- VNS Health (Brooklyn, NY)
- …findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted. Collaborates with patients, families, ... Home and associated managed care plans required Maintains NPI, Medicaid and Medicare provider numbers preferred Maintains a collaborative practice agreement with a… more
- CVS Health (Pierre, SD)
- …sales talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a ... specialized team who will focus on educating existing Medicare members on available plan offerings to help meet their specific healthcare needs. This role is ideal… more
- Commonwealth Care Alliance (Boston, MA)
- …This role will ensure that the applicable edits are compliant with applicable Medicare and Massachusetts Medicaid regulations. The role will also be responsible for ... necessary on all new and revised coding logic, related Medicare /Medicaid policies for review/approval through the Payment Integrity governance...to have the one or all of the required certification OR willing to get certified within 1 year… more
- Ochsner Health (New Orleans, LA)
- …Healthcare Research Compliance (CHRC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or related certification . **Knowledge Skills and ... in applying and improving compliance policies, procedures and processes. Perform Medicare Coverage Analysis (MCA) for sponsored research projects. Configure studies… more
- Southeast Health (Dothan, AL)
- …Using internal and external computer systems and payer portals, work traditional Medicare and Medicare Advantage/Replacement inventory to full resolution. Job ... to obtain accurate reimbursement; + Understands the use of and navigation of Medicare 's DDE system and other governmental and commercial payer websites for claim… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Syracuse Inc. (UUMAS) is seeking a Registered Nurse (RN), or Certified Nurse Specialist (CNS), to coordinate and conduct Medicare Annual Wellness Visits (AWVs) ... Primary Care clinic Medical Directors and Nurse Leadership. Duties/Responsibilities: Identify Medicare patients overdue for their Medicare Annual Wellness Visit… more
- Louisiana Department of State Civil Service (LA)
- Medical Certification Specialist 1 - 2 (Field Office 3) Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5060748) Apply Medical ... Certification Specialist 1 - 2 (Field Office...to determine compliance with state and federal regulations, including Medicare and Medicaid standards. + Review facility records, policies,… more
- New York State Civil Service (Buffalo, NY)
- NY HELP No Agency Mental Health, Office of Title Medical Specialist 3, Buffalo Psychiatric Center, P27054 Occupational Category Administrative or General Management ... NY Zip Code 14213 Duties Description As a Medical Specialist 3, you would serve as chief of service;...for full and unconditional participation in the Medicaid and Medicare programs.OROpen Competitive:Possession of a license to practice medicine… more
- Penn Medicine (Lancaster, PA)
- … Specialist license is required, issued by the PA Board of Nursing License + Certification as a Clinical Nurse Specialist from a National Certifying Body + ... in the area of specialty + Current enrollment in an accredited Clinical Nurse Specialist degree program qualifying them for certification and licensure in the… more
- University of Southern California (Alhambra, CA)
- As the center of clinical charge capture, the Revenue Integrity (RI) Specialist provides leadership to the daily CDM maintenance workflow between the various ... the standard policy for maintaining the CDM. The RI Specialist is responsible for the timely and accurate synchronization...provided. This includes ensuring all annual updates required by Medicare and other third-party payers are up to date.… more
- New York State Civil Service (Thiells, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 ... Code 10984 Duties Description Primary Duties and ResponsibilitiesAs a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- University of Colorado (Aurora, CO)
- …as Medicaid or Medicare , or other resources available to patients. + Possess certification as a Colorado Peer and Family Specialist (CPFS), or another Peer ... the training already. + The employee must obtain the Colorado Peer and Family Specialist (CPFS) certification within 6 months of hire date ( certification … more
- New York State Civil Service (Brooklyn, NY)
- NY HELP Yes Agency Mental Health, Office of Title Medical Specialist 2 (NY HELPS), Kingsboro Psychiatric Center - Outpatient, P26760 Occupational Category Health ... is recruiting a physician to serve as a Medical Specialist 2. Candidates from outside or within State Service...to practice medicine in New York State and have certification by Member Board of the American Board of… more
- New York State Civil Service (Schenectady, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38 ... NY 12304 OR 200 Smith DriveCorinth, NY 12822The Medical Specialist 2 provides primary medical care, working in collaboration...on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal… more
- New York State Civil Service (Rochester, NY)
- …Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 1 Occupational Category Health Care, Human/Social Services Salary Grade 35 ... Code 14620 Duties Description Primary Duties and Responsibilities:As a Medical Specialist , you would actively participate in diagnosing and treating patients within… more
- Masonicare (Wallingford, CT)
- Clinical Assessment Specialist (DAY SHIFT) Job Location: Wallingford Center, Connecticut Clinical Assessment Specialist (DAY SHIFT) 40 hrs/wk Day Shift Summary ... development and implementation of a comprehensive care plan. 4. Oversees compliance with Medicare Certifications for all Medicare A / PPS patients/residents on… more
- New York State Civil Service (Bellerose, NY)
- NY HELP No Agency Mental Health, Office of Title Medical Specialist 2 (NY HELPS), New York City Children's Center - Bronx Campus, P27060 Occupational Category Health ... is recruiting a physician to serve as a Medical Specialist 2 at its Bronx Campus. Candidates from outside...to practice medicine in New York State and have certification by Member Board of the American Board of… more
- New York State Civil Service (Staten Island, NY)
- NY HELP Yes Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 (Geneticist) - IBR EOA # 2025-28 Occupational Category Health Care, ... on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal...employment.Loss of your license or limited permit or board certification in New York State or failure to maintain… more
- City and County of San Francisco (San Francisco, CA)
- …required documentation for credentialing + Possess a valid third-party billable provider certification (such as Medicare , Medi-Cal, and/or private insurance) OR ... health and substance use treatment services. Duties Include + Experienced Specialist Representative/Consultant of the specialty program or service including, but not… more
- New York State Civil Service (Wassaic, NY)
- …Agency People With Developmental Disabilities, Office for Title Human Resources Specialist Trainee / 1 Occupational Category Administrative or General Management ... State NY Zip Code 12592 Duties Description Under the direction of a Human Resources Specialist 2, the Human Resources Specialist 1 (HR Spec 1) will perform… more
