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179

Rockville - MD

Health Insurance Payment Analyst I

Full-Time

The Health Insurance Payment Analyst I performs cross functional activities for defined task areas related to the Payment Error Rate Measurement (PERM) program developed by the Centers for Medicare and Medicaid Services (CMS).  Typical duties for this position include tasks related to the completion of detailed and precise audits, second-level reviews of claims processing systems, and the creation / analysis of reports.  This position may conduct remote and/or onsite reviews of s

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location: 
Rockville, Maryland

Medical Review Subject Matter Expert

Full-Time

The Medical Review Subject Matter Expert (SME) provides support to the Payment Error Rate Measurement (PERM) Review Contract (RC) team. This position functions as a resource and subject matter expert on problem solving Medical Review issues that would be considered of medium to high degree of complexity.

 

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location: 
Rockville, Maryland

Medical Review Manager

Full-Time

SUMMARY

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location: 
Rockville, Maryland

Senior Consultant / Advisor - CMS PERM - OC

Full-Time

The Senior Consultant / Advisor provides strategic direction and guidance in the operations and planning of the Payment Error Rate Measurement (PERM) program developed by the Centers for Medicare and Medicaid Services (CMS).  Working closely with the Project Director, Task Managers and the CMS, this position seeks to strengthen the program and to mutually benefit stakeholders

location: 
Rockville, Maryland

Assistant Medical Review Manager

Full-Time

The Assistant Medical Review Manager supports the Centers for Medicare and Medicaid Services (CMS) by identifying improper payments made under Medicaid and the Children's Health Insurance Program (CHIP).  This position utilizes a medical review background to increase efficiencies in the Federal government by conducting in-depth reviews of fee-for service (FFS), and eligibility records, and then produces error rates based on the reviews. Under the direction of the Medical Review Manager, supervises day-to-day opera

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location: 
Rockville, Maryland