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Job Description: Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware Job Summary: The Nurse Investigator II is responsible for performing highly complex healthcare fraud investigations including but not limited to, complex surgical operations, inp...

Job Description: Req #: 0000165479Category: Nurse PractitionerStatus: Full-TimeShift: DayFacility: Barnabas Health Medical GroupDepartment: NBI Womens Health CenterLocation: Newark Beth Israel Med Ctr, 201 LYONS AVE, NEWARK, NJ 07112Job OverviewOB/GYN Nurse Practitioner. The NP provides pr...

- $3,500 Sign On Bonus For External Candidates * Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's phy...

Internet Brands and WebMD is currently seeking a Director of Data Security and Compliance to manage and implement our regulatory, data governance and privacy compliance programs. This managerial role will work collaboratively with legal, security and technology leadership and oversee a compliance...

AEM Full Stack Developer • Develop and implementation of AEM-based solutions, ensuring high performance, reliability, and scalability and collaborating to integrate AEM components seamlessly. Both Frontend and Backend • Design and architect AEM solutions based on business requirements, ensurin...

Software Development Engineer, Catalog Management Systems (CMS).At Audible, we believe stories have the power to transform lives.It’s why we work with some of the world’s leading creators to produce and share audio storytelling with our millions of global listeners.We are dreamers and inventors

This position is responsible for ensuring that Medicare Advantage membership enrollment is in sync by reconciling CMS enrollment records and enrollment records via review of Daily Transaction Reply Reports (DTRR) and the Monthly Membership Reports (MMR) while abiding by Federal Centers for Medica...

Duration: 4+ months contract with potential extends or Convert Job Description: This position is responsible for ensuring that Medicare Advantage membership enrollment is in sync by reconciling CMS ...

ICD-10 Guidelines; and CMS Correct Coding. The incumbent supports investigators related to Medical Procedures and CPT Coding issues and fraudulent activity. The incumbent will participate in ...

Achieving high performance on CMS and NCQA-determined Stars and HEDIS quality metrics, respectively. * Providing care that is consistent with medical evidence, including identified clinical protocols

Our renal program is designated with a 5-star rating through CMS for excellence in patient care. Our physicians and staff offer years of experience and operate out of three locations that are ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

... CMS) guidelines, as applicable. Essential Functions/Responsibilities * Provides patient care to Wound Care Center patients and handles patient intake and discharge processes as assigned and according ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

Billing for patient services based on CMS and NJ State Board Regulations, * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients, * Develops plan of care for ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

Billing for patient services based on CMS and NJ State Board Regulations. * Demonstrates satisfactory knowledge and judgment to provide appropriate care for patients. * Develops plan of care for ...

The ability to apply knowledge of the Organ Procurement Transplant Network (OPTN), and Centers for Medicate/Medicaid Services (CMS) Conditions of Participation (CoP) for Transplant Programs, and CBMC ...

The ability to apply knowledge of the Organ Procurement Transplant Network (OPTN), and Centers for Medicate/Medicaid Services (CMS) Conditions of Participation (CoP) for Transplant Programs, and CBMC ...