Average salary: $110,119 /yearly
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$252k - $302k
...facilities - Inpatient rehabilitation facilities - Long-term care hospitalsCollaborate with interdisciplinary clinical teams and adhere to CMS guidelinesCoordinate care transitions with hospice, palliative care, and home care agenciesEnsure timely and accurate documentation...CmsFull timeLocal areaRelocation packageNight shiftSource Medical, LLC.
Worcester, MA18 days ago$60k - $90k
...and the importance of medication adherence Provide counseling and emotional support to patients and their families Knowledge of CMS Regulations and NCQA HEDIS Guidelines Document accurate medical records to ensure compliance with OSHA and Government regulations...CmsPart time2 days per weekMedElite Group, LLC.
Worcester, MA12 days ago- Position Summary: As an integral member of the care management team the Behavioral Health (BH) Care Manager (CM) will have the opportunity to make a profound impact on the lives of individuals living with complex and/ or chronic Behavioral Health conditions, many ...CmsMonday to Friday
Family Health Center
Worcester, MA3 days ago - ...admissions, rounding, and ongoing follow-up visits Partner with physicians, PAs and NPs to deliver team-based, coordinated care Ensure CMS compliance while maintaining a patient-first approach Build meaningful relationships with patients, families, and facility partners...CmsFull time
Integrity Medical Post Acute Specialists
Worcester, MA2 days ago - ...will have at least 7 years in risk adjustment, strong analytical skills, and proficiency in SQL and data tools like Power BI. The position emphasizes leadership in analytics and program execution while ensuring compliance with CMS regulations. #J-18808-Ljbffr MassadvantageCms
$21.19 - $38.13 per hour
UMass Memorial Health in Worcester, Massachusetts is hiring for a non-exempt coding position. The role involves analyzing medical records and assigning appropriate ICD-CM and CPT codes. Candidates should possess a high school diploma; certification in medical coding is ...CmsRelocation packageDay shift$285k - $310k
...Collaborate with SE team in meeting related utilization metric and MLR goals Regulatory compliance Ensure compliance with all CMS physician services requirements for SNFs, including required visit frequency, supervision requirements, medical oversight, and...CmsLocal areaMonday to FridayFlexible hoursFallon Health
Worcester, MA2 days ago- ...the position and are in the best interests of the organization. To complete compliant and medically necessary documentation from CMS expectations in NetHealth EMR systems Education & Requirements: Minimum of Bachelor of Science Degree in Physical Therapy from...CmsFull timeTemporary workPart timeReliefLocal area
Evolve Therapy
Worcester, MA1 day ago - ...Conduct 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 certification...CmsFull timePart timeRemote workWork from homeFlexible hours
- ...trends, and time-to-payment • Developing dashboards and reporting to drive visibility and performance • Maintaining deep expertise in CMS regulations and payer policy changes • Translating reimbursement updates into operational guidance for partner billing teams •...CmsRemote work
Hartmann Young
Worcester, MA2 days ago - Job Description Job Description ABOUT THE COMPANY Playa Bowls is New Jerseys Original Acai Shop, and our mission is to serve the highest quality, innovative products to support healthier lifestyles and inspire a world of fun, excitement, and togetherness. At Playa...CmsContract workFor contractorsCasual workWork at officeLocal areaRemote work
Playa Bowls
Worcester, MA7 days ago $33 - $43 per hour
...interdisciplinary teams to determine a plan of care that improves residents'/patients’ overall health and well-being. Ensure adherence to CMS, State, and Federal regulations and company standards. Provide coverage in multiple buildings based on company needs, and as...CmsDaily paidPart timeLocal areaMonday to FridayFlexible hoursShift workDay shiftHealthcare Services Group
Rochdale, MA4 days ago$69.48k - $135.48k
...quality controls and reporting from various Molina Healthcare systems (e.g., QNXT, and Med Insight) and/or related external systems (e.g. CMS and State-specific) and direct ownership of files for CMS regulatory submissions. This position will conduct exploratory and...CmsWork experience placementMolina Healthcare
Worcester, MA4 hours ago$150k - $185k
...experience ? Skills & Competencies Behavioral Health Operations Staff Leadership & Mentorship Regulatory Compliance (Joint Commission, CMS) Budget & Resource Management Crisis Intervention & De‑escalation Techniques Performance Improvement & Quality Metrics...CmsFull timeRelocation package$87.28k - $157.08k
Exemption Status: Exempt Hiring Range: $87,276.80 - $157,081.60 Schedule Details: Monday through Friday Scheduled Hours: 40 hours Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5401 Clinical Documents Specialists This position...CmsImmediate startRelocation packageMonday to FridayShift workDay shift- ...(PHI), as required by HIPAA and company policy. Comply with all guidelines established by the Centers for Medicare and Medicaid (CMS) and Massachusetts Department of Insurance (DOI) and guidelines set forth by other regulatory agencies, where applicable, and defined...CmsWork experience placementLocal areaFlexible hours
eternalHealth, The Next Generation of Medicare Advantage
Worcester, MA27 days ago - ...interdisciplinary teams to determine a plan of care that improves residents'/patients’ overall health and well-being. Ensure adherence to CMS, State, and Federal regulations and company standards. Provide coverage in multiple buildings based on company needs, and as...CmsLocal areaMonday to FridayFlexible hours
Healthcare Services Group, Inc.
Shrewsbury, MA5 days ago $21.19 - $38.13 per hour
...established by the American Hospital Association (AHA), American Medical Association (AMA), and Centers for Medicare and Medicaid Services (CMS). Maintains direct and ongoing communications with other coding personnel to maximize overall effectiveness and efficiency of the...CmsWork experience placementImmediate startRelocation packageMonday to FridayDay shift- Summary: The Transitional Assistance Coordinator will assist Guardian Angel in service adults with developmental disabilities, individuals who are blind or visually impaired, and adolescents with brain injury. This position must be motivated by being an instrumental part...CmsWork experience placementCasual work
$57k - $60k
...region. Brief Summary Of Purpose The Fallon Health (FH) Appeals and Grievance process is an essential function to FH compliance with CMS regulations, NCQA standards, other applicable regulatory requirements and member expectations. The FH Member Appeals & Grievances...CmsWork experience placementWork at officeLocal areaFlexible hoursWeekend work2 days per week- ...with respect to Collaborative Agreements. Completes accurate billing and coding activities for all patient encounters according to CMS guidelines. Defines goals for professional growth and participates actively in professional activities and organizations....CmsTraineeshipFlexible hoursNight shift
FC Compassus LLC
Auburn, MA2 days ago - Job Description: We Deliver the Goods: Competitive pay and benefits, including Day 1 Health & Wellness Benefits, Employee Stock Purchase Plan, 401K Employer Matching, Education Assistance, Paid Time Off, and much more. Growth opportunities performing essential work...CmsWork at officeLocal areaMonday to FridayNight shift
Core-Mark
Worcester, MA4 hours ago $17 - $27 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...CmsHourly payWork experience placementImmediate startFresenius Medical Care
Worcester, MA1 day ago- ...objectives, revenue expectations, management of external vendors, interaction with Providers, regulatory audits, and compliance with CMS regulations. The Manager of Risk Managment is also responsible for analysis, projections, and assessment of Medicare revenue initiatives...CmsWork at office
- ...compliance with healthcare regulations, billing guidelines, and payer requirements related to payment posting processes, including HIPAA and CMS regulations. Maintain the accuracy and integrity of financial data by performing regular audits and reviews of posted payments and...CmsWork at officeLocal areaFlexible hours
$36.06 per hour
...discharge summaries. Conduct case reviews and clinical audits to ensure quality and compliance. Ensure adherence to DPH, MassHealth/CMS, and accreditation standards, as well as agency policies. Clinical Oversight & Crisis Support Support clinicians in managing...CmsDaily paidFull timePart time- ...processing, spreadsheets, and databases, as well as digital communications and graphics applications such as content management systems (CMS), Microsoft Office Suite, Adobe Creative Suite (Photoshop, Illustrator, InDesign), and presentation software (PowerPoint, Visio)....CmsWork at office
- ...issues for users within teams, IT and or business partners Preferred knowledge of healthcare insurance industry (Medicaid, Medicare, CMS) Demonstrated knowledge of process flow of UM including prior authorization, concurrent authorization, and/or clinical appeal and...CmsCasual workWork at officeRemote work
$96.22k - $173.18k
...timely manner. Documentation may include progress notes in the EHR, annual comprehensive medication reviews with written summaries in the CMS’s standardized format, and patient specific documents, i.e., medication-related actions plans and personal medication records.*...CmsImmediate startRelocation packageMonday to FridayShift workDay shift$109.5k - $164k
...findings in a concise/comprehensive manner that is compliant with documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations Responsible for ensuring encounter is documented appropriately to support the diagnosis at that visit The APC is...CmsMinimum wageFull timeWork experience placementLocal areaRemote workRelocation packageAll shiftsShift workNight shiftDay shiftAfternoon shiftWeekday workUnitedHealth Group
Worcester, MA5 days ago
