- WellSense (Manchester, NH)
- …health insurance company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25 years ago as ... and or corporate committees and in conjunction with the Senior Manager of Care Management and the Director of...than 440,000 members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25… more
- Deloitte (Baltimore, MD)
- …the client's organization. The individual will work directly with our Centers for Medicare & Medicaid Services (CMS) clients. The Team: Deloitte's GPS practice is ... opportunities. + Expertise in building and maintaining high-impact relationships with senior executives, leveraging a pre-existing network of clients and contacts. +… more
- Stanford Health Care (Palo Alto, CA)
- …persuasive presentations to key internal and external stakeholders including senior leadership, peers and board members. Effectively communicates and listen ... MediCal/Medicaid APG Grouper, HCPCS and CPT-4 coding schemas. + Knowledge of Medicare , Medicaid and other third-party billing coverage and compliance issues. +… more
- Geisinger (Danville, PA)
- …schedules treatment days and times. + Delivers Important Message from Medicare notice and Medicare Outpatient Observation Notice (MOON); completes ... including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation… more
- The Joint Commission (Washington, DC)
- …sources and federal organizations such as the Government Accountability Office; the Medicare Payment Advisory Commission; the National Academy of Medicine; and other ... regulatory agendas of federal departments and agencies such as the Centers for Medicare and Medicaid Services (CMS); the Department of Health and Human Services… more
- CVS Health (Springfield, IL)
- …(PA) and/or medical necessity appeals for commercial clients, governmental ( Medicare /Medicaid) programs and individual client requested coverage determinations or ... Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM programs… more
- First Atlantic Health Care (Saco, ME)
- …Healthcare, part of the Atlantic Heights Community, is a fully-licensed Medicaid/ Medicare -certified facility offering 105 beds. Our Maintenance Team at Seal Rock ... for excellence in long term care, assisted living and senior living. MDS Coordinator: As part of a high-functioning...long term care and the resident assessment process + Medicare and MaineCare regulations, as well as the application… more
- Healthfirst (NY)
- …variances to budget. + Manage all analytical audit requests as they relate to Medicare RADV and OIG and prepare financial impacts estimations. + Respond to requests ... occurring in our provider community. + Keep abreast of New York Medicaid and Medicare reforms and their impact on the health plan and owner hospital performance.… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …policy initiatives in collaboration with BD's market access and payment policy senior leadership team reimbursement strategy to ensure optimal coverage and maximize ... reimbursement from Commercial, Medicaid and Medicare plans. The individual will also have direct supervision...of the commercial reimbursement strategy including Medicaid and Managed Medicare plans. + Responsible and accountable for optimizing… more
- AssistRx (Orlando, FL)
- …evaluate program success and identify areas for improvement. + Partner with senior leadership to refine overall strategy, ensuring programs align with company ... comply with all federal, state, and industry regulations, including anti-kickback statutes, Medicare /Medicaid rules, FDA and OIG guidance. + Work closely with the… more