- Point32Health (Canton, MA)
- …vendor-driven) that optimize performance across our provider networks serving Point32Health's Medicare , Medicaid , Duals and Commercial small and individual group ... and reporting activities for risk adjustment programs and initiatives that impact Medicare , Medicaid , and Duals product members. This individual will lead… more
- Commonwealth Care Alliance (Boston, MA)
- …field preferred. Required Experience (must have): * 5+ years * Experience with Medicaid and Medicare products and programs * Value-based program oversight and ... systems and databases that CCA implements. * Working knowledge of Medicare and Medicaid (MassHealth) * Demonstrated skills in Excel and PowerPoint * Polished,… more
- Molina Healthcare (Tampa, FL)
- …the medical director, and quality improvement staff. + Facilitates conformance to Medicare , Medicaid , NCQA and other regulatory requirements. + Reviews quality ... Medical license without restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration,… more
- Prime Therapeutics (Jefferson City, MO)
- …+ Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & ... organization, or within a highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be eligible… more
- Public Citizen (Washington, DC)
- …(FDA), the Centers for Disease Control and Prevention (CDC), the Centers for Medicare & Medicaid Services (CMS), and other HHS agencies and government ... (b) corporate influence at HHS and subagencies; (c) the undermining of Medicare and Medicaid , including through the expansion of Medicare Advantage; (c)… more
- Presbyterian Villages of Michigan (Chesterfield, MI)
- …resident's accounts. 7. Collects, organizes and maintains appropriate documentation for Medicare , Medicaid orprivate insurance companies. 8. Contact customers to ... information. 9. Answer resident or resident family inquiries regarding private, Medicare , Medicaid orprivate insurance billings. 10. Admits, discharges or… more
- New York State Civil Service (Staten Island, NY)
- …listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or ... to the degree necessary to allow for your services to be billed through Medicare and Medicaid . If you are appointed and you lose the ability to bill through … more
- New York State Civil Service (Schenectady, NY)
- …listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or ... to the degree necessary to allow for your services to be billed through Medicare and Medicaid . If you are appointed and you lose the ability to bill through … more
- New York State Civil Service (Thiells, NY)
- …listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or ... to the degree necessary to allow for your services to be billed through Medicare and Medicaid . If you are appointed and you lose the ability to bill through … more
- New York State Civil Service (Rochester, NY)
- …listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or ... to the degree necessary to allow for your services to be billed through Medicare and Medicaid . If you are appointed and you lose the ability to bill through … more