- 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
- New York State Civil Service (East Syracuse, NY)
- …the SCR may be barred from appointment.You are responsible for payment of all required fees. Medicaid and Medicare : In order to be eligible for appointment and to ... excluded 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… more
- Humana (Trenton, NJ)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... of everything it does. Are you passionate about the Medicare population, looking for a role in management with...self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of … more
- NTT America, Inc. (Baltimore, MD)
- …deliverables. In addition, the APD Consultant will work collaboratively with the Centers for Medicare and Medicaid (CMS) and develop and present updates for the ... to As Needed APDs + Participate in and/or facilitate engagement with Centers for Medicare and Medicaid Services (CMS) State Representative to deepen or further… more
- Molina Healthcare (Cambridge, MA)
- …and administration of contracts with State and/or Federal governments for Medicaid , Medicare , Marketplace, and other government-sponsored programs to provide ... Minimum of five (5) years' experience in a managed care environment (including Medicare , Medicaid and other State governed plans) + Minimum of four (4) years of… more
- Humana (Frankfort, KY)
- …and Improvement organization (HQRI). This support includes submission of encounter data to Medicaid , Medicare , and DSNP states and will require the ability to ... of data and develop tools to enhance the encounter acceptance rate by Medicaid , Medicare , and DSNP. This role will work on strategic initiatives and will need… more
- Humana (Covington, VA)
- …requirements by the Virginia Department of Medical Assistance Services (DMAS), Center for Medicare and Medicaid Services (CMS) and the National Committee on ... of in-home assessment and care coordination experience + Experience working with Medicare , Medicaid and dual-eligible populations + Experience working with high… more
- Mount Sinai Health System (Astoria, NY)
- …knowledge preferred. + **Experience:** Two years minimum of healthcare experience including Medicare or Medicaid Provider or Facility Enrollment or Credentialing ... Mount Sinai Queens **Responsibilities** + Ensure enrollments for new providers in Medicaid , Medicare , Managed Care plans, Commercial Health plans and Exchange… more
- Guidehouse (St. Paul, MN)
- …various types of authoritative information. + Maintains current knowledge of Medicare , Medicaid , and other third-party payer billing compliance guidelines ... on provider/clinical documentation. + Knowledge, understanding and proper application of Medicare , Medicaid , and third-party payer UB-04 billing and reporting… more
- Trinity Health (Gaithersburg, MD)
- …Trinity Health PACE (TH PACE) programs. This role manages revenue cycles for Medicare , Medicaid , and private pay, oversees expense cycles including vendors and ... Oversee revenue cycle processes: + Maintain master billable census and reconcile Medicare / Medicaid payment reports. + Manage invoicing and collections for… more