efficient and effective care delivery to patients Maintain knowledge of current CMS and MCG evidence-based guidelines to enable...
-driven orchestration, lifecycle marketing, and measurable business outcomes rather than CMS- or DAM-centric implementations...
, NJ DHSS, Joint Commission, and CMS survey standards. Cross-Functional Collaboration: Serving as a primary liaison...
to executive leadership Apply for HCPCS codes and support applications in hearings and CMS communications Timely reporting...
platform, CMS, or feature-factory PM role. We're looking for someone who can see the entire ecosystem, understand how all the...
consulting practice, working alongside leading industry experts on emerging Medicare initiatives, including the new CMS LEAD...
development Understanding of CMS regulations, Part D benefit design, pharmacy claims, and financial forecasting Strong...
possible solutions, and support implementation. Monitor relevant CMS, Medicare Administrative Contractor, commercial payer, coding..., and Policy Analysis Research and interpret relevant ICD-10-CM, CPT, HCPCS, CMS, and payer-specific guidance. Evaluate...
and integrity efforts to ensure compliance with CMS requirements, including accuracy, completeness, timely updates, and audit...
, and bankruptcy. Support the continued development and execution of Company’s Compliance Management System (CMS) to include...