- Public Consulting Group (Nashville, TN)
- …. Employee will be responsible for Medicaid , SNAP, WIC and other state government programs . They will be analyzing business requests, making ... + Experience with CMS, Medicaid , SNAP, WICK, and other state government programs **Supervisory Responsibility** + None **Working Conditions** + Remote… more
- Prime Therapeutics (Nashville, TN)
- …and drives every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President ... Government Programs - Medicare & Managed Medicaid is...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
- HCA Healthcare (Gallatin, TN)
- …+ Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Re-verifies benefits ... each individual is recognized. Submit your application for the opportunity below: Medicaid Eligibility Advocate with Parallon at Sumner Regional Medical Center… more
- Deloitte (Memphis, TN)
- …our people, ideas, technology and outcomes - is designed for impact. Serving federal, state , & local government clients as well as public higher education ... with progression to FSA, FSA, or career ASA designation + Experience providing Medicaid consulting services to Government agencies + Experience with Medicaid… more
- Prime Therapeutics (Nashville, TN)
- …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... is responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and … more
- Intermountain Health (Nashville, TN)
- …Specialist is responsible for supporting and improving the quality performance of Government programs , particularly Medicare, with a strong focus on clinical ... is also tasked with identifying and engaging members in programs that enhance adherence and overall health outcomes, building...constructive and actionable feedback. + Represents the team in government meetings or special projects as assigned by a… more
- Elevance Health (Nashville, TN)
- … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs . The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...+ Degree in Accounting preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
- Elevance Health (Nashville, TN)
- … contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs . The **Audit and Reimbursement ... support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid ...: + Accounting degree preferred. + Knowledge of CMS program regulations and cost report format preferred. + Knowledge… more
- CenterWell (Nashville, TN)
- …to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on ... caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance...inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state … more
- Public Consulting Group (Nashville, TN)
- …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
- Public Consulting Group (Nashville, TN)
- …better serve populations in need by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and ... and other tools. + Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid ,...strategies. + Ability to interpret and apply federal and state policy to financial planning and program … more
- HCA Healthcare (Hermitage, TN)
- …will:** + Screen and evaluate patients for existing insurance coverage, federal and state assistance programs , or hospital charity applications. + Obtain legally ... related experience required, preferably in healthcare. + Previous experience in government payer programs preferred. **Parallon** provides full-service revenue… more
- HCA Healthcare (Nashville, TN)
- …thorough understanding of The Joint Commission (TJC), The Centers for Medicare and Medicaid Services (CMS), federal and state regulations. + Performs onsite ... HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- Sumitomo Pharma (Nashville, TN)
- …Disease products to ensure access for patients through various payers (commercial and government payers to include FFS and Managed Medicaid ) and remove ... escalations as needed to ensure timely access for patients + Engage with government stakeholders, including state and federal health agencies, to ensure… more
- Amergis (Knoxville, TN)
- …Requirements: + Active Speech Language Pathologist (SLP) Licensure in the state of assignment required + Certificate of Clinical Competence in Speech-Language ... Pathology (CCC-SLP) preferred and may be required by state /contract. + Current CPR if applicable + TB questionnaire, PPD or chest x-ray if applicable + Current… more
- Humana (Nashville, TN)
- …in the care planning for beneficiaries receiving services under the TRICARE program . **Role Responsibilities** + Serves as primary advocate for beneficiary & family ... determine necessary resources to include but not limited to educational programs , community resources, educational materials, and support groups. + Participate in… more
- Humana (Nashville, TN)
- …and behavioral health spectrum. They will also coordinate with other Medical Management programs (DM/PN) as needed, in addition to MTF UM / CM staff, physicians ... the Case Manager will collaborate with other care management programs until the beneficiary's needs are met, and case...and unrestricted Registered Nurse (RN) license in the (appropriate state ) with no disciplinary action. + An active designation… more
- CVS Health (Nashville, TN)
- …**Preferred Qualifications** + **Experience working with healthcare payors and/or government programs such as Medicare and Medicaid ** + CPA License + SQL ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation… more
- CVS Health (Nashville, TN)
- …vendor management experience (preferably benefit administrators)** **5+ years of experience in government programs ( Medicaid , Medicare)** **Adept at problem ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation… more
- Prime Therapeutics (Nashville, TN)
- …Word, and system operations (eg workflow processes and case management) + Government programs (Medicare) knowledge **Preferred Qualifications** + Contact Center ... of business to review the benefits of the MTM program . This position speaks with members to gather and...targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM… more