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Showing 1-10 of 873
Payer Medicare Manager jobs

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ikaSystems Corporation - Southborough, MA

Knowledge of Medicare Advantage processes and CMS guidelines is required. Support all Centers for Medicare & Medicaid Services (CMS) and internal audit...

ikaSystems Corporation - Southborough, MA

4+ years of work experience in a Medicare Advantage Plan, managed care environment, CMS payer role, regulatory/compliance analyst or as a consultant providing...

Golden Living Centers - Worcester, MA

Demonstrates an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid....

VIRTUA - Turnersville, NJ

Solid knowledge of and experience in billing and health insurance guidelines and practices, including commercial, Medicare and managed care payers....

VIRTUA - Township of Voorhees, NJ

Solid knowledge of and experience in billing and health insurance guidelines and practices, including commercial, Medicare and managed care payers....

Special Needs Network, Inc. - Los Angeles, CA

Experience in payer contracting/negotiations; Maintain Compliance program to ensure compliance with Medicare and other federal agencies·....

Gallagher Home Health Services, LLC - Bridgeville, PA

Conducts internal case management and documentation review, assists with determining program eligibility and payer source, insurance authorizations, and medical...

Lake Jackson Healthcare Center - Lake Jackson, TX

Knowledge of Medicare and Medicaid. Nursing service needs, and Medicare coverage status. Records Medicare coverage information, prior medical history and...

VIRTUA - Marlton, NJ

Operating budget detail, statistics, revenue by payer, expense, cash analysis, balance sheets and provides support to Operational Leadership....

The Confidential Search Company for our client - a large, financially strong Massachusetts multi-hospital health system - Westwood, MA

Including payer mix, service mix, case-mix, or margin analysis. Medicare 2552 Cost Report, D403, Medicaid RFA, EHR Incentive Filing, UCCR, etc.)....


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