- IQVIA (Milwaukee, WI)
- …requirements, including CMS, Public Law, the Federal Supply Schedule, Medicaid, Medicare , PHS/340B and State programs. Experience in enrollment , registration, ... and contract solicitation procedures as appropriate for each of the above government programs. + Support the development and documentation of pharmaceutical government pricing and calculation policies including implementation of standard operating procedures… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …diagnostic coding gap identification, benchmarking, and confidence modeling across Medicare , ACA, and Medicaid. * Manages operational metrics, performance ... audit readiness. * Expertise in analyzing large and disparate datasets, including, enrollment , payment, claims, financial and population health data and meta data. *… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …environment, required + **EEG experience and or education highly preferred** + Enrollment in or graduation from a Commission on Accreditation of AlliedHealth ... town of Durango. It is the only hospital in Colorado to be rated by Medicare with five stars for overall hospital quality. It is recognized for excellence in… more
- Lutheran SeniorLife (Mars, PA)
- …submitted; assessment of residents' conditions to ensure proper documentation and Medicare /Medical Assistance benefit utilization. The RNAC is also responsible for ... to participate in the employer sponsored retirement savings plan + Optional enrollment in a Flexible Spending Account + Total Wellness and WorkLife Balance… more
- Molina Healthcare (Bellevue, OH)
- …licensed for the state of OHIO. This position will support our MMP (Medicaid Medicare Population) with members on Waiver program. This position will have a case load ... assessments of members per regulated timelines. + Facilitates comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case… more
- HCA Healthcare (Mcallen, TX)
- …of specimen through sample analysis and reporting of results. + Ensures enrollment in proficiency testing program commensurate with the services offered. + ... Participates in preparation of the Laboratory for CAP and JCAHO Medicare inspections. + Verifies the validity of patient test results through the evaluation of… more
- Molina Healthcare (Clinton Township, MI)
- …license (RN) in the state of MI. This position will support our MMP (Medicaid Medicare Population) that is part of the Community Well team. This position will have a ... assessments of members per regulated timelines. + Facilitates comprehensive waiver enrollment and disenrollment processes. + Develops and implements a case… more
- WelbeHealth (Riverside, CA)
- …Medicine, Family Medicine, Emergency Medicine or Geriatrics. Must be eligible for enrollment to provide services to Medicare and Medi-Cal participants. Board ... certification preferred. If you're ready to join a healthcare team that values both its patients and its providers, we'd love to hear from you. **Apply now or contact our recruiter directly to receive detailed information about the position and begin the… more
- CommonSpirit Health Mountain Region (Durango, CO)
- …deadlines, with minimal supervision. + Three years credentialing/medical staff /payor enrollment related experience or degree in Medical Staff Services Management in ... town of Durango. It is the only hospital in Colorado to be rated by Medicare with five stars for overall hospital quality. It is recognized for excellence in… more
- CVS Health (Vernon, NJ)
- …medical daycare, personal care assistance, nursing facility placement, and MLTSS enrollment . + Collaborate with members, caregivers, primary care providers, and ... discharge planning experience + Managed Care experience + Medicaid and Medicare experience + Experience using computer, keyboard, mouse, multi-system navigation; and… more