- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- Summary This position is located in the Department of Health & Human Services ( HHS ), Centers for Medicare & Medicaid Services (CMS), Center for Medicare , ... Drug Rebate and Negotiations Group (MDRNG). As a Health Insurance Specialist , GS-0107-12, you will develop, evaluate and implement compliance, audit and oversight… more
- The Joint Commission (Washington, DC)
- …sources and federal organizations such as the Government Accountability Office; the Medicare Payment Advisory Commission; the National Academy of Medicine; and other ... federal departments and agencies such as the Centers for Medicare and Medicaid Services (CMS); the Department of Health...Services (CMS); the Department of Health and Human Services ( HHS ); the Department of Veterans Affairs (VA); the … more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- Summary This position is located in the Department of Health & Human Services ( HHS ), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and ... Division of State Based Initiatives (DSBI). As a Supervisory Health Insurance Specialist , GS-0107-15, you will serve as the Division Director responsible for… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …to correctly code diagnoses. The Certified Risk Adjustment Coding/Audit Specialist analyzes and translates concurrent, prospective and retrospective medical and ... clinical care plans to Risk Adjustment Data Validation (RADV) Timelines. Medicare and Medicaid regulations and billing guidelines and AMA's publication CPT… more
- Hartford HealthCare (Farmington, CT)
- …to the educators. 2. Researches literature from regulatory groups such as; HHS /OIG, Medicare , Medicaid, NGS, etc., professional and peer organizations' ... other common practices across the system.*__* *_Position Summary:_* The Audit Specialist is responsible for reviewing clinical documentation to determine appropriate… more
- NJ Sharing Network (New Providence, NJ)
- …process and the hospital regulatory environment (ie Department of Health and Human Services ( HHS ), Center for Medicare and Medicaid Services (CMS), Food and Drug ... a motivated and driven professional to join our team as a Hospital Development Specialist . In this role, you'll support hospitals across New Jersey, from Bergen to… more
- Highmark Health (Pittsburgh, PA)
- …with all applicable guidelines, regulations and laws established by the Centers for Medicare and Medicaid Services (CMS), the Department of Health and Human Services ... ( HHS ), and others established at the state and federal...may have budgetary responsibility and authority. + Quality Improvement Specialist (QIS) Program:Vision and direction for leading embedded coder/… more
- Banner Health (Phoenix, AZ)
- …preparing and delivering reports and presentations, analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or ... direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and Human Services... and Medicaid Services (CMS), Health and Human Services ( HHS ), Arizona's Medicaid agency and the State Department of… more