- Providence (Portland, OR)
- …State and Federal and other regulatory Compliance regulations including CMS (Centers for Medicare & Medicaid Services), CAP, TJC (The Joint Commission), CLIA, ... **Description** ** Senior Laboratory Assistant at Providence Portland Medical Center...experience. + upon hire: Certification in Phlebotomy, medical assisting, research , or clinical laboratory + Industry-related experience in a… more
- Mount Sinai Health System (New York, NY)
- …implementation and contract compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves ... with a strong reputation for quality of care and research . We have over 38,000 employees working together to...across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily… more
- Select Medical (Camp Hill, PA)
- …role. + Private and commercial claims collection experience (ideally provider side) + Medicare and Medicaid **Preferred:** + Computer Skills + Microsoft Office: ... **Overview** ** Senior Claims Resolution Specialist** **Starting at $18.50.00/hr but...flexible for experienced candidates** Do you enjoy puzzles and research ? Are you results-oriented? If so, our Claims Resolution… more
- Humana (Washington, DC)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Contract Requires US Citizenship for this Position. As a Senior Software Engineer, you will be an integral member...will include design, development, support, bug fixes, testing, and research . You will help build and maintain platforms that… more
- RWJBarnabas Health (West Orange, NJ)
- …contractual and regulatory issues relating to payor relationships, third-party administrators, Medicare Advantage, and Medicaid Managed Care. This position ... Senior Counsel / Assistant Vice President, Legal Affairs,...advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants… more
- CVS Health (Harrisburg, PA)
- …for supporting complex Capitation analyses that support our strategic goals for Medicaid , Medicare , IFP and commercial, and working collaboratively with the ... is part of a team that provides focused analytical research , complex financial modeling and business decision support related...& coding structures + Understanding of both Commercial and Medicare plans to help network partners to make sound… more
- Northwell Health (Lake Success, NY)
- …for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations. 7.Make determinations on ... online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference… more
- Cardinal Health (Denver, CO)
- …preferred * Pharmacy benefits management experience preferred with specific knowledge of Medicare , Medicaid and commercially insured payer common practices and ... ** Senior Coordinator, Individualized Care (Case Manager)** Cardinal Health...during customer contact or via received documentation * Conduct research associated with alternative funding or foundations to ensure… more
- Banner Health (Tucson, AZ)
- …Building Codes), UBC (Uniform Building Code), Joint Commission, CMS (Centers for Medicare and Medicaid Services), NFPA (National Fire Protection Association) and ... care, teaching future health care professionals and conducting groundbreaking research . BUMC-Tucson is a private, non-profit, 649-bed acute-care teaching hospital… more
- Medtronic (Minneapolis, MN)
- …to senior leadership. + Leverage advanced analytics and market research to support comprehensive payer and pricing strategies. Education and Experience ... care contracting. + Established relationships with key decision-makers at commercial insurers, Medicaid , Medicare , and provider networks. Preferred: + MBA or… more