- Elevance Health (Mason, OH)
- …member experiences specifically working with data science, healthcare analytics, and compliance oversight supporting Medicare, Medicaid , and Commercial lines of ... **Data Scientist Senior (MRA)** **Location:** This role requires associates to...or SAS to identify trends, detect anomalies, and inform compliance strategy. + Designs and implements automated tools to… more
- Vibrant Emotional Health (New York, NY)
- …documentation within Electronic Health Record systems, including AWARDS, ensuring consistency, compliance , and accuracy across teams. + Medicaid /MMCO Oversight: ... Position Title: Senior Director of Clinical Services Department: Community Services...Proven ability to lead billable clinical programs and maintain compliance in Medicaid and managed care environments.… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA-Network Contracting **Position Summary:** Under the direction of the Senior Contract Manager, Provider Contracting, the Senior Provider Contract ... contractual arrangements meet financial budgetary targets and legal and/or regulatory compliance requirements. + Maintain a solid understanding of Medicare and … more
- Mount Sinai Health System (New York, NY)
- …revenue cycle background to ensure accurate and compliant charge capture and professional CDM compliance . The ideal candidate will possess advanced knowledge ... the implementation of new coding changes and ensure overall Professional CDM compliance . + Builds new charges...Medicaid Services (CMS). + Mitigate the risk of compliance violations, audits, and potential penalties related to billing… more
- Humana (Lansing, MI)
- …empowered to introduce best practices, new technologies, and streamlined processes. ** Professional Development:** Join a culture of learning and innovation, with ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Arlington, VA)
- …Respond to inquiries from the Intern Program mailbox, providing timely and professional support. + Support the program lead in managing reporting and communications ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Access: Supports For Living (Middletown, NY)
- Senior Billing Specialist Location: Middletown, NY, United StatesDate Posted: Oct 17, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... (40hrs) Job Description: Reporting to the A/R Manager, the Senior Billing Specialist is a key position in the...+ Maintain a working knowledge of OMH, OASAS, Medicare, Medicaid , Medicaid Managed Care and other payers'… more
- Humana (Carson City, NV)
- …a part of our caring community and help us put health first** The Senior Fraud and Waste Professional (Program Integrity Lead) is responsible for overseeing ... position acts as the primary liaison for the Virgina Medicaid . They coordinate all Medicaid FWA activities...Virgina to enhance the program's transparency and accountability. The Senior Fraud and Waste Professional also conducts… more
- CareFirst (Baltimore, MD)
- …preparing and maintaining fee schedules for plans that utilize the DC Medicaid reimbursement schedules and methodologies. This position may request to extend that ... knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also include assistance...recommendations for management. We are looking for an experienced professional to live and work remotely from within the… more
- Takeda Pharmaceuticals (Boston, MA)
- …reporting and compliance + Chair the Pricing Committee (comprised of senior leadership from sales,patient value & access, marketing, finance and legal) that is ... purpose and be empowered to deliver your best. In this highly visible role, the Sr . Director will lead the strategic and analytic aspects of the US Oncology BU's (US… more