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CMS guidelines Remote Jobs

9 fresh jobs found

Sr. Regulatory Counsel, Healthcare
Remote

Transactional support False Claims Act Stark law Anti-kickback statute Healthcare law CMS guidelines Legal counsel CAP CLIA +18

Senior Full Time

USD 210K+

Clinical Education Specialist - Remote in US
Any city, FL, US, 99999

Gainwell Technologies

Clinical claims review Webinar delivery InterQual criteria DRG validation Medical record auditing Healthcare Policies Coding certification CCS Healthcare policy +39

Senior Full Time

USD 75K+

Utilization Management (UM) Nurse - Pre-Service (Must have RN / LVN California Licensure)
Remote-US, California, United States

Alignment Health

Referral System Proficient Computer California licensure Medicare managed care plans Medicare Managed Care Managed Care Plans CPT codes Milliman guidelines ICD +28

USD 74K+

Quality Management Nurse (Must have LVN / RN California License)
Remote-US, California, United States

Alignment Health

Nursing judgment Managed Care Knowledge NCQA Continuous Quality Improvement HEDIS CMS guidelines LVN Quality improvement RN +16

USD 80K+

Carrier Account Manager
Any city, TX, US, 99999

Gainwell Technologies

Micro Strategies CMS guidelines Microsoft Access Functions Processes Claims CMS Health Insurance Billing +30

USD 55K+

Quality Assurance Specialist-Appeals & Grievance
Remote-US, California, United States

Alignment Health

CMS Regulatory Compliance CMS Reporting Healthcare Appeals Star Measures Grievance Procedures Medicare managed care plans Medicare Managed Care CMS guidelines Managed Care Plans +19

Senior Mid Full Time

USD 46K+

Appeals & Grievance Coordinator
Remote-US, California, United States

Alignment Health

Appeals processing Strong computer Grievance handling Medi-Cal Medicare managed care plans CMS guidelines Medicare Managed Care Managed Care Plans 10-Key +14

USD 46K+

Medical Claims Auditor I (Remote, USA)
Any city, TX, US, 99999

Gainwell Technologies

RCM knowledge Document imaging Manual Dexterity Eligibility Medical claims CCS CPC CMS guidelines Coding Guidelines +38

Entry Mid Full Time

USD 50K+

Post Acute Utilization Management Nurse (Intermountain Region)
Work at Home - Washington

MCG guidelines Inpatient rehabilitation CMS guidelines Health Plan Experience Interpreting Criteria Clinical Nursing Milliman guidelines Milliman Medical Services +43

USD 69K+

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