- U of C NORC (Bethesda, MD)
- …the University of Chicago seeks an experienced Principal Research Scientist to direct program and policy projects, with an emphasis on those related to health care ... knowledge of Traditional Medicare, Medicare Parts C & D, and Medicaid policy including ongoing value-based care initiatives.Monitor and oversee the financial… more
- Volunteers of America Mid-States (Louisville, KY)
- …- Women's (Freedom House) LOCATION: Louisville, KY STATUS: Full Time, Salaried (Exempt) PROGRAM : Addiction Recovery Services REPORTS TO: Program Manager SIGN ON ... Health and Wellness Employee Assistance Plans (EAP) Health and Wellness Program Medical Coverage Dental Coverage Vision Coverage Flexible Spending Account Health… more
- Option Care Health (Bannockburn, IL)
- …responsible for developing and maintaining a comprehensive compliance investigation program , including managing the company's confidential ethics and compliance ... implementing corrective actions to mitigate risk, and providing guidance and reporting to stakeholders throughout the organization. Collaborates with other corporate… more
- Volunteers of America Mid-States (Manchester, KY)
- …Manager LOCATION: Manchester, KY STATUS: Full Time, Salaried, Exempt PROGRAM : Addiction Recovery Services REPORTS TO: Clinical Coordinator INTRODUCTION: Volunteers ... Health and Wellness Employee Assistance Plans (EAP) Health and Wellness Program Medical Coverage Dental Coverage Vision Coverage Flexible Spending Account Health… more
- Serco (Washington, DC)
- …Children's Health Insurance Program , as well as technical understanding of program integrity or audit processes to coordinate and optimize multiple aspects ... CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's...(CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA). As part of… more
- CVS Health (Northbrook, IL)
- …committed to revenue integrity and excellence. + Partner with other Revenue Integrity program leads to monitor and drive high quality outcomes. + Manage ... Reporting to the Provider Engagement Lead Director of Medicaid Risk Adjustment Provider Engagement , the Manager will...of opportunity. + Produce and present dashboards specific to Medicaid Revenue Integrity efforts at various governance,… more
- CVS Health (Hartford, CT)
- …suite of market focused Risk Adjustment Programs for a portfolio of Aetna Better Health Medicaid Plans. Reporting to the Senior Manager of Medicaid Risk ... to identify areas of opportunity. + Produce and present dashboards specific to Medicaid Revenue Integrity efforts at various governance, market, and executive… more
- State of Indiana (Indianapolis, IN)
- …Medicaid departments and agency divisions to provide effective fiscal management for the Medicaid program . The Director of Medicaid Finance oversees Acute ... payment programs in support of OMPP strategic objectives including promoting Medicaid program sustainability, advancing health outcomes and improving efficiency.… more
- Serco (Washington, DC)
- …in Medicaid and/or CHIP, providing technical assistance in all aspects of Medicaid and CHIP, including program integrity ; + Experience working with ... CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's...(CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA). As part of… more
- CVS Health (Hartford, CT)
- …team player to manage Risk Adjustment National Programs for the Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk ... activities and drive innovation while being committed to revenue integrity excellence. This position will contribute to Medicaid...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Hartford, CT)
- …from the business. This role plays an instrumental part in protecting Aetna's financial integrity and ensuring the health of the Medicaid business. The role will ... recognized and changes to prior periods. + Harmonize financial reporting materials across the Medicaid business to...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Serco (Washington, DC)
- …team in supporting CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance ... (CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA). As part of...matter expertise in claims data processing review for the Medicaid and Children's Health Insurance Program . **_Hybrid… more
- Serco (Washington, DC)
- …team in supporting CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's Health Insurance ... (CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA). As part of...matter expertise in claims data processing review for the Medicaid and Children's Health Insurance Program . **_Hybrid… more
- HCA Healthcare (Asheville, NC)
- …At HCA Healthcare, we are committed to caring for patients with purpose and integrity . We care like family! Jump-start your career as a Medicaid Eligibility ... student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ...vary by location._** Come join our team as a Medicaid Eligibility Area Manager. We care for our community!… more
- Serco (Washington, DC)
- …improper payment rate by using the latest improper payment rates from each state Medicaid program and CHIP from the most current cycle and the previous ... CMS' implementation of the Payment Error Rate Measurement (PERM) Program to produce national Medicaid and Children's...(CHIP) improper payment estimates as required by the Payment Integrity Information Act of 2019 (PIIA). As part of… more
- NORC (Bethesda, MD)
- Principal Research Scientist - Health Care Quality Measurement: Medicare, Medicaid , & Commercial Insurance Programs Job no: 502274 Work type: Regular Full-Time ... the University of Chicago seeks an experienced Principal Research Scientist to direct program and policy projects, with an emphasis on those related to health care… more
- Genesis Healthcare (Concord, NH)
- …make a difference.Bring your financial skills to Genesis in the role of Regional Medicaid Eligibility Manager where you will play an integral role in the achievement ... owed, to include hands on collections, center process review, auditing and reporting of results. *Collaborate with assigned nursing centers' Business Office Managers… more
- CVS Health (Topeka, KS)
- …for Kansas State Medicaid programs for all program integrity related issues. This includes regulatory reporting , coordinating interdepartmental ... substitute) + 3 years of experience in a Healthcare Program Integrity , Medicaid Special Investigation...Pennsylvania and Kansas + Experience with Generating / Review Medicaid State Reporting + Experience with Interpreting… more
- Humana (Columbus, OH)
- …to attribute members to providers for new value based programs and to evaluate program effectiveness + Ensure data integrity in program administration for ... payment (VBP) model design and administration. The Data and Reporting Sr. Professional integrates data from multiple sources to...new value based programs + Troubleshoot data integrity issues and offer solutions to solve challenges **Use… more
- City of New York (New York, NY)
- …Services Program Performance Unit which serves as the primary liaison for program reporting and analysis for Client Special Services, which includes WeCARE, ... well as to Human Resources Administration's (HRA) operations and program services. OPMDA is requesting to hire one (1)...operations of Career Services contracts. - Manage the SNAP, Medicaid , and Fair Fares reporting unit, which… more
