- Banner Health (KY)
- …compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the ... coding experience in Surgical Hematology & Oncology and/or Radiology Oncology. This Senior Complex Coder will be supporting very busy providers/surgeons and is very… more
- CVS Health (Albany, NY)
- …+ Pharmacy Investigative experience + Marketplace Broker Investigative experience + Medicaid and Medicare experience **Education** + Bachelor's degree in ... and every day. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …Join Kite and help create more tomorrows. **Job Description** The ** Senior Director,** **Head of** **US Trade,** **Pricing and Contract** **ing** reports ... of ASP, AMP, gross-to-net, contracting implications and operations, contracting strategy, Medicaid best price, and all related components, in partnership with… more
- Amgen (IL)
- …guidance and advisory opinions + DOJ settlements with pharmaceutical industry + Medicare / Medicaid reimbursement and contracting + Proven superior legal skills, ... you'll help make a lasting impact on the lives of patients as we research , manufacture, and deliver innovative medicines to help people live longer, fuller happier… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Healthcare and Grady Health System. Fellows must be eligible at participants in Medicare , Medicaid and other third-party payers contracted with Emory Healthcare ... **Discover Your Career at Emory University** Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate… more
- Office of the Secretary of Health and Human Services (Washington, DC)
- …or the Department) Office of the General Counsel, Centers for Medicare & Medicaid Services Division (CMSD), serving as the senior legal officer for the ... Department's extensive programs of assistance in the Medicaid and Medicare areas, including the ...the Secretary, the Administrator, the Inspector General, the most senior officials of the Department and analogous Federal, State,… more
- Baystate Health (Springfield, MA)
- …expert on reimbursement and regulatory rules 2) Will be responsible for hospital Medicare and Medicaid cost report filings, audits, and settlements 3) Will ... The Sr. Managed Care Contract Manager, will also perform research and collect data to find patterns, trends, and...month-end close, regulatory changes, and audit adjustments related to Medicare and Medicaid 4) As a Sr.… more
- Humana (Bismarck, ND)
- …US. At the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating ... a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the...and leading healthcare organizations, the team works closely with senior leaders across the enterprise to drive high-profile strategy… more
- City of New York (New York, NY)
- …millions of dollars in annual Medicaid spending. This work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid ... key projects and systems to meet identified goals and mandates. - Direct senior staff in the management of the evaluation, design, analysis, installation, testing,… more
- CareFirst (Baltimore, MD)
- …methodologies. This position may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also include ... CareFirst corporate position. + Provide feedback on payment policies related to Medicaid and/or Medicare processing. Participate in workgroup projects around… more