Medicare Jobs in Sumter, SC

The senior Medicare Program Analyst will work crossfunctionally within the team helping develop a purposedriven analytics platform to maximize our analytics capabilities and performance. This roles primary emphasis is building automating and optimizing technical processes for running More...

Job Overview:The State of Maine is seeking a Senior Business Subject Matter Expert (SME) to support the Medicaid Enterprise Systems (MES) modernization efforts. This role requires an expert who will provide deep technical leadership contribute to project planning and offer guidance on More...

100% Telecommute Project Name : Stars UCEE MigrationPreferred Start Date : 2/1/25Duration : 9 monthsTravel : NoDescription: The STARS Data Operations Program Orchestration Manager Data Analytics will work with STARs HEIDIS measure Owners as a Senior Workflow Developer in M&R Wor More...

100% Telecommute Project Name : Stars UCEE MigrationPreferred Start Date : 2/1/25Duration : 9 monthsTravel : NoDescription: The STARS Data Operations Program Orchestration Manager Data Analytics will work with STARs HEIDIS measure Owners as a Senior Workflow Developer in M&R Wor More...

100% Telecommute Preferred Start Date : 1/2/25Duration : 7 monthsTravel : NoDescription: The STARS Data Operations Program OrchestrationManager Data Analytics will work with STARs HEIDIS measure Owners as a Senior Workflow Developer in M&R Workflow Programming Team utilizing advan More...

This person will be part of a team contracting and managing a diversified value based care platform with over 100 VBC contracts and over 1 million attributed lives in commercial Medicare (Medicare Advantage & MSSP) and Medicaid lines of business across 13 states.This person will b More...

The Enrollment Specialist will be the primary contact for the Enrollment Department for all Privia independent providers and responsible for all aspects of managing the payer enrollment process for this market.Enrolls providers new to Privia with all commercial health plans specific t More...

Typical Experience: 3660 monthsThe NC Department of Health and Human Services (DHHS) Division of Health Benefits (DHB) NC Medicaid Advance Planning Office (APO) is seeking a Business Analyst (BA) with Medicaid policy NC FAST eligibility and/or Health and Human Services experience to j More...

The Senior Associate Counsel Clinical Trials and Research provides legal support for clinical trial and research activities across the University of Maryland Medical System (UMMS). This role involves refining processes to streamline timetoactivation for clinical trials standardizing c More...

Advanced Practice ProviderCardiovascular Critical CareExceed Medical/DPACCExceed Medical also known as DPACC was established in 2012. Our founders aspired to change healthcare by providing quality comprehensive and cost effective critical care to their community. Our Model:We put our More...

Under indirect supervision the Coding Compliance Audit/Education Specialist audits medical records for compliance with federal coding regulations and guidelines. Successful candidates will have extensive knowledge of auditing and education on CPT ICD10 and HCPCS codes and guidelines.C More...

The Enrollment Specialist will be the primary contact for the Enrollment Department for all Priviaindependent providers and responsible for all aspects of managing the payer enrollment process for thismarket. The Enrollment Specialist will take steps necessary to enroll all new groups More...

The Enrollment Specialist will be the primary contact for the Enrollment Department for all Privia independent providers and responsible for all aspects of managing the payer enrollment process. Primary Job Duties:The Enrollment Specialist will take steps necessary to enroll More...

Under the direction of the Director or Manager of Revenue Cycle Management the Accounts Receivable (AR) Manager is responsible for complete accurate and timely processing of all designated claims reviewing and responding to daily correspondence from physician practices in a timel More...

The Coding Educator will be accountable for provider satisfaction related to CODER services provided by Privia Health.  The Educator will serve as an integral member of the CODER program team responsible for partnering with providers and staff to ensure smooth delivery of CODER s More...

The Coding Educator will be accountable for provider satisfaction related to CODER services provided by Privia Health.  The Educator will serve as an integral member of the CODER program team responsible for partnering with providers and staff to ensure smooth delivery of CODER s More...

The Coder Quality Assurance Specialist will be accountable for executing the quality assurance program related to CODER services provided by Privia Health. The QA Specialist will serve as an integral member of the CODER program team responsible for partnering with vendor partners and More...

General SummaryUnder limited supervision is responsible for the collection of the account balances from all third party payors and patients for services rendered at UMMC Kernan and Specialty Hospital. Manages the Cash Posting area and Followup. Develops and maintains the policies and More...

We are seeking a Director / Senior Director National & Regional Payer Accounts to lead the execution of market access and reimbursement strategies to support DRLs portfolio as well as future pipeline products.  As a strategic and tactical expert in areas of market access More...

NC Department of Health and Human Services NC Medicaid Advance Planning Office is seeking an Advance Planning Writer with Medicaid NC FAST eligibility and/or Health and Human Services experience to join the Advance Planning Office. The primary role and responsibility of the Advance P More...