Showing 1-20 of 3,476
Showing 1-20 of 3,476
Medicaid Compliance Manager jobs

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Senior Whole Health LLCCambridge, MA Est. salary: $41,000 - $58,000 a year

Workingknowledge of and experience with Medicare and Medicaid programs preferred. The Contract Specialist is responsible for a full rangeof provider relations...

Tufts Health PlanWatertown, MA Est. salary: $78,000 - $100,000 a year

Research and Compliance. Provides ongoing review, communication and education of new ICD 10 coding guidelines, Medicare, Commercial and Medicaid risk adjustment...

The Guidance CenterFlagstaff, AZ Est. salary: $27,000 - $35,000 a year

Knowledge of Medicaid, Medicare, and Commercial. Monitors the compliance of staff with company policies. ESSENTIAL JOB FUNCTIONS....

WellCareTampa, FL Est. salary: $63,000 - $91,000 a year

Required Other Knowledge of Medicaid and/or Medicare programs Candidate Skills:. Recommends methods to improve network provider compliance to health plan QI...

PinnacleHealthHarrisburg, PA Est. salary: $64,000 - $83,000 a year

The Medicare Observation Manager is responsible for assuring System compliance with the Center for Medicare and Medicaid Services (CMS) regulations with regard...

WellCareChicago, IL Est. salary: $70,000 - $96,000 a year

Develops, implements and maintains a standardized quality management plan and program to ensure compliance with external regulatory and accreditation...

Public Consulting GroupAlbany, NY Est. salary: $78,000 - $99,000 a year

The Program and Clinical Compliance Manager will be part of the Independent Assessor leadership team, along with Audit & Compliance Leads and will provide a...

Five Star Senior LivingDevon, PA Est. salary: $58,000 - $84,000 a year

Ensuring that each community maintains compliance with all local, state, and federal regulations. At this time, we are seeking a Regional Director of Operations...

WellCareTampa, FL Est. salary: $51,000 - $71,000 a year

Preferred Other Familiarity with Medicare and Medicaid programs Candidate Skills:. Required 3 years of experience in clinical compliance auditing, i.e. CMS,...

Rockbridge Area Community ServicesLexington, VA Est. salary: $39,000 - $54,000 a year

Ensures compliance with all standards and regulations of DBHDS Licensure, Medicaid Waiver of Virginia, HIPAA, HUD and internal policies and procedures;...

Minuteman Health, Inc.Boston, MA Est. salary: $72,000 - $100,000 a year

The Risk Adjustment Manager position oversees the operation of all processes designed to improve Centers for Medicare and Medicaid Services (CMS) Risk...

Pentec HealthGlen Mills, PA Est. salary: $49,000 - $66,000 a year

Under the supervision of the Director or the Director¡¦s designee, the Payor Contract Administrator supports all necessary initiatives with targeted payor...

Public Consulting GroupAlbany, NY Est. salary: $70,000 - $95,000 a year

Possesses solid knowledge of health care compliance reviews in a variety of areas and has specialized industry knowledge (Medicare and Medicaid programs and...

Tal GroupOrlando, FL Est. salary: $90,000 - $120,000 a year

This role must be able to collaborate with appropriate partners, meet compliance standards, and oversee daily operational functions of the call center within...

WellCareTampa, FL Est. salary: $68,000 - $98,000 a year

Knowledge of Medicaid and/or Medicare programs Licenses/Certifications:. Recommends methods to improve network provider compliance to health plan QI Program...

BMC Health NetCharlestown, MA Est. salary: $97,000 - $140,000 a year

Internal Control & Compliance:. The Director of Finance will contribute to the overall Compliance functions performed by Finance....

ProActiveIndiana Est. salary: $59,000 - $81,000 a year

Develops useful, innovative tools & resources to guide client clinical, compliance, and reimbursement accuracy efforts....

Commonwealth Care AllianceCharlestown, MA Est. salary: $78,000 - $100,000 a year

Solid understanding of Medicare and Medicaid reimbursement methodologies and particular expertise in Medicare and Medicaid health care services contracting...

Fallon HealthWorcester, MA Est. salary: $120,000 - $150,000 a year

The ED will be knowledgeable of all State and Federal laws/regulations that govern the program and will proactively work with public agencies to ensure contract...

Opportunity KnocksEnglishtown, NJ Est. salary: $23,000 - $31,000 a year

Danielle’s Law and Corporate Compliance. Support Manager, ensures that the program staff complete all required documents of the individuals on the Smartcare...


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