- The Ohio State University (Dublin, OH)
- …Special CMS requests Manages audits conducted by third-party payers, such as Medicare, Medicaid , Champus, and State Medicaid Programs. Develops and maintains ... employed or enrolled as a student at The Ohio State University, please log in to Workday to use...Assistant Director plays a strategic and hands-on role in managing the hospital's third-party reimbursement activities. This includes the… more
- Spherion (Madison, WI)
- …policy, Medicaid , or program administration Strong knowledge of federal and state Medicaid law and regulations Familiarity with healthcare billing and coding ... a subject matter expert. Your work will shape how Medicaid policies are implemented across the state ... benefit areas Research relevant laws, clinical standards, utilization data , and best practices Draft and present clear policy… more
- State of Maine (Augusta, ME)
- …systems, and/or population health. 3. Ability to analyze, evaluate, and interpret data to inform decision-making. 4. Experience managing programs related to ... The Office of MaineCare Services (OMS) within DHHS administers the state 's Medicaid program, which provides free or low-cost health insurance coverage for… more
- CVHCare (San Ramon, CA)
- …liaison between the agency, patients, caregivers, payers, and providers. Assist in managing patient care and ensuring quality service and satisfaction. Works in ... any new needs and service satisfaction. Documentation and Records Performs data entry, record keeping, correspondence, computer composition, technical drafting, and… more
- Pair Team (Livermore, CA)
- … data -driven technology platform, Arc, for care coordination. Through Medicaid MCOs, we provide healthcare for hard-to-reach, high-need individuals, while sharing ... connecting them to high-quality care. Pair Team cares for the highest-need Medicaid recipients through a community-led model. We build local partnerships with… more
- Boehringer Ingelheim Pharmaceuticals, Inc (Ridgefield, CT)
- …administrative feasibility of product and contract strategies; ensuring compliance with State and Federal Regulations; managing special projects. Oversee and ... Compensation Data This position offers a base salary typically...to provide support to the Director, Contract Compliance by: managing the administration of Administrative Fees (BIPI) Purchase Based… more
- City of New York (Long Island City, NY)
- …new knowledge about the health of justice-impacted New Yorkers by publishing relevant data and research and ensuring the Bureau's work is rooted in scientific ... and dissemination of internal and external publications, including agency data briefs, reports, and peer-reviewed publications. -Collaborating with internal and… more
- Elevance Health (Waynesville, NC)
- …We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid -enrolled infants, children, youth, young ... Care Management, Foster Care (Manager I GBD Special Programs) is responsible for managing and overseeing assigned care managers and ensuring fidelity to the CFSP… more
- State of Oregon (Portland, OR)
- …in improving health outcomes and addressing systemic health disparities across the state . Key responsibilities of the CMO include: Clinical Leadership: Guide the ... to obtain an unencumbered license to practice medicine in the State of Oregon. Clinical Program Expertise: Demonstrated experience in developing, implementing,… more
- COPE Health Solutions (Los Angeles, CA)
- …experience preferred. Basic PC skills (MS Word/Outlook/PPT/Excel). Knowledge of Federal and State regulations for Medicare and Medicaid and other national and ... risk and assist the providers to develop processes for managing the patient's preventative care, transitions of care, and...information. Ability to analyze and solve problems; requires details, data and facts that must be analyzed and challenged… more
- University of Southern California (Los Angeles, CA)
- …objective of this role and the department as a whole. 9. Responsible for co- managing the data submission requirements for all organ acquisition schedules in MCR. ... HIM coding or related healthcare. Req Working knowledge of Medicare, Medicaid , and commercial insurance policies is. Req Excellent computer skills including… more
- StateJobsNY (Albany, NY)
- …with analyzing, extracting, merging, and linking large relational health care datasets, including Medicaid data . Proficient in the use of SAS or SQL, Microsoft ... of Population Health with engagement in the full project life cycle to generate data products and accessible visualizations of data . You will work under the… more
- Behavioral Health Group (Louisville, KY)
- …this role involves greeting patients, verifying identification and insurance, managing patient accounts, and performing necessary administrative tasks. Duties and ... management. Send monthly statements if applicable. Handle third-party reimbursements (eg, Medicaid ) if needed. Perform general clerical tasks and filing. Cover… more
- ICL (New York, NY)
- …The Associate Program Director is responsible for compliance with all federal, state , and accrediting agencies' requirements to ensure the continuum of services ... discharge planning is provided. 7. Supervises the development of data , records and/or reports as requested and required by...with agency policy and assignments of staff. Responsible for managing the completion of time clock edits of staff… more
- Tanner Health System (Carrollton, GA)
- …and the general public. Employee will also be responsible for managing situations in which patients present volatile behavioral health characteristics. Required ... or Private Business Security experience required. Ability to legally drive in the State of Georgia and insurable by TMC vehicle insurance carrier. Subject to annual… more
- KA Recruiting, Inc. (Tallahassee, FL)
- …meeting The Joint Commission and CMS Standards as well as other state and federal regulatory requirements, complying with corporate policies and procedures. ... for compliance with accreditation and regulatory agencies including any state licensing standards. The Director shall investigate regulations, standards, and… more
- Denver Health (Denver, CO)
- …medication assistance programs, benefits investigation, coordinating refill renewal requests, managing PAR and prescription renewal dates, and assisting patients ... per program standard of practice (10%) Effective analysis and use of management data and reports to establish standards to monitor and improve contract performance… more
- Accurate Staffing Consultants, Inc. (Asheville, NC)
- …that are participating in innovative population health initiatives like NC Medicaid 's Healthy Opportunities Pilot and Medicare's Making Care Primary model. IPCN ... Opportunities Pilot. HOP is a groundbreaking initiative to improve health that uses Medicaid funding to support social drivers of health across four key domains of… more
- Connections Health Solutions (Harrisburg, PA)
- …Dr. Chris Carson and Dr. Robert Williamson, our model is physician-led and data -driven, drawing upon more than 15 years of crisis care expertise. Recognized by ... the unit. Responsibilities include overseeing individual registration, verifying insurance, managing office tasks, tracking unit census, and coordinating with… more
- HCR Home Care (Rochester, NY)
- …applying remittance payments and adjustments. Knowledge of New York State Medicaid and/or Medicare. Strong problem-solving/trouble-shooting skills. Demonstrates ... for billing and collections for a variety of payers, including Medicare and Medicaid . Ensures ongoing training for professional staff, either regularly or as needed,… more
