Average salary: $66,104 /yearly
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- ...Consultant to join the Forensic Advantage team. In this full-time position, you will guide customers through the adoption of LIMS and CMS solutions, ensuring a smooth transition to the FAS platform. The role involves delivering training, building customer trust,...CmsFull timeRemote work
- ...team. Participate with in-person rounding alongside nursing facility staff to monitor and document patient behaviors in accordance with CMS guidelines. Assist with behavioral intervention n strategies to address challenging behaviors and promote positive coping mechanisms...CmsFull timeLocal areaRemote workWork from homeMonday to Friday
$223.5k - $335.5k
...comfort with public speaking and giving presentations. Preferred Qualifications Experience working for a company within the e-discovery, CMS or big data analytics industry. Solid litigation and technical acumen in e-discovery, litigation services, and/or information...CmsContract workShift work- ...quality initiatives including experience handling complex or audit sensitive retrieval scenarios required. Demonstrated knowledge of CMS, MA, and HEDIS documentation. Requirements And Compliance Standards Required Proven experience managing provider relationships, handling...CmsImmediate startRemote workRelocation
- ...interpersonal and communication skills; ability to resolve conflicts and lead a team. Advanced Microsoft Office skills; knowledge of CMS and third-party payer guidelines for home care billing; attention to detail. Ability to participate in departmental budget, quality improvement...CmsFull timeWork at officeShift workDay shift
$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$107.9k - $172.64k
...activities and processes including the accuracy and compliance of the State, Federal, and other accrediting bodies (i.e., ERISA, DOI, NCQA, CMS). Serve as primary contact for compliance and regulatory body audits related to the services under leadership purview. Ensure...CmsWork at office$18.5 - $42.35 per hour
...productivity and overall compliance Recognize and Identify coding deficiencies and exercise the appropriate action based upon compliance and CMS regulations Identify key stake holders or primary contacts within payer communities to drive more effective processes Required...CmsHourly payFull timeContract workTemporary workWork at officeLocal areaFlexible hours$126.3k - $173.7k
...analytic experiences in reporting and visualization tools Preferred Qualifications Previous experience with and knowledge around the CMS Stars and/or Risk Adjustment programs Experience with CMS Stars regulatory cycles Experience operating as part of a collaborative leadership...CmsBi-weekly payWeekly payWork from homeHome office$60.52k - $129.62k
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health(R), you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize...CmsHourly payFull timeTemporary workWork at officeLocal areaWork from homeFlexible hoursShift work$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$27 - $32 per hour
...Management, or Client Management when performance issues occur (vendors inability/failure to comply with investor/insurer procedures and/or CMS requirements). Reviews future and upcoming sales, no less than 5 days prior to scheduling of sale, to ensure all requirements are...CmsTemporary workWork experience placementImmediate startRemote workWork from home$126.3k - $173.7k
...roadmap, and performance of shopping and renewal journeys within the unsecured channel, ensuring experiences drive conversion, meet CMS regulatory standards, and reflect both customer needs and market dynamics. This leader brings a deep understanding of customer behavior...CmsFull timeTemporary workFor contractorsRemote workWork from homeHome 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$135k - $157k
...applicable market access, reimbursement, and payer coverage changes and/or trends at the customer, regional, and national levels (e.g., CMS rules and updates, payer policies and reimbursement guidelines, and Society and Government initiatives) that may impact patient...CmsWork at officeImmediate startRemote 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 workRelocation package
- ...through data analysis, writing business requirements and testing/validation of various systems. More than 2 years of experience working CMS Federal Reporting MARS, PERM, T-MSIS, Quality of Care CMS Core Measure or similar projects Understandingofclaims,recipient/...CmsRemote jobPermanent employmentH1b
- ...tuning. 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. Bachelors or...CmsPermanent employmentRemote work
- ...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
$23 - $28 per hour
...Universal Investigations' training/orientation course ~ Successful completion of all required Site Inspector training, internal and CMS-required, both initial and in-service training. PREFERRED QUALIFICATIONS (NICE TO HAVE): ~ Associate degree or higher,...CmsFull timeWork at officeLocal area- ...with data visualization tools (Power BI, Tableau, Looker Studio) Experience with email marketing platforms, social schedulers, or CMS tools. Required Education and Experience ~ Bachelor's degree in marketing, communications, data sciences/analytics or related area...CmsWork at officeMonday to FridayNight shift
$87k - $178.1k
...federal markets with Medicaid, Medicare, and other state-based directives, to also include the Centers for Medicare and Medicaid Services (CMS) and partner projects. This role will work directly with client and Oracle executive-level leaders as a primary point-of-contact for...CmsContract workTemporary workWork experience placementLocal areaRelocationFlexible hours
