CMS Technician
an exceptional customer service professional to join us as a Chemical Management Technician The Chemical Management Technician (CMS...
an exceptional customer service professional to join us as a Chemical Management Technician The Chemical Management Technician (CMS...
Transformation Program (RHTP) — a CMS-funded statewide initiative. The vendor will evaluate five health programs running across New... Hampshire, monitor performance data monthly, report findings to state leadership and CMS, and help course-correct when programs...
Role: NLP Engineer CMS Documentation and Intelligent Automation Duration: 7 months USA Remote Work..., and operationalize CMS manuals and regulatory guidance. The role focuses on leveraging NLP and LLMs to extract rules, conditions...
and overpayment extrapolation function on a CMS contract. This role designs the sampling methodology, validates the sample frame... coordination with the Project Manager, Medical Review Manager, and legal/compliance staff, and interfaces directly with CMS...
or unavailability without interruption to program operations or CMS deliverables. Own the regulatory reporting workstream end-to-end..., including the preparation, review, quality control, and on-time submission of all required CMS reports, monthly status updates...
. Requirements The Medical Review Manager (MRM) is the senior clinical operations leader for a CMS program, serving as the... review team, and serves as the primary point of contact with CMS on medical review operations. The MRM reports directly...
. Requirements The Project Manager (PM) serves as the senior operational leader for a CMS contract under the Centers for Medicare... & Medicaid Services (CMS). This individual is the primary day-to-day point of contact for CMS and is accountable for all aspects...
. Requirements The Medical Director is the senior physician on a CMS program and the final clinical authority for complex medical... (D&E) sessions when providers escalate disputes to the physician level, and represents CMS at Administrative Law Judge (ALJ) hearings...
program's overall reputation with CMS. Essential Duties and Responsibilities Manage the day-to-day operations of the SMRC... at a CMS contractor, including a Medicare Administrative Contractor (MAC), BFCC-QIO, RAC, SMRC, or similar program with direct...
, including completion of the Individual Plan of Care (IPoC) per CMS guidelines. Schedule family conferences and communicate...