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Effectively communicate and appropriately collaborate with the Market Access team to ensure strategic alignment and effective implementation of the clinical strategy for National and Regional Managed Care accounts, covering all books of business (e.g., Commercial, Managed Medicaid, Fee-for-Service, Medicare, PBMs, and Exchange Plans.
Full-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Abt Associates seeks a mid-level professional in Data Analytics with a background in data used by the United States Department of Health & Human Services (HHS) Centers for Medicare & Medicaid (CMS), Social Security Administration (SSA), Centers for Disease Control (CDC), or other HHS agencies.
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The Clinical Finance Office seeks a Dental Financial Coordinator to oversee the workflow of dental clinical finances related to state Medicaid/Medicare programs, including MassHealth and other identified programs administered by Dentaquest and Skygen/Scion.
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CCA in support of its dual eligible population is accountable for establishing programs that meet regulatory requirements established by MassHealth/CMS (Centers for Medicare and Medicaid Services) or both.
InternRemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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This will include but is not limited to, setting up monitoring and adherence protocols that CMS requires for Medicare Advantage clinical programs, as well as identifying, developing, and executing all audit and mental health parity requirements as set for by the Executive Office of Health and Human Services for any Medicaid Accountable Care Organization.
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Deep Medicaid experience is critical, as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined modular certification (SMC) and outcomes-based certification (OBC.
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General knowledge of The Joint Commission (TJC), the Department of Public Health (DPH), Department of Mental Health (DMH) and Centers for Medicare and Medicaid Services (CMS) rules, regulations, and standards.
ExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Abt Global seeks an experienced Medicaid researcher (Senior Associate) to play a leadership role in our work with the Centers for Medicare and Medicaid Services (CMS). Serve in leadership roles on CMS-funded projects (including associated teams and budgets) to research Medicaid program and policy refinements, evaluate effectiveness of new payment and delivery models on the Medicaid population and/or providers that predominantly serve Medicaid patients, and/or understand the interaction between Medicaid and Medicare coverage, access, and payment policies.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Accountable for understanding federal and state health care law requirements applicable to CCA, including Medicare and Medicaid rules, HIPAA privacy and security, healthcare reform, legal and regulatory topics relating to CCA's status as a government contractor and integrated health care services delivery organization, Accountable Care Organization requirements, and insurance and managed care regulatory requirements.
ExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
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Accountable for understanding federal and state health care law requirements applicable to CCA, including Medicare and Medicaid rules, HIPAA privacy and security, healthcare reform, legal and regulatory topics relating to CCA's status as a government contractor and integrated health care services delivery organization, fraud and abuse, Anti-Kickback, and Stark/self-referral requirements.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Monitor Centers for Medicare and Medicaid Services (CMS) reimbursement policies and keep abreast of trends in reimbursement and health policy that affect Merz Therapeutics' products and the markets in which they compete.
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The Commonwealth of Massachusetts received a waiver from the Centers for Medicaid and Medicare to improve the ways in which MassHealth provides care to its members. Haitian Creole-Speaking Nutrition Services Coordinator.
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Manage a broad range of regulatory and compliance matters, including issues related to the Anti-Kickback Statute, Stark Law and/or False Claims Act, Medicare and Medicaid reimbursement, data privacy, drug diversion, licensing, research compliance, telehealth, and general compliance and risk management.
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The Center for Medicare and Medicaid (CMS) is launching a new value-based care program to disrupt Traditional Medicare, and we believe that this represents an opportunity to achieve the meaningful change we envision.
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medicare medicaid jobs in Boston, MA
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