- CenterWell (Santa Fe, NM)
- …a part of our caring community and help us put health first** The Project Management Lead manages all aspects of a project, from start to finish, so that it is ... completed on time and within budget. The Project Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Project… more
- Humana (Washington, DC)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. +… more
- Hartford HealthCare (Farmington, CT)
- …**Other* **Organization:** **Hartford HealthCare Corp.* **Title:** *Accts Receivable Team Lead / PA Non Medicare Billing* **Location:** *Connecticut-Farmington-9 ... the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our… more
- Fallon Health (Springfield, MA)
- …live in our service area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth ( Medicaid ) and Medicare benefits, including ... we strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid , and PACE- in the region. **Brief summary of… more
- Highmark Health (Harrisburg, PA)
- …models of care, operating within a framework highly regulated by the Centers for Medicare & Medicaid Services (CMS). Experience in quality improvement and audit ... that require cross-functional collaboration and management of interdependencies between a group of projects and/or related activities within the constraint of scope,… more
- J&J Family of Companies (Titusville, NJ)
- …treatment. **Key Responsibilities** **:** + Lead efforts in support Medicaid program requirements and Medicare Drug Price Negotiations Program including ... with cross functional teams to support the end-to-end implementation of the Medicare Drug Price Negotiations Program and related Medicaid program requirements… more
- Trinity Health (Walker, MI)
- …codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing ... codes using coding guidelines established by the Center for Medicare and Medicaid Services (CMS) and SMHC....and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes… more
- Humana (Denver, CO)
- …rules, regulations and sub-regulatory guidance that apply to Insurance Products (ie, Medicare Advantage, Part D, Group Specialty, and Individual Specialty), ... your skills to make an impact** **Required Qualifications** + Experience with Medicare Advantage and/or Medicaid + Comprehensive knowledge of Microsoft Office… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid ... (RREG). As a Supervisory Social Science Research Analyst ( Group Deputy Director), GS-0101-15, you will provide direction on...obtain and further develop ideas and concepts that may lead to new and/or modified tests. Requirements Conditions of… more
- UCHealth (Colorado Springs, CO)
- …+ Eligible to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . + Eligible to provide services with no sanctions ... + Eligible to provide services, reimbursable services, and maintain provider status with Medicare and Medicaid . + Eligible to provide services with no sanctions… more