CMS Certification Lead for Medicaid MES
$71.4k - $135kNTT America, Inc.
NTT America, Inc. is looking for a Senior Business Analyst in Albany, New York. The successful candidate will support client contractors in achieving CMS certification for Medicaid Enterprise Systems (MES), which involves evaluating and validating compliance with certification requirements and assisting with preparations for certification reviews. With at least eight years of relevant experience, the candidate will manage certification activities and maintain communication with key stakeholders. The position offers a competitive salary range between $71,400 and $135,000, plus benefits including medical and dental insurance. #J-18808-Ljbffr NTT America, Inc.
$71.4k - $135k
NTT DATA North America is seeking a Senior Business Analyst in Albany, New York, responsible for supporting CMS certification of Medicaid Enterprise Systems. The role demands strong expertise in business analysis, including experience in the CMS certification process and...Cms- ...looking for a Senior Business Analyst to join their team in Albany, New York. This role involves supporting contractors with CMS certification of Medicaid Enterprise Systems, ensuring they meet all compliance standards and assist in resolution of any certification issues....CmsFor contractors
$100k
...Maximus is seeking a Certification Lead to manage end-to-end certification activities, including system implementation support, audits, and... ...entities. Key Responsibilities ~Lead and oversee the project CMS certification lifecycle, including initial certification,...CmsRemote work- ...optimizing reimbursement, educating healthcare providers on documentation, and leading team initiatives. Candidates should have at least 2 years of coding experience, relevant certifications, and a commitment to ethical coding practices. #J-18808-Ljbffr Albany Medical...CmsRemote job
$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe in the power of community oncology to support patients through their journeys... ...preferred Strong knowledge of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, Managed Care preferred Strong knowledge of AR processes and billing...CmsHourly payTemporary workWork at officeLocal areaFlexible hours$71.4k - $135k
...States Overview of job: The Senior Business Analyst will support the client’s contractors with obtaining CMS certification of the Medicaid Enterprise Systems (MES). As the various MES components become operational, successful completion of the CMS Federal certification...CmsTemporary workFor contractorsWork at officeLocal areaRemote workFlexible hours- ...Agriculture and Markets is seeking a Contract Management Specialist 2 (CMS 2) in Albany, NY to oversee the contract and procurement... ...serving as the internal expert on contract matters. The position also leads staff in contract management, purchasing, and accounts payable,...CmsContract work
- ...with clients to understand their needs. The ideal candidate will have profound knowledge of Sitecore, strong leadership abilities, and problem-solving skills, and should be ready to lead teams in the implementation of complex CMS solutions. #J-18808-Ljbffr Sonsoft IncCmsFull time
- ...Senior Manager for Manufacturing Systems specializing in Siemens MES to help clients solve complex manufacturing challenges. This... ...technical advisory roles. The candidate will be responsible for leading project teams, managing Siemens relationships, and contributing...
- The New York State Department of Health seeks a senior professional to oversee Medicaid Redesign Team Supportive Housing programs, leading a team of Contract Managers and ensuring fiscal administration, procurement, and compliance. You will influence policy development,...Contract work
- Humana Inc. is seeking a Principal in Medicaid Medical Economics & Cost Management to translate insights into disciplined execution across... ..., behavioral health, and pharmacy cost initiatives. You will lead cost management strategies, partner with Finance, and drive data...Remote work
- ...guidelines, coding clinic determinations, and CMS and other regulatory compliance... ...adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.... ..., and coding terminology. Coding Certification is to be maintained as a condition of employment...CmsWork experience placement
- The New York State Department of Health is seeking a Medicaid Eligibility Examiner 2 to support the Division of Eligibility and Marketplace Integration. Responsibilities include reviewing TPHI data, updating MMIS, handling TPL inquiries, and conducting outreach to consumers...Work at office
- The New York State Department of Health is seeking a Medicaid Eligibility Examiner 2 in Albany. This role involves supervising a team, ensuring compliance with regulations while managing critical deadlines and workloads. Candidates should have extensive experience in health...Work at office
$70.1k - $115k
...Consulting Group LLC (PCG) is a leading public sector solutions... ...agencies, preferably Medicaid agencies. Familiarity... ...Enterprise Systems (MES) and Medicaid... ...oversight expectations, and CMS reporting artifacts. Experience... ...work experience Certification: Project Management...CmsFor contractorsWork experience placementH1bWork at officeLocal areaFlexible hours- ...workflow, test scripts, and training documentation. Ensure compliance with CMS, Medicaid, Medicare, and HIPAA regulations. Required Skills & Qualifications: ~ Epic Tapestry certification or proficiency (required or strongly preferred). ~3+ years of experience...Cms
- ...optimization, upgrade, and go-live activities. Ensure compliance with HIPAA, CMS, Medicare, Medicaid, and healthcare payer regulations. Required Qualifications ~ Epic Tapestry Certification required (Claims, Membership, Enrollment & Eligibility, CRM, Utilization...Cms
$100k - $231.54k
...etc. This individual will be responsible for partnering with and leading engagement across Compliance and Regulatory Affairs to... ...documented recruitment efforts Respond to market conduct exams, CMS audits, DOI exams, accreditation reviews (e.g., NCQA), and ad hoc...CmsWork experience placementWork at officeLocal area$59.07k - $88.6k
...oriented and efficient while maintaining productivity. Coding certification / credential through AHIMA or AAPC and be in good standing. -... .../PCS, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. Support the...CmsRemote workShift work- ...Development team in Albany, New York. This daytime role includes responsibilities such as onboarding new staff, teaching BLS and other certifications, and developing evidence-based learning. The ideal candidate will possess a Bachelor's degree in nursing, be licensed as a...
- ...'s degree in HIM or related field preferred Licensure, Certification & Registration ~ RHIA, RHIT preferred. Experience... ...Centered Medical Home (PCMH) and Centers for Medicare and Medicaid Services (CMS) quality measures. Skills, Knowledge & Abilities Ability...CmsFlexible hours
$35 - $45 per hour
...perform coding audits using ICD-10-CM, CPT, and HCPCS. The role requires 5+ years of coding/auditing experience, mandatory CPC certification, and an emphasis on customer service and organizational skills. The position is fully remote, offering a salary range of $35—$45...CmsRemote jobHourly pay$19.39 per hour
...around time requirements associated with DPW/CMS regulations. Take necessary steps to... ...Associate degree Pharmacy technician certification certificate Experience working in a... ...must be familiar with multiple Medicaid drug benefit design offerings and rules/...CmsFor contractorsLocal area$27.02 - $41.85 per hour
...terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (... ...5 years HCC coding and/or coding and billing Licenses or Certifications Required: Certified Professional Coder (CPC), Certified...CmsWork at officeLocal areaRemote workFlexible hours$31.02 per hour
...management skills 1 year in a leadership type role or a similar role in oversight of staff and/or processes Professional Coding Certification Pay Range Minimum: $31.02 Maximum: $48.54 Highmark Health and its affiliates prohibit discrimination against qualified...CmsFor contractorsLocal areaImmediate start$15 - $24 per hour
...items. EDUCATION AND LICENSES: * High School diploma or G.E.D. required. * Must meet Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification requirements within the required state or CMS timeline. * All appropriate state licensure, education...CmsHourly payWork experience placementImmediate start- Humana Inc. seeks a Principal, Medicaid Product Marketing to lead the development of marketing strategies for Medicaid and the Healthy Horizons brand. This role focuses on resonant, compliant messaging across diverse populations and drives awareness, engagement, and trust...
- ...and DRG grouping. Applicants must have 5 years of coding experience and at least 1 year as a coding auditor, plus one of several certifications (RHIA, RHIT, CCS, CCS-P, CPC, COC, CIC, CIRCC). We value strong communication and collaboration with Clinical Documentation...Cms
- ...supervision and direction of a Team Lead, the AHCMSA will serve as... ...and/or monitoring of federal Medicaid services to the federal... ...Medicare & Medicaid Services (CMS). Qualifications Minimum Qualifications... ...development, reporting, and certification of quarterly Medicaid...CmsPermanent employmentTemporary workWork experience placementWork at officeImmediate startVisa sponsorshipShift work
- ...ALARA standards. The incumbent will oversee image quality, supervise staff, and coordinate with PACS and training of students and new personnel. AAS in Radiologic Technology, NYS license, and ARRT certification are required. #J-18808-Ljbffr St. Peter's Health PartnersDay shift
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