Average salary: $75,411 /yearly
More statsSearch Results: 40 vacancies
...operationally efficient and cost-effective programs and drive results across internal teams and/or external vendors.Extensive knowledge of CMS and state regulatory requirements and demonstrated ability to manage compliant operations. NCQA, URAC and/or HEDIS accreditation...
Cms
Full time
Remote job
...adolescents, Military Service Members and Veterans.
This opening is following guidance set forth in the Centers for Medicare & Medicaid (CMS) Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule - The Company will require full COVID 19 vaccination before...
Cms
Hourly pay
Holiday work
Full time
Part time
Interim role
...Lightning Web Components Knowledge of the Aura and LWR runtimes Working knowledge of working with Salesforce’s content management system (CMS) and third-party CMSs Experience with platform security capabilities (TLS, SSL) as well as LWS, CSP, and CORS Understanding of data...
Cms
Holiday work
Temporary work
Local area
...guidelines. Obtains additional necessary information by interviewing the patient/family/significant other (SO). Assesses patient/member per CMS Condition of Participation (COP) or National Clinical Quality Association (NCQA) standards. Ensures a plan of care is developed and...
Cms
Hourly pay
Full time
Relocation bonus
Flexible hours
Shift work
...modernization efforts. They will manage the Associate, Global Site Experience and Digital Optimization responsible for managing SEO, CMS, Trend and Content Analysis.
Responsibilities:
Marketing / Merchandising Strategy
Own Global online calendar of new product...
Cms
Holiday work
Full time
Local area
Shift work
Day shift
...licenses, and adherence to rules and guidelines set forth by applicable regulatory agencies. (OSHA, EPA, The Joint Commission, DNV, CMS, etc.)
Assures current records of all maintenance procedures are kept as required to meet all applicable codes and standards.
Maintains...
Cms
Contract work
Work experience placement
Remote job
...communication link between the patients, staff, physicians, hospital departments or other outside health care entities. Ensures compliance to CMS requirements for communication to families and donors. Develops and maintains systems for data management to meet requirements and...
Cms
Hourly pay
Flexible hours
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...utilization management and case management techniques.
Working understanding of coding or utilization management criteria (i.e., InterQual, CMS manual).
Ability to work independently, be self-motivated, have a positive attitude, and be flexible in a rapidly changing...
Cms
Hourly pay
Local area
Remote job
Flexible hours
Shift work
Day shift
Monday to Friday
....
Complete additional projects and duties as directed.
You Have:
~ Minimum of 10 years of experience in management of a Bank CMS Program.
~3+ years of experience in program or project management within a finance function.
~ Experience in a bank environment is...
Cms
Holiday work
Full time
Temporary work
Remote job
Relocation bonus
Flexible hours
...pharmacy/provider service medication reimbursement.
Knowledge of health plan and benefit design structures and application, Medicare/CMS regulations and applicability in administering the Medicare Product, and health care coding and payment systems (such as ICD-9, CPT,...
Cms
Holiday work
Remote job
Work from home
...GreenLight is preferred.
~ Proficient in contract law and contract negotiations.
~ Experience working in Salesforce.com or other CRM/CMS is required.
~7+ years of experience administering/managing sales contracts full life cycle is required.
~ Excellent written...
Cms
Holiday work
Full time
Contract work
Temporary work
Local area
Remote job
...Experience
~ Experience in ERP System as a manager - Experience with Epicore in a plus.
~ Experience in Salesforce or other CRM/CMS.
~ Experience in working at a senior management team level to develop corporate strategies.
~ Experience in Customer Care strategies...
Cms
Holiday work
Full time
Temporary work
Local area
Remote job
...physician practices including CPT, HCPCS, & ICD-10
Extensive coding experience in multiple specialties
Extensive knowledge of AMA, OIG, CMS and other national coding and compliance guidelines
Experience developing and delivering training material, PowerPoint...
Cms
Holiday work
Remote job
...documentation requirements related to regulatory and reimbursement rules and regulations, and health insurance processing.
Knowledge of CMS, AMA, and AHA coding and billing guidelines.
Demonstrated proficiency in computer software. (e.g., Microsoft Word and Excel)....
Cms
Hourly pay
Holiday work
Full time
Part time
Monday to Friday
...to identify the root cause of issues identified.
Assist in the overall implementation of the Bank’s Compliance Management System (CMS) and in the development of an overall compliance testing plan.
Stay abreast of federal and state regulatory changes. Report such changes...
Cms
...Respond to detailed questions from patients and payers regarding claims or account status
Maintain knowledge of all third party and CMS reimbursement requirements.
Participate in a billing and collection related meetings to discuss new and on-going account...
Cms
Local area
...Willingness to learn or display knowledge of the Adobe CS suites, Microsoft Office products, Point of Sale, Counter Manifest System (CMS), other technology on site.
Greeting customers in a timely manner (5 seconds)
Creating an atmosphere that is fun and welcoming...
Cms
Full time
Part time
...application of InterQual Criteria, knowledge of ICD-9, DRG's and CPT Codes.
Utilization Review Certification designation.
Knowledge of CMS Regulations.
Working Conditions and Physical Demands
Employee must be able to meet the following requirements with or without...
Cms
Holiday work
Full time
Temporary work
Shift work
...and allied health professional staff to ensure compliance with the Medical Staff Bylaws, Centers for Medicare and Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), URAC, as well as State regulatory requirements and all other accreditation requirements...
Cms
Full time
Temporary work
Shift work
...Certified by the State Department of Health Services.
Successful completion of a State-established or other training program that meets CMS requirements (484.36(a)) and a competency evaluation program or State licensure program that meets CMS requirements (484.36(b) or (e)...
Cms
Part time
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