- First Atlantic Health Care (Saco, ME)
- …Atlantic's long standing reputation for excellence in long term care, assisted living and senior living. MAKE A DIFFERENCE Nurse Manager of Long Term Care and ... Healthcare, part of the Atlantic Heights Community, is a fully-licensed Medicaid/ Medicare -certified facility offering 105 beds. Our Maintenance Team at Seal Rock… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Operations Manager plays a critical role in the development and execution of the corporate risk adjustment ... records. The role serves as a dedicated resource within the organization for Medicare Advantage, Medicaid and ACA markets, coordinating and leading the end to end… more
- Molina Healthcare (Mesa, AZ)
- …identified, mitigated, monitored, and reported. Responsible for managing the program governance, strategy, tool(s), policy, standards, and procedures. Responsible ... and vendors are effectively and robustly managed. + Ensures the appropriate governance program and relevant training programs are in place and maintained. + Drive… more
- CVS Health (Richmond, VA)
- …Ensures compliance with contractual requirements. Coordinates and collaborates with program integrity staff, compliance, and senior leadership. Contributes ... A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / ...Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong verbal and… more
- OhioHealth (Marion, OH)
- …implementing, communicating, managing and monitoring the needs of the physician contracting program . This role is a subject matter expert, with current knowledge of ... is to: (a) lead and manage the physician contracting program by ensuring all individual physician and physician group...of the Inspector General, The Joint Commission, Center for Medicare & Medicaid Services, Internal Revenue Service, etc. This… more
- CVS Health (Austin, TX)
- …current business trends and best practices by preparing analyses for senior management, stakeholders, and clients.** **Preferred Qualifications** **3+ year vendor ... benefit administrators)** **5+ years of experience in government programs (Medicaid, Medicare )** **Adept at problem solving and decision-making skills** **Adept at… more
- CenterWell (Santa Fe, NM)
- …part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program … more
- CenterWell (Clarksville, TN)
- …caring community and help us put health first** Join a Team That's Redefining Senior Primary Care: Humana's Primary Care Organization is one of the largest and ... fastest-growing senior -focused, value-based care providers in the country. With over...For** **Required:** + Graduate of accredited MD or DO program from an accredited University. + Board Certification or… more
- CenterWell (Charlotte, NC)
- …caring community and help us put health first** Join a Team That's Redefining Senior Primary Care Humana's Primary Care Organization is one of the largest and ... fastest-growing senior -focused, value-based care providers in the country. With over...Master's Degree in Nursing or completion of a PA program with board certification. + Active, unrestricted NP or… more
- CenterWell (Charleston, SC)
- …Geriatric Medicine + This role is considered patient facing and is part of Humana/ Senior Bridge's Tuberculosis (TB) screening program . If selected for this role, ... Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 175 centers across… more