- 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
- Humana (Indianapolis, IN)
- …Insurance segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement ... company's total revenue and earnings. Team members partner with senior leaders of the business unit, and more broadly...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Houston Methodist (Houston, TX)
- … cost reports, Federal Tax Returns Health and Human Services (HHS)/Centers for Medicare and Medicaid Services (CMS) reporting, Federal and State Charity ... Federal and State Charity Report. + Directs the coordination, review and filing of Medicare and Medicaid cost reports and associated audits by the fiscal… more
- Humana (Phoenix, AZ)
- …experience in revenue cycle management (related to billing, coding, collections for Medicare and Medicaid claims) + Experience with Auditing and monitoring ... caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Corewell Health (Grand Rapids, MI)
- …receiving LTSS. It also ensures that LTSS operations align with the integration of Medicare and Medicaid benefits under Michigan's HIDE SNP model, meeting CMS ... MOC). + Ensure continuity of care during provider or service transitions, per Medicare , Medicaid , and Michigan HIDE SNP contract. Stakeholder Engagement: +… more
- CVS Health (Springfield, IL)
- …RFP). **Primary Job Duties & Responsibilities** + Leads rigorous evaluation research into prioritized Medicaid population health interventions from end-to-end ... fact/dimensional data models within Power BI that serve evaluation research effort + Leads all data science efforts to...least 3 years of demonstrated healthcare analytics experience within Medicaid / Medicare space + Advanced knowledge of data… more
- Humana (Annapolis, MD)
- …+ Ability to interpret and understand policy and/or government contracts (IE TRICARE, Medicare , Medicaid , CMS etc ) + Comprehensive knowledge of Microsoft Office ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Office of the Secretary of Health and Human Services (Washington, DC)
- …legal advisor and counselor on defensive litigation brought against the Centers for Medicare & Medicaid Services (CMS). Directs all aspects of CMS Division ... overseeing complex litigation involving challenges to significant and novel programs, including Medicare , Medicaid , and ACA title I programs (private market… more
- AdventHealth (Maitland, FL)
- …necessary research to obtain and maintain non-contracted payer reimbursement including Medicare , Medicaid , Tricare and other govt payers. * Responsible for ... * Performs special projects and tasks as requested by senior staff and leadership. * Supports the contracting team,...current on regulatory updates and rate changes that affect Medicare , Medicaid and TriCare reimbursement for contract… more
- Humana (Sacramento, CA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... accessible, and aligned with business priorities. You'll collaborate with senior leaders across Product, Engineering, Marketing, and Operations to define… more