- UNC Health Care (Butner, NC)
- …3. Assists in achieving compliance with the Joint Commission, Centers for Medicare and Medicaid Services, Healthcare Facilities Accreditation Program (HFAP), or ... * Some positions may require appropriate credentialing for billing purposes (eg, NPI, Medicare / Medicaid Provider, BCBSNC Provider) to be obtained within one (1)… more
- General Dynamics Information Technology (Fairfax, VA)
- …a Lead and/or Sr. Salesforce Developer joining our team to support Centers for Medicare & Medicaid Services (CMS) activities. This position is 100% remote with ... (SOAP and REST) + Healthcare Service Industry or Center for Medicare and Medicaid Services (CMS) experience + Experience working with JIRA, Confluence, and… more
- Penn Medicine (Lancaster, PA)
- …within 30 days of hire. + 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. + As outlined in unit based Plan for Provision of Care.… more
- Aveanna Healthcare (Atlanta, GA)
- …all guarantors for services provided. This is inclusive of claims to commercial, Medicare , Medicaid and private pay accounts. Essential Job Functions Maintains ... not have a signed agreement with Aveanna. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all… more
- Penn Medicine (Lancaster, PA)
- …Pharmacists Association APhA . + 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. + Previous retail pharmacy experience preferred. +… more
- UNC Health Care (Siler City, NC)
- …3. Assists in achieving compliance with the Joint Commission, Centers for Medicare and Medicaid Services, Healthcare Facilities AccreditationProgram (HFAP), or ... * Some positions may require appropriate credentialing for billing pruposes (eg NPI, Medicare / Medicaid Provider, BCBSNC Provider) to be obtained within one (1)… more
- Prime Therapeutics (Boston, MA)
- …Benefit Management organization, or within a highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be ... degree in related area of study, such as Juris Doctor + Medicare Part D, Medicaid , and/or Affordable Care Act knowledge and experience **Physical Demands** +… more
- CVS Health (Springfield, IL)
- …(PA) and/or medical necessity appeals for commercial clients, governmental ( Medicare / Medicaid ) programs and individual client requested coverage determinations ... Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM programs… more
- Mount Sinai Health System (New York, NY)
- …physician service charges to ensure they align with payer regulations, Medicare / Medicaid reimbursement methodologies, and managed care contracts. + Provides ... and compliance regulations set by entities like the Centers for Medicare and Medicaid Services (CMS). + Mitigate the risk of compliance violations, audits,… more
- Trinity Health (Des Moines, IA)
- …clinical privileges. . Must be able to maintain participating provider status with Medicare and Medicaid programs and not have been excluded from participation ... in any federally-funded health care program, including Medicare or Medicaid . . Must be able to maintain an unrestricted federal DEA number and applicable state… more