- Molina Healthcare (Chicago, IL)
- …Quality Improvement Compliance. + Acts as a lead specialist to provide project -, program-, and / or initiative-related direction and guidance for other specialists ... with and between other departments within the organization. + Evaluates project /program activities and results to identify opportunities for improvement. + Surfaces… more
- City of New York (New York, NY)
- …provided are intensive case management, direct linkages to Cash Assistance, Medicaid , Supplemental Nutrition Assistance Program (SNAP), Long Term Care. Homemaking, ... maintain stable, healthy lives. Under the direction of the HASA Regional Manager , with latitude for independent judgment, initiative and decision-making the Center… more
- MyFlorida (Fort Pierce, FL)
- …and STD program staff to ensure Data to Care (D2C), Molecular Monitoring Project (MMP), Molecular HIV Surveillance (MHS), and Ryan White Re-engagement line list are ... aspects of adherence such as transportation, obtaining needed medications, receiving Medicaid or private insurance, etc. Consults with public and private personnel,… more
- UNC Health Care (Chapel Hill, NC)
- …Integrity Program. This position will rep ort to the Health Care System Manager of Revenue Integrity and Charge Master. Additionally, the Coordinator is responsible ... ICD, Revenue Codes, modifiers, billing, regulations and guidelines (Medicare, Medicaid , third-party billing rules, coverage, payment, and compliance) required.… more
- CenterWell (Savannah, GA)
- …and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member per Month (PMPM) costs while maintaining high quality care + ... of technical experience + 2 or more years of project leadership experience + Licensure requirements of the state...and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to five… more
- CenterWell (Las Vegas, NV)
- …Our care team consists of Doctors, Advanced Practice professionals, Pharm D , Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based ... on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude… more