- Molina Healthcare (Chicago, IL)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist , Quality Interventions / QI Compliance contributes to one or ... and Quality Improvement Compliance. + Acts as a lead specialist to provide project-, program-, and / or initiative-related...Healthcare. **Preferred Experience** + 1 year of experience in Medicare and in Medicaid. + Experience with data reporting,… more
- Molina Healthcare (Kenosha, WI)
- Molina Healthcare is in search of an experienced Sr Digital Marketing Specialist . The Sr. Specialist , Digital Marketing will be responsible for analyzing and ... communicator, and a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical skills **PHYSICAL DEMANDS:** Working… more
- AdventHealth (Altamonte Springs, FL)
- …- Benefits from Day One - Paid Days Off from Day One - 100% Remote ! **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's ... medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding… more
- Martin's Point Health Care (Portland, ME)
- …to Work" since 2015. Position Summary The Appeals Quality and Training Specialist supports the Appeals Department. This role supports Appeals quality goals through ... of each line of business within Martin's Point Health Care, including Medicare Advantage, US Family Health Plan (USFHP). + Demonstrates advanced knowledge of… more
- Molina Healthcare (Salt Lake City, UT)
- …administration of contracts with State and/or Federal governments for Medicaid, Medicare , Marketplace, and other government-sponsored programs to provide health care ... **Preferred Experience** 2+ years compliance related experience. 1+ years in Medicare . **Preferred License, Certification, Association** N/A To all current Molina… more
- Molina Healthcare (Milwaukee, WI)
- …administration of contracts with State and/or Federal governments for Medicaid, Medicare , Marketplace, and other government-sponsored programs to provide health care ... services to low income, uninsured, and other populations. **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for coordinating, conducting and/or responding to research requests pertaining to government healthcare programs; preparing and submitting regulatory reports… more
- CareFirst (Baltimore, MD)
- …Administration. + Knowledge of healthcare or health insurance payor industry ( Medicare , Medicaid, Commercial, DSNP and other payor programs), including legal and ... regulatory requirements. + Solid understanding of CPT-4, HCPCS, revenue and ICD coding, medical terminology, claims payment, contract negotiations and problem resolution. **Knowledge, Skills and Abilities (KSAs)** + Understanding of multiple reimbursement… more
- AdventHealth (Orlando, FL)
- …record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding ... customer service and accepts responsibility for maintaining relationships that are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior Coder utilizes years of… more
- AccentCare, Inc. (TX)
- …Provider Credentialing Specialist Location: Dallas, TX Position: Credentialing Specialist Position Type: Full-Time Remote /Virtual Position: Yes Find Your ... Passion and Purpose as a Provider Credentialing Specialist Salary: $23.00/hr to $26.00/hr DOE What You Need to Know Reimagining Your Career in Corporate Healthcare… more
- State of Colorado (Denver, CO)
- Benefits Specialist - Administrator II MHTLH Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5097180) Apply Benefits Specialist - ... care. Description of Job This position is deemed 100% Remote Work. This position will comply with the OCFMH/Mental...at any time. This position is the centralized benefits specialist for the MHTL Homes and is responsible for… more