Average salary: $66,104 /yearly
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- ...A healthcare company is seeking a Medical Director to oversee compliance with CMS Medicare Guidance and review healthcare services for Medicare and Medicaid members. Responsibilities include determining medical necessity, ensuring regulatory compliance, and identifying...CmsWork at officeRemote work
$94k - $160k
...Therapeutics is seeking a Senior Program Manager to lead core programs such as interoperability projects and ensure compliance with CMS requirements. The ideal candidate will possess a Bachelor’s degree and 5 years of relevant healthcare experience. The role requires critical...CmsWork at officeRemote work- ...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...CmsFull timePart timeRemote workWork from homeFlexible hours
- ...Actively participate in infection control, quality assurance, and performance improvement initiatives in alignment with KDADS and CMS standards Respond to changes in resident condition, including urgent and emergent situations, utilizing sound clinical judgment and...CmsFull timeRelocation packageNight shift
- ...residents, families, and members of the interdisciplinary care team Adhere strictly to all facility policies, KDADS regulations, CMS guidelines, and infection prevention protocols Qualifications Active Certified Nursing Assistant (CNA) certification in the...CmsLocal area
- ...performance management Assist with scheduling, staffing coordination, and addressing call-ins as needed Ensure compliance with all CMS, state, and facility regulations and policies Participate in quality assurance and performance improvement (QAPI) initiatives...CmsNight shift
- ...future clients ~ Ability to work within national coalitions to effectively advocate for payment reform,qualityand health equity at CMS/CMMI, within professional organizations and guilds, and across health plan partners. Experience we look for: ~ MD, DOboard certification...CmsWork at officeImmediate startRemote work
- .... • 3+ years of experience working with State Medicaid and CHIP agencies or equivalent healthcare payer • Basic understanding of CMS reporting requirements for Medicaid • Strong communication skills and ability to work directly with clients. • Bachelor’s or advanced...CmsPermanent employmentRemote work
$94k - $160k
...responsible for driving enterprise-wide alignment on interoperability requirements mandated by the Centers for Medicare & Medicaid Services (CMS) and ensuring organizational compliance with CMS interoperability mandates.ResponsibilitiesDevelop, execute, and lead operational...CmsWork experience placementWork at officeLocal areaRemote workVisa sponsorshipWork visa- ...Analytics • PMP or CBIP certification; Agile/Scrum experience • Experience with Medicaid programs, MMIS, and federal reporting (e.g., CMS 64, T-MSIS) • Familiarity with tools such as Teradata, Informatica, SAS, Business Objects, and Microsoft Project • Experience...CmsContract workRemote work
$72.7k
...compliance with business process requirements, regulatory requirements, and accreditation standards. Maintain current knowledge and adhere to CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management, including those published...CmsTemporary workWork at officeLocal areaRemote work$170 - $175 per hour
...concise rationales for members and provider determination notifications while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.) Ensure that all aspects of the medical management process are consistent with community standards...CmsHourly payFull timePrivate practiceWork at officeLocal areaRemote workWorldwide- ...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...CmsImmediate start
$22.3 - $28.8 per hour
What Revenue Cycle Management (RCM) contributes to Cardinal Health Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series of clinical and administrative...CmsHourly payTemporary workLocal areaImmediate startFlexible hours$57.7k
...business process requirements, regulatory requirements and accreditation standards. Maintain current knowledge and adheres to applicable CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management including those published...CmsTemporary workFor contractorsWork at officeLocal areaRemote work- ...verify data in daily, weekly, and monthly reports; follow up on discrepancies as needed Maintain and update case management systems (CMS) to ensure records are current and accurate Assist with file preparation and reconciliation for DCF audits Support team...CmsContract work
- ...CMA), or Phlebotomy certification. DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through...CmsMinimum wageFlexible hoursShift workWeekend workDay shiftAfternoon shift
$223.8k - $313.1k
...All work occurs within a context of regulatory compliance, and diverse resources assist work, including national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical...CmsBi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome office$48.3k - $65.9k
Overview Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator...CmsBi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome officeMonday to Friday$165k
...patterns aligned to healthcare regulations and state Medicaid requirements Architect solutions that support regulatory reporting (CMS, state-specific submissions, encounters, T-MSIS, quality measures) Partner with business, compliance, and analytics teams to translate...CmsRemote work$223.8k - $313.1k
...occurs with a context of regulatory compliance. 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. You will...CmsBi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome office$60.8k - $82.9k
...trends. Provide actionable insights to leadership for decision-making. Compliance & Quality Assurance: Ensure systems align with CMS, HIPAA, and payer requirements. Respond to internal and external audit and data requests. Support staff with system use and...CmsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office$223.8k - $313.1k
...Role Overview Perform expert clinical review of inpatient medical records, assessing medical necessity based on national guidelines, CMS regulations, Humana policies, and recognized clinical standards. Analyze complex hospital-based cases and deliver clear, well-reasoned...CmsBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work- ...on reliability, performance, and simplicity. Work across Frontend (TypeScript, Next.js, React), Backend (Node.js, TypeScript), and CMS (WordPress, PHP) technologies. Collaborate with product managers, designers, and external development teams to develop and execute...CmsHourly payContract workWork experience placementLocal areaRemote workWeekend work
- Job Description Job Description Description: Davenergy Solutions is a rapidly growing, profitable company headquartered in San Diego, CA. Our employees are the key to maintaining our competitive edge. To attract and retain the best industry talent, Davenergy Solutions...CmsFull timeContract workTemporary workFor contractorsWork at officeLocal area
- Position Description & Qualifications The Army PPB BOS program is seeking a CM Specialist to deliver cloud-based configuration management, DevSecOps, and release engineering activities to support the enterprise systems. Serco supports the US Army as the prime for...CmsFull timeContract workPart timeLocal areaFlexible hours
$97.5k - $199.5k
Job Description Serve as Oracle's PMO Lead providing governance and oversight to the Developer-led program and GC delivery. Own the PMO cadence, integrated schedule alignment, and risk/change governance for Oracle's interests, ensuring Oracle-specific gates-standards...CmsTemporary workFlexible hours$100k - $130k
Job Description Job Description Job Title: CM-Mechanical Engineer (CM-ME) Location: Colmery-O'Neil Veterans' Administration Medical Center located at 2200 SW Gage Blvd, Topeka, KS 66622 Project Name: VISN 15 Non-Recurring Maintenance (NRM) Infrastructure Upgrades...CmsContract workFor contractorsRelocation$142.9k - $178.6k
...orchestration tools (SFMC, Google Marketing Suite, Marketo, HubSpot). Experience with customer data platforms (Salesforce CDP, Adobe RT-CDP), CMS platforms, and digital/social execution tools. Ability to design omnichannel KPI frameworks and develop automated dashboards to...CmsWork at officeRemote workWorldwideFlexible hours- ...coding MDS A-Z. Work closely with SNF clinical team to research, code and lock assessments. Be able to batch and transmit MDS to CMS. Perform weekly MDS ARD audits for upcoming ARD’s in order to communicate concerns with missing information necessary to code MDS...Cms

