- University of Rochester (Brighton, NY)
- …+ Self-Referral Law, the False Claims Act, Civil Monetary Penalties, and + Medicare and Medicaid billing regulations (including CMS, Medicare Advantage ... relevant reimbursement and billing issues and requirements (including CMS, Medicare Advantage, and New York State Medicaid )....CMS, Medicare Advantage, and New York State Medicaid ). Stays abreast of Medicare and … more
- Penn Medicine (Lancaster, PA)
- …1 year supervisory experience + A health care provider in good standing with Medicare , Medicaid , and other federal and state health insurance programs, ie not ... excluded from participation in Medicare , Medicaid or any other federal or state health insurance program. + ESSENTIAL JOB-RELATED EXPERIENCE: + Excellent written… more
- Humana (Overland Park, KS)
- …Provider Contracting, Provider Education and Provider Engagement in support of Humana's Group, Medicare , and Medicaid lines of business. This position reports to ... can be expected **Key Responsibilities** + Strategic Partner with all segments ( Medicare , Group and Medicaid ) accountable for developing and maintaining… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …BlueShield Association, the Food and Drug Administration (FDA), and Centers for Medicare and Medicaid Services (CMS). Provides routine interaction and ... + Maintains accurate and up-to-date knowledge of all Government Programs regulations ( Medicaid , Medicare , Federal Employee Program, New York State Department of… more
- Molina Healthcare (Carson City, NV)
- …to achieve operational goals and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met ... and experience. + At least 3 years of Experience with Medicaid and/or Medicare . + Proven experience owning operational projects from concept to execution,… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …Compliance: Ensure all products, processes, and activities comply with CMS (Centers for Medicare & Medicaid Services) regulations, as well as other federal and ... seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In this critical role, you will… more
- Tufts Medicine (Lowell, MA)
- …indicate an appropriate hospice referral. Presents the advantage of the hospice Medicare / Medicaid benefits to referral sources. + Thoroughly understands the ... Medicare / Medicaid hospice benefit, the Medicare home health benefit, the Medicare / Medicaid long term benefit and the Medicare HMO benefit. +… more
- Sharp HealthCare (San Diego, CA)
- …transplants by providing guidance on fundraising, completion of Medicare / Medicaid /disability applicants, indigent funding, etc.Perform post-transplant billing ... daily work practices. Insurance manuals are kept current.Maintains current knowledge of Medicare and Medicaid rules or any legislation affecting the transplant… more
- Humana (Harrisburg, PA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Responsible for end to end market support for assigned Medicaid markets to ensure markets achieve their VBP contract...changes to existing VBP models + Coordinate internally with Medicaid VBP model design, contracting, and operations and analytics… more
- New York State Civil Service (Buffalo, NY)
- …Medical Specialist 2; ANDEligibility for full and unconditional participation in the Medicaid and Medicare programs.OROpen Competitive:Possession of a license to ... a medical specialty; AND Eligibility for full and unconditional participation in the Medicaid and Medicare programs. OR Provisional Opportunity - Possession of a… more