- 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
- 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
- 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
- CVS Health (Hartford, CT)
- …suite of market focused Risk Adjustment Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager of Medicaid Risk ... to identify areas of opportunity. + Produce and present dashboards specific to Medicaid Revenue Integrity efforts at various governance, market, and executive… 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
- 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
- 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
- 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
- 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
- CVS Health (Scottsdale, AZ)
- …an exciting opportunity to join our PBM Finance team as Director, Financial Performance Reporting . This is a newly created role that will lead and continue to build ... a best-in-class reporting team. CVS Health strives to continuously innovate around...of data including drug rebate, claims, financial, Medicare, Commercial, Medicaid , Exchange, and operational data. You will be responsible… more
- CVS Health (Phoenix, AZ)
- …Analysts, Quality Analysts, and business partners, sometimes including external stakeholders to program ad hoc and automated reporting solutions to meet ... client and operational data for regulatory and contractual obligations like CMS reporting , Medicare, Medicaid , Exchange, and commercial business. The manager… more
- Henry Ford Health System (Troy, MI)
- Reporting to the Director, Revenue Integrity , the Manager, Revenue Integrity , is responsible for the facilitation of improving revenue results by taking a ... provision of patient care to final bill generation. Revenue Integrity (RI) is a distinct function that drives proactive...in clinical and academic settings. + Knowledge of Medicare, Medicaid , Medicaid OPPS reimbursement, and other third… more
- PeaceHealth (Vancouver, WA)
- …with developing and providing caregiver training on compliance policies, practices, and reporting . + Participates in the Healthcare Compliance Program planning, ... PeaceHealth is seeking a full time Healthcare Compliance Specialist - Organizational Integrity . This remote role requires the incumbent to reside in OR, WA,… more
- LaSante Health Center (Brooklyn, NY)
- …deparment, Clinical, and Compliance teams to participate in our Clinical Documentation Integrity program and leverage your clinical, coding, and documentation ... completeness, and compliance of clinical documentation . The Clinical Documentation Integrity (CDI) Specialist at LaSante Health Center will be responsible for… more
- Louisiana Department of State Civil Service (New Orleans, LA)
- PROGRAM MGR 1A/DHH Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4491751) Apply PROGRAM MGR 1A/DHH Salary $4,784.00 - $9,381.00 Monthly ... Parishes. In particular, we serve residents who are uninsured or Medicaid eligible/covered, individuals suffering from mental illness, individuals suffering from… more