- Commonwealth Care Alliance (Boston, MA)
- …to learn new systems and databases that CCA implements. - Working knowledge of Medicare and Medicaid ( MassHealth ) - Demonstrated skills in Excel and PowerPoint - ... of Medicare , Medicaid, duals program, and health plan operations, including regulatory and compliance requirements. - Demonstrated knowledge of DMH system… more
- Commonwealth Care Alliance (Boston, MA)
- …health, and/or social needs. + Strong understanding of ** Medicare , Medicaid ( MassHealth ), and dual-eligible program operations** , including regulatory and ... in partnership with internal and external stakeholders. + Ensure compliance with all regulatory and contractual requirements...have):** + 5+ years + Experience with Medicaid and Medicare products and programs + Experience or knowledge of… more
- Commonwealth Care Alliance (Boston, MA)
- …with clinical licensure. - Strong understanding of Medicare , Medicaid ( MassHealth ), and dual-eligible program operations, including regulatory and ... Required Experience (must have): - 5+ years - Experience with Medicaid and Medicare products and programs - Experience or knowledge of behavioral health services… more
- Commonwealth Care Alliance (Boston, MA)
- …to learn new systems and databases that CCA implements. - Working knowledge of Medicare and Medicaid ( MassHealth ) - Familiarity with and full support of ... of Medicare , Medicaid, duals program, and health plan operations, including regulatory and compliance requirements. - Demonstrated knowledge of DMH system… more
- Commonwealth Care Alliance (Boston, MA)
- …does not have direct reports. Essential Duties & Responsibilities: Regulatory Compliance & Monitoring * Monitor CMS and MassHealth regulations, bulletins, ... compliance with state and federal healthcare regulations, particularly MassHealth (Massachusetts Medicaid) and CMS Medicare requirements. This role… more
- Fallon Health (Foxborough, MA)
- …for people age 65 and older, who live in our service area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE- in the region. **Brief summary of purpose:**… more
- Commonwealth Care Alliance (Boston, MA)
- …to learn new systems and databases that CCA implements. * Working knowledge of Medicare and Medicaid ( MassHealth ) * Demonstrated skills in Excel and PowerPoint * ... of Medicare , Medicaid, duals program, and health plan operations, including regulatory and compliance requirements. * Demonstrated knowledge of DMH system… more
- Fallon Health (Worcester, MA)
- …FH's compliance with CMS regulations, NCQA standards, other applicable regulatory requirements and member expectations. The FH Member Appeals and Grievance ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
- Commonwealth Care Alliance (Boston, MA)
- …to learn new systems and databases that CCA implements. * Working knowledge of Medicare and Medicaid ( MassHealth ) * Familiarity with and full support of ... of Medicare , Medicaid, duals program, and health plan operations, including regulatory and compliance requirements. * Demonstrated knowledge of DMH system… more
- Commonwealth Care Alliance (Boston, MA)
- …with clinical licensure. * Strong understanding of Medicare , Medicaid ( MassHealth ), and dual-eligible program operations, including regulatory and ... Required Experience (must have): * 5+ years * Experience with Medicaid and Medicare products and programs * Experience or knowledge of behavioral health services… more
