- Atrium Health (Charlotte, NC)
- …strategy, vision, mission, and goals. Ensures competency of Clinical Documentation Specialist staff by conducting on-going reviews and skills assessments; provides ... and understanding of severity based DRG systems; All-Patient Refined and Medicare Severity (APR-DRG), Medical Severity Diagnostic Related Group System (MS-DRG) and… more
- New York State Civil Service (Thiells, NY)
- …the American Board of Medical Specialties (ABMS) in your specialty. OR* Medicaid and Medicare certified . OR* Current Medical Specialist 2. OR* Eligible for ... HELP No Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38… more
- CVS Health (Richmond, VA)
- … Certified Ambulatory Care Pharmacist, Board Certified Geriatric Pharmacist, or Board- Certified Pharmacotherapy Specialist + At least 3 months in a recent ... help to support various Scorable Action Items (SAI) programs in the Medicare population, including Fraud, Waste, and Abuse (FWA), Formulary Education, Therapeutic… more
- CVS Health (Austin, TX)
- … Ambulatory Care Pharmacist, Board Certified Geriatric Pharmacist, or Board Certified Pharmacotherapy Specialist + Completion of a PGY1 Managed Care ... residency + Certified in MTM + Bilingual + Experience with Medicare STARS and Part D formulary benefit Education Registered Pharmacist or Doctorate of Pharmacy… more
- Commonwealth Care Alliance (Boston, MA)
- …This Role is Important to Us:** Under direction of the Director of Medicare Compliance, the primary focus areas of this position include development and oversight ... includes: Corrective Action Plan (CAP) management, regulatory reporting to Centers for Medicare & Medicaid Services (CMS), State Agencies and Department of Insurance… more
- Beth Israel Lahey Health (Burlington, MA)
- …CPC-A ( Certified Professional Coder - Apprentice through AAPC), or CCS-P ( Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... coding guidelines. 2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare 's yearly fee schedule, Medicare Website, and specialty… more
- Roper St. Francis (Charleston, SC)
- …(West Ashley), Berkeley MOB (Summerville), and Mount Pleasant MOB. **Physician Office Specialist Job Summary** **:** The Physician Office Specialist should be ... year experience. **Experience:** Prefer 1 year MA experience. **Licensure/Certification:** Certified Medical Assistant preferred. **Primary Source Verification:** N/A **Knowledge/Skills:**… more
- St. Luke's University Health Network (Lehighton, PA)
- …communities we serve, regardless of a patient's ability to pay for health care. The Certified Peer Specialist has experience as a recipient of mental health or ... + Must be a Veteran. + Must have competed Certified Peer Specialist training in Pennsylvania or...the only Lehigh Valley-based health care system to earn Medicare 's five-star ratings (the highest) for quality, efficiency and… more
- St. Luke's University Health Network (Sellersville, PA)
- …communities we serve, regardless of a patient's ability to pay for health care. The Certified Peer Specialist has experience as a recipient of mental health or ... or GED TRAINING AND EXPERIENCE: + Must have competed Certified Peer Specialist training in Pennsylvania or...the only Lehigh Valley-based health care system to earn Medicare 's five-star ratings (the highest) for quality, efficiency and… more
- State of Georgia (Gwinnett County, GA)
- Certified Peer Specialist - Youth (CPS-Y) - APEX Gwinnett - Lawrenceville, GA Georgia - Gwinnett - Lawrenceville ... or supported employment environment. TO APPLY PLEASE USE THE LINK PROVIDED BELOW Certified Peer Specialist - Youth (CPS-Y) - APEX Gwinnett - Lawrenceville,… more
- State of Georgia (Decatur, GA)
- Certified Peer Specialist Parent (CPS-P) - C&A CSU - Decatur, GA. Georgia - Decatur (https://careers.georgia.gov/jobs/52397/other-jobs-matching/location-only) ... natural supports, and community resources. TO APPLY PLEASE USE THE LINK PROVIDED BELOW Certified Peer Specialist Parent (CPS-P) - C&A CSU - Decatur, GA.… more
- State of Georgia (Decatur, GA)
- Certified Peer Specialist Youth (CPS-Y) - C&A CSU - Decatur, GA. Georgia - Decatur (https://careers.georgia.gov/jobs/52371/other-jobs-matching/location-only) ... natural supports, and community resources. TO APPLY PLEASE USE THE LINK PROVIDED BELOW Certified Peer Specialist Youth (CPS-Y) - C&A CSU - Decatur, Ga.… more
- The Cigna Group (Bloomfield, CT)
- …thorough internet research as well as toggle between systems + Bilingual candidate + Certified Diabetes Care and Education Specialist (CDCES) + Master's Degree + ... Diverse Clinical experience preferred If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.… more
- Martin's Point Health Care (Portland, ME)
- …and education + 5+ years experience in managed care plan required; knowledge of Medicare Advantage (for Medicare Specialist ) or TRICARE (for USFHP ... find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015....2015. Position Summary Job Description Position Summary: The Appeals Specialist ( Medicare or US Family Health Plan)… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Learning ... & Development Specialist I** Delivers, develops, and implements corporate or divisional...facilitation experience, preferably in a financial services environment. . Certified Professional Trainer preferred (or working towards designation). .… more
- Medical Mutual of Ohio (Dublin, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... best possible health and quality of life. IT Security Specialist III Performs the more complex day to day...+ 5 years relevant IT experience. Professional Certification(s) + Certified in Risk and Information Systems Control (CRISC) Preferred.… more
- Louisiana Department of State Civil Service (LA)
- …from Medical Certification Specialist 2 by the absence of Centers for Medicare and Medicaid Services certification and by the level of independence exercised in ... Medical Certification Specialist 1 - 2 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4510056) Apply Medical Certification Specialist 1… more
- State of Georgia (Baldwin, GA)
- …verbal. . Review listings for CWRO2 or 60282 License/Certifications: . CPCS- Certified Provider Credentialing Specialist - Certificate . AAPC- Certified ... Medical Credentialing Specialist Georgia - Baldwin - Milledgeville (https://careers.georgia.gov/jobs/52910/other-jobs-matching/location-only) New Hot Administrative… more
- Marshfield Clinic (Marshfield, WI)
- …exciting missions in the world!** **Job Title:** SHP Coding/Auditing Specialist (Remote-Hybrid) **Cost Center:** 682891390 SHP-Strategic Finance **Scheduled Weekly ... (United States of America) **Job Description:** **JOB SUMMARY** The Coding/Auditing Specialist position conducts quality assurance activities to ensure the accuracy… more
- New York State Civil Service (Albany, NY)
- …People With Developmental Disabilities, Office for Title Program Operations Specialist 1 (HELPS) Occupational Category Health Care, Human/Social Services Salary ... This position may be filled at the Program Operations Specialist Trainee 1 level equated to SG-13, ($49,363), Program...one year of experience in a federal or state certified human service program, which must have been in… more
