- Kolmac (Cumberland, MD)
- …progress notes and billing and submit said documentation as specified by Medicaid , Medicare and CARF standardsEnsure compliance with governing agency and ... reporting requirementsMaintain the clinical records and compile documentation required...required by CCBH and governing agenciesParticipate in staff meetings, program clinical team meetings, therapy clinical supervision sessions and… more
- Kolmac (Frederick, MD)
- …, Medicare and CARF standardsEnsure compliance with governing agency and reporting requirementsParticipate in staff meetings, program clinical team meetings, ... to contribute to the growth and development of the program is a plus!CCG's mission is to empower every...and productivity strategiesExhibit a high degree of ethical conduct, integrity and confidentialityStay current with updated research and best… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Medicaid Program Integrity Reporting & Coding Oversight Officer Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4483704) Apply ... Medicaid Program Integrity Reporting & Coding Oversight Officer Salary $65,395.20 - $101,150.40 Annually Location Des Moines - 50319 - Polk County, IA Job… more
- CVS Health (Northbrook, IL)
- …committed to revenue integrity and excellence. + Partner with other Revenue Integrity program leads to monitor and drive high quality outcomes. + Manage ... Reporting to the Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement , the Manager will...of opportunity. + Produce and present dashboards specific to Medicaid Revenue Integrity efforts at various governance,… more
- Serco (Washington, DC)
- …Children's Health Insurance Program , as well as technical understanding of program integrity or audit processes to coordinate and optimize multiple aspects ... CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's...(CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA). As part of… more
- State of Indiana (Indianapolis, IN)
- …Medicaid departments and agency divisions to provide effective fiscal management for the Medicaid program . The Director of Medicaid Finance oversees Acute ... payment programs in support of OMPP strategic objectives including promoting Medicaid program sustainability, advancing health outcomes and improving efficiency.… more
- Serco (Washington, DC)
- …in Medicaid and/or CHIP, providing technical assistance in all aspects of Medicaid and CHIP, including program integrity ; + Experience working with ... CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's...(CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA). As part of… more
- CVS Health (Hartford, CT)
- …team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk ... activities and drive innovation while being committed to revenue integrity excellence. This position will contribute to Medicaid...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Providence (Portland, OR)
- …population health initiatives related to accountable care activities for Medicaid Strategy and Sustainability including implementation of strategies, daily ... : + Provides internal leadership and leads development of program strategy and services within our vision for a...our vision for a connected system of care for Medicaid . + Participates in the development, implementation and monitoring… more
- Serco (Washington, DC)
- …team in supporting CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance ... (CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA). As part of...matter expertise in claims data processing review for the Medicaid and Children's Health Insurance Program . **_Hybrid… more
- Serco (Washington, DC)
- …team in supporting CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance ... (CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA). As part of...matter expertise in claims data processing review for the Medicaid and Children's Health Insurance Program . **_Hybrid… more
- Humana (Columbus, OH)
- …the function or segment. **Key Responsibilities:** + Oversee administration of Medicaid specialty VBP models, including provider reporting packages, ... direct reports to implement operational processes, administer, and evaluate Medicaid VBP models to drive improved provider experience and...for new and existing VBP models. + Ensure data integrity in program administration for new value-based… more
- Serco (Washington, DC)
- …improper payment rate by using the latest improper payment rates from each state Medicaid program and CHIP from the most current cycle and the previous ... CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's...(CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA). As part of… more
- NORC (Bethesda, MD)
- Principal Research Scientist - Health Care Quality Measurement: Medicare, Medicaid , & Commercial Insurance Programs Job no: 502274 Work type: Regular Full-Time ... the University of Chicago seeks an experienced Principal Research Scientist to direct program and policy projects, with an emphasis on those related to health care… more
- HCA Healthcare (Brentwood, TN)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... such as initiating new enrollments with Commercial and Governmental payors and reporting demographic or other provider changes. Other duties include follow-up on… more
- Genesis Healthcare (Concord, NH)
- …make a difference.Bring your financial skills to Genesis in the role of Regional Medicaid Eligibility Manager where you will play an integral role in the achievement ... owed, to include hands on collections, center process review, auditing and reporting of results. *Collaborate with assigned nursing centers' Business Office Managers… more
- CVS Health (Topeka, KS)
- …for Kansas State Medicaid programs for all program integrity related issues. This includes regulatory reporting , coordinating interdepartmental ... substitute) + 3 years of experience in a Healthcare Program Integrity , Medicaid Special Investigation...Pennsylvania and Kansas + Experience with Generating / Review Medicaid State Reporting + Experience with Interpreting… more
- Humana (Columbus, OH)
- …to attribute members to providers for new value based programs and to evaluate program effectiveness + Ensure data integrity in program administration for ... payment (VBP) model design and administration. The Data and Reporting Sr. Professional integrates data from multiple sources to...new value based programs + Troubleshoot data integrity issues and offer solutions to solve challenges **Use… more
- Magellan Health Services (Boise, ID)
- …county and federal and state regulatory authorities such as the Bureau of Program Integrity , Department of Public Welfare, Office of the Attorney General ... of Excel. Knowledge of HIPAA. Healthcare experience. General Job Information Title SIU Program Integrity Investigator - Remote (In Idaho) Grade 23 Work… more
- City of New York (New York, NY)
- …Services Program Performance Unit which serves as the primary liaison for program reporting and analysis for Client Special Services, which includes WeCARE, ... well as to Human Resources Administration's (HRA) operations and program services. OPMDA is requesting to hire one (1)...operations of Career Services contracts. - Manage the SNAP, Medicaid , and Fair Fares reporting unit, which… more
