• Atrium Health (Charlotte, NC)
    …strategy, vision, mission, and goals. Ensures competency of Clinical Documentation Specialist staff by conducting on-going reviews and skills assessments; provides ... and understanding of severity based DRG systems; All-Patient Refined and Medicare Severity (APR-DRG), Medical Severity Diagnostic Related Group System (MS-DRG) and… more
    JobGet (06/01/24)
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  • Medicare Billing Specialist

    Sunrise Senior Living (Arlington, VA)
    **_Sunrise Senior Living was again certified as a Great Place to Work(R) by Activated Insights. This is the 6th time Sunrise has received this top culture and ... (P&L) Summary reporting - Review balance sheet account reconciliations - Medicare /Medicaid billing - Adherence to Sunrise Senior Living business process controls… more
    Sunrise Senior Living (05/22/24)
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  • Medical Specialist 2

    New York State Civil Service (Thiells, NY)
    …the American Board of Medical Specialties (ABMS) in your specialty. OR* Medicaid and Medicare certified . OR* Current Medical Specialist 2. OR* Eligible for ... HELP No Agency People With Developmental Disabilities, Office for Title Medical Specialist 2 Occupational Category Health Care, Human/Social Services Salary Grade 38… more
    New York State Civil Service (04/30/24)
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  • Clinical Pharmacist - Medicare

    CVS Health (Richmond, VA)
    Certified Ambulatory Care Pharmacist, Board Certified Geriatric Pharmacist, or Board- Certified Pharmacotherapy Specialist + At least 3 months in a recent ... help to support various Scorable Action Items (SAI) programs in the Medicare population, including Fraud, Waste, and Abuse (FWA), Formulary Education, Therapeutic… more
    CVS Health (06/05/24)
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  • Pharmacist - Medicare Advantage Clinical…

    CVS Health (Albany, NY)
    … Ambulatory Care Pharmacist, Board Certified Geriatric Pharmacist, or Board- Certified Pharmacotherapy Specialist Education + Current, unrestricted US state ... organization. This position will focus on beneficiaries enrolled in Medicare Advantage plans to provide resources and assistance to...and allied health professionals to support the needs of Medicare beneficiaries + Speak one on one with … more
    CVS Health (06/01/24)
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  • Sr. Manager, Medicare Compliance - Remote

    Commonwealth Care Alliance (Boston, MA)
    …This Role is Important to Us:** Under direction of the Director of Medicare Compliance, the primary focus areas of this position include development and oversight ... includes: Corrective Action Plan (CAP) management, regulatory reporting to Centers for Medicare & Medicaid Services (CMS), State Agencies and Department of Insurance… more
    Commonwealth Care Alliance (05/15/24)
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  • Cigna Medicare Population Health Nurse Care…

    The Cigna Group (Bloomfield, CT)
    …follow up contact, which may include primary care physician and specialist appointment scheduling. + Provide clinical assessments, health education, and utilization ... years experience in acute care, home health or case management experience. + Medicare and/or Medicaid experience with geriatric populations a plus + Certified more
    The Cigna Group (05/23/24)
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  • Billing & Certified Coding…

    Beth Israel Lahey Health (Burlington, MA)
    …CPC-A ( Certified Professional Coder - Apprentice through AAPC), or CCS-P ( Certified Coding Specialist Physician Based through AHIMA) Experience: 1-2 years of ... coding guidelines. 2. Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare 's yearly fee schedule, Medicare Website, and specialty… more
    Beth Israel Lahey Health (06/01/24)
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  • Certified Peer Specialist - St.…

    St. Luke's University Health Network (Sellersville, PA)
    …communities we serve, regardless of a patient's ability to pay for health care. The Certified Peer Specialist has experience as a recipient of mental health or ... or GED TRAINING AND EXPERIENCE: + Must have competed Certified Peer Specialist training in Pennsylvania or...the only Lehigh Valley-based health care system to earn Medicare 's five-star ratings (the highest) for quality, efficiency and… more
    St. Luke's University Health Network (04/10/24)
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  • Certified Peer Specialist - Youth…

    State of Georgia (Gwinnett County, GA)
    Certified Peer Specialist - Youth (CPS-Y) - APEX Gwinnett - Lawrenceville, GA Georgia - Gwinnett - Lawrenceville ... or supported employment environment. TO APPLY PLEASE USE THE LINK PROVIDED BELOW Certified Peer Specialist - Youth (CPS-Y) - APEX Gwinnett - Lawrenceville,… more
    State of Georgia (06/04/24)
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  • Certified Peer Specialist Parent…

    State of Georgia (Decatur, GA)
    Certified Peer Specialist Parent (CPS-P) - C&A CSU - Decatur, GA. Georgia - Decatur (https://careers.georgia.gov/jobs/52397/other-jobs-matching/location-only) ... natural supports, and community resources. TO APPLY PLEASE USE THE LINK PROVIDED BELOW Certified Peer Specialist Parent (CPS-P) - C&A CSU - Decatur, GA.… more
    State of Georgia (05/01/24)
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  • Certified Peer Specialist Youth…

    State of Georgia (Decatur, GA)
    Certified Peer Specialist Youth (CPS-Y) - C&A CSU - Decatur, GA. Georgia - Decatur (https://careers.georgia.gov/jobs/52371/other-jobs-matching/location-only) ... natural supports, and community resources. TO APPLY PLEASE USE THE LINK PROVIDED BELOW Certified Peer Specialist Youth (CPS-Y) - C&A CSU - Decatur, Ga.… more
    State of Georgia (05/01/24)
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  • Appeals Specialist - Hybrid

    Martin's Point Health Care (Portland, ME)
    …and education + 5+ years experience in managed care plan required; knowledge of Medicare Advantage (for Medicare Specialist ) or TRICARE (for USFHP ... find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015....2015. Position Summary Job Description Position Summary: The Appeals Specialist ( Medicare or US Family Health Plan)… more
    Martin's Point Health Care (05/14/24)
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  • Learning & Development Specialist

    Medical Mutual of Ohio (Brooklyn, OH)
    …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Learning ... & Development Specialist I** Delivers, develops, and implements corporate or divisional...facilitation experience, preferably in a financial services environment. . Certified Professional Trainer preferred (or working towards designation). .… more
    Medical Mutual of Ohio (05/08/24)
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  • IT Security Specialist III-V - Hybrid

    Medical Mutual of Ohio (Dublin, OH)
    …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual' s ... best possible health and quality of life. IT Security Specialist III Performs the more complex day to day...+ 5 years relevant IT experience. Professional Certification(s) + Certified in Risk and Information Systems Control (CRISC) Preferred.… more
    Medical Mutual of Ohio (05/17/24)
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  • Medical Credentialing Specialist

    State of Georgia (Baldwin, GA)
    …verbal. . Review listings for CWRO2 or 60282 License/Certifications: . CPCS- Certified Provider Credentialing Specialist - Certificate . AAPC- Certified ... Medical Credentialing Specialist Georgia - Baldwin - Milledgeville (https://careers.georgia.gov/jobs/52910/other-jobs-matching/location-only) Hot… more
    State of Georgia (05/15/24)
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  • Coding Specialist 4 (100% FTE, Remote)

    University of Washington (Seattle, WA)
    …a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding ... (CMG) assignment and appropriate reimbursement to the facility for Medicare Rehab patients. + Abstracts and/or reviews necessary patient...Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder… more
    University of Washington (03/22/24)
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  • Human Resources Analyst B-C or Specialist

    Louisiana Department of State Civil Service (Baton Rouge, LA)
    Human Resources Analyst B-C or Specialist Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4523978) Apply  Human Resources Analyst B-C or ... Specialist Salary $2,978.00 - $5,843.00 Monthly Location Baton Rouge,...(PHR), a Senior Professional in Human Resources (SPHR), a Certified Professional (CP) or a Senior Certified more
    Louisiana Department of State Civil Service (05/30/24)
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  • Clinical Documentation Specialist RN

    Hackensack Meridian Health (Brick, NJ)
    …and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation Specialist (CCDS) or certification within two ... and serve as a leader of positive change. The **Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness and accuracy of… more
    Hackensack Meridian Health (05/18/24)
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  • Clinical Documentation Specialist - RN

    Hackensack Meridian Health (Hackensack, NJ)
    …and Certifications Required:** + Current state Registered Nurse license. + Certified Clinical Documentation Specialist (CCDS) or certification within two ... and serve as a leader of positive change. The **Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness and accuracy of… more
    Hackensack Meridian Health (05/18/24)
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