Clinical Pharmacist
, guidelines, and CMS requirements 2. Researches and responds to Part D grievances and inquiries, conducting outreach...
, guidelines, and CMS requirements 2. Researches and responds to Part D grievances and inquiries, conducting outreach...
are completed accurately and in compliance with CMS regulations and the hospital's policy Ensure timely and effective patient...
societies regional and national Current in-depth knowledge of Medicare Part B, Medicare Advantage plans, CMS regulations...
, such as The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and other accrediting bodies. Lead the...
forms including UB-04, 837-I, CMS-1500, 837-P, and EOB and billing codes including DRGs, Case Rates HCPCS codes and J-Codes...
is responsible for the overall operational management of the DMID-CMS government contract, budget management, lab services, bio... investigators, prime vendors, and manufacturers and for fulfilling all contractual requirements. Responsible for all DMID-CMS...
& elevate Optum West Medical Management compliance primarily with NCQA, CMS and State requirements including delegation... applications including MS Office Suite Excel & Power Point Knowledge of Medicare CMS, Special Needs Plans, Medicaid...
network providers, strategic vision and planning, and the maintenance of a CMS adequate network. Additional duties include...
utilizing Ubiquity EMR Internal Home-Based Medical Care candidates Knowledge of UM standards, NCQA requirements, CMS...
utilizing Ubiquity EMR Internal Home-Based Medical Care candidates Knowledge of UM standards, NCQA requirements, CMS...