- NHS Management, LLC (Tuscaloosa, AL)
- …Assists the Director of Medicare and Rehabilitation in gathering information for Medicare and Medicaid appeals and denials as requested. + During facility ... well as Company policy and procedure Directs the MDS assessment and Medicare related activities of the assigned facilities, ensuring accurate and timely assessments… more
- Centers Plan for Healthy Living (Bronx, NY)
- …by explaining program benefits in a manner that is compliant with Center for Medicare and Medicaid Services (CMS) and company policies and regulations. The ... need for healthy living. JOB SUMMARY : The Licensed Benefits Advisor- Medicare Sales, Maintains relationships, services our existing customers and secures new… more
- CVS Health (Cumberland, RI)
- …a set schedule that requires regular in office attendance. **Preferred Qualifications:** + Medicare / Medicaid experience on the Provider side + Adept at problem ... revalidations for clinics and providers. This role supports compliance with Medicaid and Commercial programs by maintaining quality control over individual… more
- Humana (Rockford, IL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... the implementation of the Community Engagement Team for the Humana Illinois Medicaid Market by working collaboratively with the Health Equity, Clinical, Quality,… more
- Humana (Montgomery, AL)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... health first** The Senior Acquisition Implementation Professional manages all aspects of Medicaid State Implementations, from start to finish, so that it is… more
- Humana (Oklahoma City, OK)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Senior Fraud & Waste Investigator to join the Oklahoma Medicaid Team. This team of Investigators conducts investigations into...abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As the Senior Fraud and… more
- CareFirst (Baltimore, MD)
- …methodologies. This position may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also include ... CareFirst corporate position. + Provide feedback on payment policies related to Medicaid and/or Medicare processing. Participate in workgroup projects around… more
- New York State Civil Service (Utica, 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 are required to become a Medicare … more
- New York State Civil Service (Orangeburg, 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 are required to become a Medicare … more
- New York State Civil Service (Syracuse, 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 are required to become a Medicare … more