- U of C NORC (Bethesda, MD)
- …surveys, interviews, focus groups, and site visits; secondary data such as Medicare anRESPONSIBILITIES:Play a lead role in growing NORC's portfolio in the area ... administrative aspects of ongoing projects.Manage multiple project teams of senior , mid-level, and junior staff, and bring in experts...5 years of policy project managementExpert knowledge of Traditional Medicare , Medicare Parts C & D, and… more
- U of C NORC (Chicago, IL)
- …collection and analysis, program evaluation, and policy analysis. NORC seeks a Senior Manager to manage consulting, research, and data analysis projects for health ... inform clients' business strategy, policy positioning, and external thought leadership. The Senior Manager will have strong subject matter and technical expertise in… more
- OU Health (Oklahoma City, OK)
- Position Title: Senior Office Manager - Oncology Clinic - Stephenson Cancer CenterDepartment:Supportive CareJob Description:Location: Stephenson Cancer CenterShift: ... and organizational processes and healthcare policy.Advanced knowledge of Medicaid and Medicare guidelines and other applicable federal and state laws.Ability to… more
- Globe Life Inc. (Mckinney, TX)
- Senior Managing Actuary - Health Pricing (Hybrid) Primary Duties & Responsibilities As a member of the Globe Life Health Pricing team the position will develop and ... successful candidate will work on is broad including individual and group Medicare supplement, cancer, critical illness, accident, disability income, and a range of… more
- Creative Financial Staffing (Indianapolis, IN)
- Senior Bookkeeper Are you a skilled bookkeeper with a passion for the healthcare sector? We have an exciting opportunity for a Bookkeeper to join a prestigious ... Knowledge of healthcare-specific compliance regulations, such as HIPAA and Medicare /Medicaid guidelines. Excellent attention to detail and accuracy in financial… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …organization expert on CMS regulatory changes and will make recommendations to senior management related to proposed changes. Takes the lead for the organization's ... current with updated coding and billing regulations.Prepares, monitors, and files Medicare and Medicaid Cost Reports assuring maximization of reimbursement from… more
- U of C NORC (Bethesda, MD)
- …of policy issues facing public health insurance programs such as Medicaid, Medicare , and Marketplace coverage.Our subject matter experts employ a variety of methods ... through coordination of document preparation and reproduction.Under the direction of senior staff, support the development of new business by conducting background… more
- Option Care Health (Bannockburn, IL)
- …abuse, including but not limited to HIPAA, Anti-Kickback, Stark, Medicare /Medicaid reimbursement. Experience evaluating information to determine compliance with ... trends and best practices.Experience representing a company and interacting with senior level management, legal counsel, federal and state regulators and law… more
- Merck & Co. (North Wales, PA)
- …agency partners and focus on customer segments (eg health plans, Medicare , Medicaid, federal, pharmacy, hospital, Group Purchasing Organization s, etc.). Primary ... leading across diverse department and roles and effectively engaging senior management.Experience leading othersStrong judgment, prioritization, and decision -… more
- United Staffing Solutions (Silver Spring, MD)
- Registered Nurse - RN - Senior Living - Retirement Community - Geriatric United Staffing Solutions, a leader in the staffing industry is representing a ... well-established, Senior Living community in their search for a Registered...least 5-10 years of experience in home care and Medicare -certified home health Experience with OASIS This is a… more
- Elevance Health (Columbus, OH)
- **Audit & Reimbursement Senior -** ** Medicare Cost Report Audit** **Locations:** This is a virtual position, the ideal candidate will live within 50 miles of an ... to transform federal health programs. The **Audit and Reimbursement Senior ** , will support our Medicare Administrative...and Reimbursement Senior ** , will support our Medicare Administrative Contract (MAC) with the federal government (The… more
- Prime Healthcare (Inglewood, CA)
- …Responsibilities The Senior Medicare ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/155703/ senior - medicare -medicaid-biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management Inc… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …we need: As an integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual ... + Accurately calculate and identify risks, formulate recommendations, and escalate to senior leaders for decision making + Apply their clinical knowledge when… more
- Humana (Atlanta, GA)
- …looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales motivates and drives a team of ... educate, motivate, train, and discipline a team of sales individuals. The Senior Manager, Medicare Sales must have a solid understanding of the market they… more
- CVS Health (Jackson, MS)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment ( Medicare ) will be responsible for leading Risk ... Adjustment for the Georgia & the Gulf States Medicare Market, specifically in Mississippi. This role will have...Risk Adjustment for the Georgia & the Gulf States Medicare Market (GA, LA, MS, AL, AR).** The work… more
- CVS Health (Atlanta, GA)
- …solutions to make health care more personal, convenient and affordable. As the Senior Manager, Risk Adjustment ( Medicare ) will be responsible for leading Risk ... Adjustment for the Georgia & the Gulf States Medicare Market. This role will have specific responsibility for...Risk Adjustment for the Georgia & the Gulf States Medicare Market (GA, LA, MS, AL, AR). Required Qualifications… more
- Providence (WA)
- …the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst, Medicare Bid who will:** + Be responsible for ... and providing strategic insights to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of Medicare Advantage… more
- The Cigna Group (Franklin, TN)
- …and listings. + Produce reporting required by, and respond to requests from, Senior Segment related to the Medicare Advantage facility and ancillary ... and tracking of necessary disclosure to / approval from Senior Segment leadership on key Medicare Advantage contract terms. + Interface with Medicare … more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** Supports the delivery of all Medicare billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing ... standards, are familiar with the rules and regulations of Medicare billing and are skilled at problem solving and...correct diagnosis, and procedure codes are utilized. 4. Submits Medicare claims, including the maintenance of bill holds and… more
- ProMedica Health System (Toledo, OH)
- Responsible for Daily Review of outstanding and incoming Medicare Additional Development Requests (ADRs). Responsibilities: 1. Maintains updated files as changes ... Home Health & Hospice offices 5. Answers questions offices have regarding Medicare denials 6. Processes Medicare Additional Development Request 7. Researches… more
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