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Resumes 1 - 10 of 1028 |
Scotch Plains, NJ
... Managed $2.5M data validation audit for New York state Medicare patients. The results reflected a 25% decrease in errors compared to the previous year saving business $1M. Implemented process improvement and defined what data was required and how it ...
- May 05
Clifton, NJ
... Risk Governance: Subject matter expert of healthcare regulations, insurance policies, and state/federal healthcare programs, including Medicare and Medicaid, to elevate risk management and compliance capabilities. CORE COMPETENCIES Strategic ...
- Apr 29
Hazlet, NJ
... advise retirees regarding benefit coverage options including Medicare. • Established, updated and retrieved electronic employee benefit files for all eligible employees. • Served as an intermediary between employees, insurance carrier, third-party ...
- Apr 27
Brooklyn, NY
... Registered Nurse Assessment Coordinator (RNAC) Edinboro Manor April 2020 - August 2020 RNAC responsibilities to include writing care plans, maintaining Medicare certification compliance, obtaining prior authorizations, care conference service ...
- Apr 25
Manhattan, NY, 10019
... Release Train Engineer, Contractor, Centers for Medicare & Medicaid, Oct. 2017-Mar 2018 Coaching and delivery coaching for 105-person Agile Release Train, Sprint 0 Scrum Master for iQIES (Internet Quality Improvement Evaluation System using Bamboo ...
- Apr 21
Plainsboro, NJ
... acted as internal subject matter expert on specific in-house data sources, including but not limited to Medicare & Medicaid. Managed contractor strategy, portfolio and operations for established products within the North East of the United States of ...
- Apr 21
Manhattan, NY, 10019
... Refer patients to various hospital departments and outside agencies such as Medicaid, Medicare, New York State Unemployment Insurance for possible benefits. • Investigate and verify third-party insurance, conduct detailed financial councelling to ...
- Apr 13
Avenel, NJ
... Developed the robust & scalable ETL Azure Data Lake to Data warehouse applications for Medicaid and Medicare data using the Azure Databricks. Built and automated data engineering ETL pipeline over Snowflake DB using Apache Spark and integrated data ...
- Apr 11
Brooklyn, NY
... ●Communicated with HMO’s, PPO’s, private insurers, Medicaid and Medicare to resolve billing issues. ●Maintained inventory and ordered supplies as needed. ●Performed venipuncture and collected specimen samples in accordance with safety procedures and ...
- Apr 10
Manhattan, NY, 10007
... Conducted Health Plan Medicare Advantage ‘Part C & D’ and other cross-functional areas regulatory compliance audits, monitoring adherence to CMS, Federal and State regulatory requirements. Initiated an institutional wide reconciliation charged ...
- Apr 09