- Prime Healthcare (Inglewood, CA)
- …Responsibilities The Senior Medicare - Medicaid Biller/Collector ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- NORC (Bethesda, MD)
- Principal Research Scientist - Health Care Program Integrity and Oversight: Medicare & Medicaid Programs Job no: 502272 Work type: Regular Full-Time Location: ... management + Expert knowledge of Traditional Medicare , Medicare Parts C & D, and Medicaid ..., Medicare Parts C & D, and Medicaid policy including ongoing value-based care initiatives. + Monitor… more
- CareFirst (Baltimore, MD)
- …(strategy, design, execution, and optimization) for products and plans in the Medicare , Medicaid , and Federal Employee Health Benefits categories. Leads the ... performance, forecast sales and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization of all benefits… more
- Providence (Portland, OR)
- … bid process and pricing strategy + Evaluate the financial performance for Medicaid / Medicare lines of business + Maintain an understanding of the changing ... certifying the Medicare Advantage Bid + Experience with Commercial, Medicare , and Medicaid revenue methodologies + Demonstrated experience with managing… more
- Cleveland Clinic (Cleveland, OH)
- …judgement. A qualified candidate should have the following experience: * Prepares and files Medicare and Medicaid cost reports on a timely and accurate basis * ... Prepares interim cost reports for internal reporting needs * Manages all external third party audits of information filed * Maintains current knowledge of third party regulations * Is able to use the cost reports for obtaining requested information and as an… more
- Elevance Health (Fayetteville, NC)
- …to work 1 day remote ** **Candidates already credentialed in the area(s) of Medicaid / Medicare or Healthy Blue are STRONGLY encouraged to apply** **Candidates w/a ... Skills, Capabilities and Experiences:** + Credentialed in the area(s) of Medicaid / Medicare or Healthy Blue strongly preferred. + Experience counseling… 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 ... program policy work related to national health insurance programs, such as Medicare , Medicaid , the Children's Health Insurance Program (CHIP), Marketplace… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Clinical Standards and Quality,Clinical ... leading a staff with overall responsibility for leading the development of Medicare and Medicaid quality standards. Responsibilities Direct projects teams to… 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 ... Innovation, (CMMI), Research & Rapid Cycle Evaluation Group (RREG). As a Economist, GS-0110-11/12, you will perform economic analysis of healthcare financing issues and assess their impact upon CMS programs, the healthcare sector, and the national, state and… 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 ... Innovation (CMMI), Research and Rapid Cycle Evaluation Group (RREG). As a COR, GS-1101-13, you will perform a variety of complex assignments related to acquisition policy, including contract representation and oversight utilizing qualitative and quantitative… more
- Centers for Medicare & Medicaid Services (IN)
- Summary This position is in the Centers for Medicare and Medicaid Services (CMS), Center for Program Integrity (CPI). As the Director of the Data Analytics and ... through data mining and other analytical techniques. Responsibilities Promotes integrity in Medicare and Medicaid Programs by developing a national fraud… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Information Technology,Division of Mid-Tier ... Application Management, Application Management Group. As a IT SPEC (PLCYPLN), GS-2210-14, you will provide technical and analytical expertise to information technology (IT) contract administration within the Division of Mid-Tier Application Management.… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), Division of ... Investigative Systems Management (DISM). As an Information Technology Specialist (Systems Analysis), GS-2210-13, you will perform a variety of duties related to the design, development, and implementation of new and modernized HHS information technology (IT)… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …GS-0510-7/9, positions in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS). Click on "Learn more about this ... agency" for more details! You will serve in a trainee capacity performing limited-scope, entry-level accounting work that requires you to be equipped with well-established and basic accounting principles, theories, concepts, and practices. This announcement… 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), Office of Human Capital, Division of Pay ... and Benefits (DPB), Payroll Operations Branch (POB). As a Human Resources Specialist (COMPENSATION), GS-0201-9/11/12, you will serve as a human resources advisor and authority on a variety of human resources issues pertaining to employee pay, leave and… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …This position is located in the Office of Information Technology (OIT), Centers for Medicare & Medicaid Services (CMS). As the CMS Chief Information Officer and ... Director, Office of Information Technology, you will provide executive leadership to establish and drive the realization of the Agency's Information Technology (IT) vision and strategy, which enables CMS to identify who we serve, what they need, and how best… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Acquisition and Grants Management. As ... a Contract Specialist, GS-1102-11/12, you will you will be responsible for pre-award and post-award functions including price/cost analysis, negotiation, and administration for services for one or more organizations within Health & Human Services (HHS).… more
- The Cigna Group (Morris Plains, NJ)
- …The Network Advisor is responsible for initiating maintenance and strategy solutions for all Centene Lines of Business. Responsible for the planning, internal ... coordination, maintenance, and communication of client Network activities and performance for Line of Business initiatives while maintaining key client relationships. Utilizes technology, tools, processes and resources to anticipate and exceed client needs and… more
- Highmark Health (Charleston, WV)
- …improvement models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, ... office based support to PCPs for analysis of performance Medicare STARS, Medicaid HEDIS and risk revenue streams, identifies opportunities for improvement… more
- AdventHealth (Altamonte Springs, FL)
- …Senior Reimbursement Analyst is responsible for preparing and filing the annual Medicare , Medicaid , and Champus/Tricare cost reports; preparation of reopening ... Prepare and submit accurate and timely cost reports as required by Medicare , Medicaid and other State or Federal agencies for AdventHealth's hospitals +… more