- Mom's Meals (Ankeny, IA)
- Position SummaryThe Manager of Healthcare Partnerships will drive Medicare Advantage channel growth through continued development of relationships at Medicare ... home health, home care, hospital or medical equipment + Knowledge of Medicaid/ Medicare benefit programs + Demonstrated experience consulting and presenting to care… more
- Luke Staffing (Butner, NC)
- …Proficient in database software. . Selected applicant must have a thorough knowledge of Medicare payment principles, to include but not be limited to: . Medicare ... . Medicare Outpatient Prospective Payment System . Medicare Ambulatory Surgical Center Payment Rates . Medicare Part B Physician Fee Schedule . Medicare … more
- NORC (Washington, DC)
- …The Program Area Director should have familiarity and experience leading Medicare and Medicaid demonstration evaluations that use experimental or quasi-experimental ... delivery interventions on outcomes and cost using data files derived from Medicare , Medicaid, and commercial payer administrative data. In addition to providing… more
- Stanford Health Care (Palo Alto, CA)
- …and regulatory reports to government agencies, including but not limited to: - Medicare and Medi-Cal cost reports -Financial disclosures to the Department of Health ... timely and accurate filing of annual government cost reports, including Medicare , Medi-Cal, and HCAI submissions. + Maintain comprehensive knowledge of federal… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …forecast gross to net components including but not limited to Managed Care, and Medicare Part D, Medicaid as well as current and future Healthcare Reform related ... in forecasting of key rebate categories included but not limited to Commercial, Medicare Part D, Coverage Gap, and Medicaid Demonstrated analytical skills via MS… more
- US Physical Therapy (Bend, OR)
- …real-time authorization when possible. **Regulatory Compliance & Follow-up** + Review Medicare patients for coverage status and determine the need for applicable ... completed if care continues without coverage. + Stay current with Medicare , Medicaid, HIPAA regulations, and commercial insurance policy changes. **Administrative… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- …establish alternate sites of care to support patient options. + Possess expertise in Medicare policies and the variations within all parts of Medicare + Ensure ... of adjudication within Commercial and Government payers, buy and bill model, Medicare , Tricare , Medicaid and National and Regional Commercial payers. Experience… more
- Commonwealth Care Alliance (Boston, MA)
- …to achieve high performance on CCA's Population Health goals; including Medicare Star measures, Medicaid- Medicare Plan withhold measures, quality performance ... CAHPS, HOS) and value-based contract performance metrics + Experience with Medicare Advantage, Medicaid; and dually eligible populations **Desired Experience** +… more
- Stanford Health Care (Palo Alto, CA)
- …actual revenue and contractual allowances for all payors including managed care, Medicare , Medi-Cal, commercial, and self pay payors. Oversee the regulatory filings ... and reporting of Medicare and Medi-Cal Cost Reports, OSHPD reports, and other...to reimbursements. Oversee the handling of external audits by Medicare , Medi-Cal and other government agencies. Provide support to… more
- Commonwealth Care Alliance (Boston, MA)
- …Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Value-based program oversight and performance tracking - ... learn new systems and databases that CCA implements. - Working knowledge of Medicare and Medicaid (MassHealth) - Demonstrated skills in Excel and PowerPoint -… more
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