Average salary: $125,000 /yearly

More stats
Get new jobs by email

  • MTM Pharmacist

     ...telephonic or video MTM sessions for Medicare and commercial patients. Document clinical interventions and CMRs in compliance with CMS standards. Identify and resolve medication-related problems and adherence barriers. Qualifications: PharmD and MTM... 
    Cms
    Full time
    Part time
    Remote work
    Work from home
    Flexible hours

    Pharmacy Careers

    Wilmington, DE
    3 days ago

  • Pharmacist (PT)

     ...duties related to Medication Regimen Reviews Regulatory & Compliance Ensure compliance with LTC regulations (Medicare/Medicaid, CMS, DEA, State Board of Pharmacy). Maintain accurate records for CII-CV medications, perpetuals, and emergency kits. Oversee... 
    Cms
    Relief

    Chesapeake Regional Pharmacy Services

    Wilmington, DE
    1 day ago

  • AEM Developer

     ...components ready to support sites with enterprise-level availability and high traffic. - Diagnose and solve technical problems related to the CMS implementation. - Work with members of different teams diagnosing, debugging, and upgrading complex systems, and participating in... 
    Cms

    Zortech Solutions

    Wilmington, DE
    5 days ago

  • RN - Clinical Documentation Specialist - Day Shift

    $85.86k - $137.38k

     ...nursing principles, practices, and processes. Knowledge of ICD-10 nomenclature, UHDDS and general coding principles. Knowledge of CMS, JCAHO and external regulatory and quality requirements.   Knowledge and ability to comply with the Health Insurance Portability and... 
    Cms
    Work at office
    Local area
    Shift work
    Day shift

    ChristianaCare

    Newark, DE
    3 days ago

  • Otolaryngology Physician

     ...care across Maryland and Delaware. Our flagship, TidalHealth Peninsula Regional, is a 250 Best Hospital in the nation and a five-star CMS-rated facility. Life on the Eastern Shore • Minutes from coastal beaches • Family-friendly towns with low cost of living • Great... 
    Cms
    Full time
    Relocation package
    Monday to Friday

    TidalHealth

    Millsboro, DE
    4 days ago

  • Registered Nurse (RN) - OR - Operating Room

     ...Room Registered Nurse (OR RN) – Staff Position/ Full-time Join one of the Top 5% of hospitals in the U.S. (Healthgrades) and a CMS Five-Star rated health system. This opportunity offers an exceptional environment for professional growth with comprehensive... 
    Cms
    Permanent employment
    Full time
    Work from home
    Flexible hours
    Shift work
    Night shift
    Weekend work
    Day shift
    Afternoon shift

    Medical Solutions Direct Hire

    Bethel, DE
    27 days ago

  • RN Case Manager - Acute Care - Weekender - Day Shift - 10K Sign-on Bonus

    $35 per hour

     ...National Patient Safety Goals and JCAHO ongoing readiness efforts. Assist with data collection and implementation of action plans for CMS, JCAHO, and AHA Quality Initiatives as well as CCHS-defined measures. About Us Christiana Care is one of the country’s most... 
    Cms
    Price work
    Local area
    Relocation package
    Shift work
    Rotating shift
    Weekend work
    Day shift
    Afternoon shift

    ChristianaCare

    Newark, DE
    6 days ago

  • Executive Director / Nursing Home Administrator (Wilmington)

    $155k - $180k

     ...compliance. Regulatory Compliance & Risk Management Ensure compliance with all federal, state, and local longterm care regulations (CMS, state licensing, OSHA). Lead survey readiness efforts and manage regulatory inspections and audits. Oversee risk management,... 
    Cms
    Full time
    Local area

    GHR Healthcare

    Wilmington, DE
    7 days ago

  • Construction Management Representative

    Construction Management Representative We are seeking a dedicated and experienced Construction Management Representative (CM Rep) to oversee and represent the Owner on construction sites. The ideal candidate will ensure that all aspects of the project are executed effectively...
    Cms
    Contract work

    Delaware Staffing

    Newark, DE
    3 days ago

  • EDI Analyst

     ...experience with X12 transactions • 1 year of experience with federal data or projects (including but not limited to agencies such as CMS, IRS, DOD, VA, SSA or another federal agency) • Knowledge of the Affordable Care Act • Project management experience • Experience with... 
    Cms
    Contract work
    Work at office

    ASM Research, An Accenture Federal Services Company

    Dover, DE
    2 days ago

  • Patient Assessment Coordinator - PRN Days| Dover Rehab

     ...collection on the IRF/PAI, ensures the presence of supporting documentation, and provides staff education to ensure compliance with CMS guidelines. The Coordinator assumes the task of reviewing each IRF/PAI form completely, accurately, and timely. He or she also monitors... 
    Cms
    Relief
    Local area
    Immediate start
    Flexible hours

    PAM Health Rehabilitation Hospital of Dover

    Dover, DE
    4 days ago

  • Patient Care Technician - PCT

     ...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... 
    Cms
    Immediate start

    Fresenius Medical Care

    Wilmington, DE
    4 days ago

  • CM Material Planner/Asset Scheduler

    At DuPont, our purpose is to empower the world with essential innovations to thrive. We work on things that matter. Whether it's providing clean water to more than a billion people on the planet, producing materials that are essential in everyday technology devices from...
    Cms
    Contract work
    Flexible hours

    DuPont

    Newark, DE
    3 days ago

  • Outpatient Registered Nurse - RN

    ~ America's 'Most Loved Workplaces' by Newsweek ~ Major holidays off! ~ No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator ~70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis...
    Cms

    Fresenius Medical Care

    Dover, DE
    2 days ago

  • Contract Support and RCM Analyst - Independent Contractor

    $65 - $70 per hour

    Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000 professionals throughout...
    Cms
    Contract work
    For contractors
    H1b
    Local area
    Remote work

    Public Consulting Group

    Dover, DE
    2 days ago

  • Compliance Audit Manager

     ...define audit priorities based on previous audit findings, management priorities, coding utilization patterns, national normative data, CMS and CCI initiatives, OIG work plans and advisories as well as healthcare industry best-practices. Develops and implements... 
    Cms
    Temporary work
    Local area
    Immediate start
    Flexible hours

    Nashville Staffing

    Dover, DE
    1 day ago

  • RN Health Care Facility Surveyor Delaware

    $75k - $90k

     ...JOB TITLE (#1145): RN Health Care Facility Surveyor - Delaware CMS’s Long-Term Care Basic Training and SMQT certification are required Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement... 
    Cms
    Full time
    Work at office
    Immediate start
    Remote work
    Monday to Friday
    Flexible hours

    Impact Recruiting Solution

    Bear, DE
    3 days ago

  • Pharmacist

    $5,000 per month

     ...pharmacist license in the state of practice Knowledge of drug therapy guidelines, medication safety practices, and regulatory standards (CMS, DEA, FDA). Proficiency in electronic medical records and pharmacy information systems Strong clinical judgement, and effective... 
    Cms
    Part time
    Local area
    Flexible hours
    Shift work
    Weekend work
    2 days per week
    3 days per week
    Weekday work

    BrightSpring Health Services

    Newark, DE
    2 days ago

  • Medical Director, Medical Policy

    $170k

     ...to developing new policies, the incumbent ensures all existing medical policies, in their scope, are in accordance with NCQA and/or CMS requirements. The incumbent may be required to address escalated inquiries brought forward by internal/external partners. Conducts peer... 
    Cms
    For contractors
    Work at office
    Local area
    Remote work

    Highmark Health

    Dover, DE
    5 days ago

  • Compliance Auditor

    $68.16k - $109.05k

     ...of audits to investigate and monitor compliance with federal and state laws, as well as Centers for Medicare and Medicaid Services (CMS) regulations, billing, coding and medical necessity documentation guidelines, and HIPAA Privacy standards. They perform financial, operational... 
    Cms
    Work at office
    Local area

    Christiana Care Health System

    Wilmington, DE
    4 days ago

  • Crane Maintenance Supervisor

     ...standards Coordinate with terminal operations to minimize equipment downtime Manage parts inventory and procurement Maintain CMS records and report KPIs Support technician training and career development Drive continuous improvement in maintenance... 
    Cms
    Full time
    Shift work
    Weekend work
    Day shift

    ENSTRUCTURE LLC

    Wilmington, DE
    21 days ago

  • Inpatient Audit Specialist FT - Sign on Bonus

    $35 - $45 per hour

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network...
    Cms
    Hourly pay
    Full time
    Interim role
    Remote work
    Relocation package
    Flexible hours

    Datavant

    Dover, DE
    4 hours ago

  • Patient Access Specialist I

     ...authorization issues. 7. As appropriate, completes Medicare Secondary Payer questionnaire without errors to support compliance with CMS policies. 8. Perform point of service collections: Responsible for meeting monthly collection goals, having financial conversations... 
    Cms
    Daily paid
    Zero hours contract
    Work at office
    Shift work
    Weekend work

    Bayhealth

    Dover, DE
    2 days ago

  • Senior Lead Platform Engineer (Global Payment Network)

    $175.5k - $200.3k

    Senior Lead Platform Engineer (Global Payment Network) Do you love building and pioneering in the technology space? Do you enjoy solving complex technical problems in a fast-paced, collaborative, inclusive, and iterative delivery environment? At Capital One, you'll be ...
    Cms
    Full time
    Part time
    H1b
    Local area

    Capital One

    Dover, DE
    1 day ago

  • Chief Nursing Officer

     ...holding staff accountable, motivating the team, and taking charge of measurement and assessment. Implement Joint Commission, CMS, State, rehabilitation nursing, and hospital standards. Utilize a staffing matrix that factors in patient acuity and adjusts... 
    Cms
    Full time
    Part time
    Flexible hours
    Night shift
    Weekend work
    Day shift
    Afternoon shift
    Weekday work

    Encompass Health Rehabilitation Hospital of Salisbury

    Selbyville, DE
    4 hours ago

  • Transplant Care Nurse (Remote)

    $57.7k

    Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over a specified panel of members that range in health status/severity...
    Cms
    Temporary work
    For contractors
    Work at office
    Local area
    Remote work
    Flexible hours

    Highmark Health

    Dover, DE
    3 days ago

  • Medical Director - IP Claims Management

    $223.8k - $313.1k

     ...within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS and state policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources.... 
    Cms
    Full time
    Temporary work
    Apprenticeship
    Remote work

    Humana, Inc.

    Dover, DE
    3 days ago

  • Medical Director - Nat’l UM IP (4x10 hr)

    $223.8k - $313.1k

     ...occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical... 
    Cms
    Full time
    Temporary work
    Apprenticeship
    Remote work

    Humana

    Dover, DE
    4 days ago

  • Risk Adjustment - Risk Management Lead

    $104k - $143k

     ...Risk Adjustment knowledge Experience with risk adjustment provider data and reporting Auditing experience Familiarity with CMS Reimbursement models and claims/encounter submission processes Data analysis and dashboarding experience People leadership experience... 
    Cms
    Full time
    Temporary work
    For contractors
    Remote work
    Work from home
    Home office

    Humana

    Dover, DE
    3 days ago

  • Audit & Reimbursement II

    $53.58k - $88.83k

     ...will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services). Under guided supervision, the Audit and Reimbursement II will gain experience... 
    Cms
    Full time
    Contract work
    Temporary work
    Work experience placement
    Work at office
    Local area
    1 day per week

    Elevance Health

    Wilmington, DE
    4 hours ago