... number of Signature centers are earning Five-Star ratings from the Centers for Medicare & Medicaid Services. We were also named one of Modern Healthcare's "Best… more
- Texas Health Resources (Arlington, TX)
- …for utilization management including but not limited to Joint Commission, TMF, TDI, Medicare , and Milliman Care Guidelines. 2. Applies knowledge of Medicare and ... and participates in professional organizations and seminars as deemed appropriate by director and/or manager including but not limited to management growth. 5% What… more
- Bear Mountain Health Care (Worcester, MA)
- …Facility in Worcester, MA, is currently seeking applicants for an experienced MDS Director . Requirements: + Graduate of an accredited school of nursing with current ... + One year of Long-term care experience + Experience with Medicare /Medicaid reimbursement, MDS completion, clinical resources utilization, and/or case management is… more
- Nuvance Health (Danbury, CT)
- …audits, reporting, complaint coding issues etc. 5.Research CMS and NGS Medicare regulations, guidelines, bulletins, and other publications for impact to professional ... services.Monitor listservs such as CMS, Medicare , NGS, AAPC etc. and third-party payers for coding and billing guidelines and regulations, professional peer… more
- Ellis Medicine (Schenectady, NY)
- …plan. + Assists Case Manager with medication prior authorizations. + Provides Medicare Important Message to Medicare beneficiaries per CMS Conditions of ... MD to MD reviews. + Performs audit activities under the supervision of the Director of Case Management and Social Work Services. Ellis Medicine is committed to… more
- CenterWell (Olympia, WA)
- …AZ and NM. + Homecare Homebase (HCHB) experience + Experience with CMS/ Medicare regulations and accreditation standards + Knowledge of CMS PDGM billing requirements ... + Experience managing healthcare revenue. + Experience in Medicare home health **Preferred Qualifications:** + Previous experience in home-based care functioning in… more
- CVS Health (Hartford, CT)
- …Finance and other support groups. This Manager will work simultaneously across the Medicare VBC continuum, assisting the current team with monthly duties managing an ... inventory of Medicare accruals exceeding a half Billion dollars annually. Providing...inventory. The Manager will assist the Senior Manager and Director by working alongside the VBC Financial Analytics team… more
- Fallon Health (Framingham, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief summary of purpose:** ... Regularly reviews effectiveness of efforts against goals. Provides market intelligence to the Director , PACE Growth & Engagement so that adjustments can be made to… more