HMS Holding - Montgomery, AL
Responsible for the successful delivery of HMS services to client(s). Provide consulting services to client(s). Manages the implementation and ongoing execution of the contract. Responsible for relationship management and revenue generation. Typically supports clients with a reve...
HMS Holding - Irving, TX
HMS is a national leader in cost containment and fraud, waste and abuse detection services for government and commercial healthcare payors. Due to unprecedented growth, we are seeking Research Analytics and Development Analysts to support our recovery audit line of business. In t...
HMS Holding - Miramar, FL
Position Purpose:- Provides medical records review of files as requested. Essential Responsibilities:- Performs a clinical review of medical records and/or other documentation to determine benefit coverage, correct coding, and medical necessity. - Completes medical review form, a...
HMS Holding - Denison, TX
Position Purpose: Responsible for processing all Medicare Secondary Payer worker's compensation, liability insurance, and no-fault insurance settlements or other payments. This includes intake, maintenance, claims review and selection, management, settlement and related functions...
Caseworker-Coordination of Benefits Lead
HMS Holding - Denison, TX
Responsible for processing and reviewing Coordination of Benefit transaction requests according to the guidelines established by the Centers for Medicare and Medicaid Services (CMS) for the Medicare Secondary Payer Business Program Operations Contract. Essential Responsibilities:...
Director, Data Mining Recovery Audit
HMS Holding - Irving, TX
HMS, a national leader in Healthcare Cost Containment Solutions for government and private payors, is seeking a Data Mining Director for our fast growing Recovery Audit division. Data Mining Directors manage teams of data analysts and programmers responsible for developing and ex...
HMS Holding - Irving, TX
HMS is looking for a bright, creative, and enthusiastic Marketing, Communication, or similar person to join our Corporate Development Unit (CDU) as a Market Research Intern. This is a paid internship in a fast-paced corporate environment; the internship will last 8 - 10 weeks thi...
Deputy Project Director-Healthcare
HMS Holding - Omaha, NE
Position Purpose: Oversee daily operations of assigned contract. Essential Responsibilities: - Final review of Audit Reports, post all QA review, prior to submitting to PD and client - Oversee the development and implementation of the QA and Training Unit. Responsible for ensurin...
HMS Holding - Irving, TX
HMS is a national leader in cost containment and fraud, waste and abuse detection services for government and commercial healthcare payors. Due to unprecedented growth, we are seeking Research Analytics and Development Analysts to support our recovery audit line of business. In t...
HMS Holding - Omaha, NE
This position will manage projects within the Program Management Office (PMO) across a wide variety of projects, cross-functional initiatives and operational activities. Responsible for leading/managing all aspects, for both business and IT-based projects and/or programs, such as...
HMS Holding - Irving, TX
The Coding Specialist performs medical review of medical information as defined by review methodologies specific to contract for which review services are being provided in support of HMS's Mission, Vision, Key Quality Strategies, and Values.- Provides Information Services Depart...
HMS Holding - New York City, NY
HMS is seeking a motivated and qualified individual to fill the position of Provider Auditor in our Credit Balance and Provider Audit unit. The primary responsibility for this position is the identification and recovery of client overpayments made to healthcare providers. This po...
HMS Holding - Irving, TX
This role supports the vision and direction for Corporate Security initiatives that support the company's business objectives and requirements. The incumbent will consult on all aspects of Information Security across the enterprise, provide strategic Information Security advice, ...
HMS Holding - Boise, ID
Responsible for the successful delivery of HMS services to client(s). Provide consulting services to client(s). Manages the implementation and ongoing execution of the contract. Responsible for relationship management and revenue generation. Typically supports clients with a reve...
HMS Holding - Irving, TX
The Nurse Reviewer performs clinical review of medical information and quality assurance as defined by review methodologies specific to the contract for which services are being provided, and in support of Permedion=s Mission, Vision, Key Quality Strategies, and Values.- Performs...
HMS Holding - Irving, TX
HMS is seeking a qualified individual to work in an exciting marketplace where our company is breaking new ground. The ideal candidate is a self-starter that can provide analytical and technical support in the development of new and existing software products, and will work as pa...
HMS Holding - Irving, TX
HMS is seeking a motivated and qualified individual to fill the position of Provider Auditor in our Credit Balance and Provider Audit unit. The primary responsibility for this position is the identification and recovery of client overpayments made to healthcare providers. This po...
Pharmacy Audit Specialist - DME
HMS Holding - Culver City, CA
- Analyze and monitor claims against fraud, waste and abuse related to Durable Medical Equipment claims. - Investigates, reviews and analyzes claims data applying knowledge of Durable Medical equipment policy and practice and data mining techniques to determine details of fraudul...
Business Analyst - Product Developer
HMS Holding - Irving, TX
HMS has a unique Business Analyst position available to support our developing Health Information Exchange services. With a goal of making healthcare coverage available and affordable to all, state HIXs will be operational in late 2013. HMS intends to develop HIX services that br...
HMS Holding - Birmingham, AL
HMS is seeking a motivated and qualified individual to fill the position of Provider Auditor in our Credit Balance and Provider Audit unit. The primary responsibility for this position is the identification and recovery of client overpayments made to healthcare providers. This po...