- Prime Healthcare (Inglewood, CA)
- …Responsibilities The Senior Medicare - Medicaid Biller/Collector ... the specific payer guidelines, policies, procedures, and compliance regulations for Medicare - Medicaid . This includes maintaining the deficiency lists used to… more
- NORC (Bethesda, MD)
- Principal Research Scientist - Health Care Quality Measurement: Medicare , Medicaid , & Commercial Insurance Programs Job no: 502274 Work type: Regular Full-Time ... management + Expert knowledge of Traditional Medicare , Medicare Parts C & D, and Medicaid ..., Medicare Parts C & D, and Medicaid policy including ongoing value-based care initiatives. + Monitor… more
- CareFirst (Baltimore, MD)
- …(strategy, design, execution, and optimization) for products and plans in the Medicare , Medicaid , and Federal Employee Health Benefits categories. Leads the ... performance, forecast sales and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization of all benefits… more
- Cleveland Clinic (Cleveland, OH)
- …judgement. A qualified candidate should have the following experience: * Prepares and files Medicare and Medicaid cost reports on a timely and accurate basis * ... Prepares interim cost reports for internal reporting needs * Manages all external third party audits of information filed * Maintains current knowledge of third party regulations * Is able to use the cost reports for obtaining requested information and as an… more
- Elevance Health (Fayetteville, NC)
- …to work 1 day remote ** **Candidates already credentialed in the area(s) of Medicaid / Medicare or Healthy Blue are STRONGLY encouraged to apply** **Candidates w/a ... Skills, Capabilities and Experiences:** + Credentialed in the area(s) of Medicaid / Medicare or Healthy Blue strongly preferred. + Experience counseling… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Medicare ... will be responsible for developing a national program integrity audit strategy for Medicare health plans, including Part C and Part D, and overseeing oversight for… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare (CM), Medicare ... of the Inflation Reduction Act of 2022 (IRA) as it impacts the Medicare Prescription Drug Benefit. Responsibilities Provide expert guidance on the development of… more
- Centers for Medicare & Medicaid Services (IN)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Clinical Standards and Quality, Survey ... directing State Agencies (SAs) in the day-to-day administration of the Medicare and Medicaid certification activities and data systems for one or more types… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), Audits & ... staff across CPI and CMS components in a meaningful way on Medicare , Medicaid , and Exchange PI related issues Resolve emerging complex issues, advising… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), Division of ... Investigative Systems Management (DISM). As a Information Technology Specialist (Security), GS-2210-13, you will review, analyze, develop, publish, promote, and implement awareness of enterprise-wide HHS information technology (IT) security. Responsibilities… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Human Capital,Division of Pay and ... Benefits (DPB) . As a Human Resources Specialist (COMPENSATION), GS-0201-13, you will as principal advisor on other HR issues impacting employee pay related to the voluntary leave transfer program, employee benefits and retirements, time and attendance, etc.… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), Division of ... Stakeholder Engagement & Outreach (FCLLE). As a Lead Health Insurance Specialist, GS-0107-14, you will ensure the work assignments of others are carried out by assisting with the coordination of functions related to the development, execution, and assessment… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …This position is located in the Office of Information Technology (OIT), Centers for Medicare & Medicaid Services (CMS). As the CMS Chief Information Officer and ... Director, Office of Information Technology, you will provide executive leadership to establish and drive the realization of the Agency's Information Technology (IT) vision and strategy, which enables CMS to identify who we serve, what they need, and how best… more
- Centers for Medicare & Medicaid Services (Washington, DC)
- …position is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Legislation (OL), Office of the ... Director. As a Management Analyst, GS-0343-12, you will perform a variety of analytical assignments utilizing qualitative and quantitative analysis to review and evaluate administrative operations and management practices to improve organizational efficiency… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Information Technology,Division of ... Enterprise Architecture. As a IT Specialist (ENTARCH), GS-2210-13, you will provide technical expertise and program management in conceptualizing, creating, and continuing the Enterprise Architecture (EA) program within CMS. Responsibilities Direct the… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Human Capital (OHC), Talent Acquisition ... and Benefits Group (TABG). As a Supervisory Human Resources Specialist (Deputy Group Director/Assistant HR Officer), GS-0201-15, you will serve as the Deputy Director of the Talent Acquisition and Benefits Group under the administrative direction of the Group… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services(HHS), Centers for Medicare & Medicaid Services(CMS),Office of Human Capital, Talent Acquisition and ... Benefits Group, Division of Pay and Benefits. As a Supervisory Human Resources Specialist (Division Director), GS-0201-15, you will serve as a technical expert who establishes and maintains oversight of program metrics and reporting requirements for quality… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Human Capital, Benefits Branch. As ... a Human Resources Specialist (Employee Benefits and Compensation), GS-0201-13, you will serve as a principle advisor and recognized HR center authority on a variety of HR issues pertaining to client employee benefits and entitlements. Responsibilities Provide… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of Acquisition and Grants Management. As ... a Contract Specialist, GS-1102-11/12, you will you will be responsible for pre-award and post-award functions including price/cost analysis, negotiation, and administration for services for one or more organizations within Health & Human Services (HHS).… more
- Centers for Medicare & Medicaid Services (Baltimore, MD)
- …is located in the Office of Burden Reduction and Health Informatics, Centers for Medicare and Medicaid Services (CMS). As the Director, you will provide ... executive leadership, and direction in promoting a more seamless, interoperable and connected health system and working across the agency and with outside stakeholders to promote health system transformation to improve the delivery of care for all health care… more
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