- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …the appeals department in reviewing provider and member appeals in accordance with regulatory timelines. + Interacts with BH care providers as necessary to discuss ... departments including Case Management, Quality, and Provider Relations. + Maintain compliance with state, federal, and accreditation requirements (eg, CMS, NCQA,… more
- Agiliti Health (New Orleans, LA)
- …data entry accurately and promptly to ensure complete documentation for billing and regulatory compliance . + Communicate with clinical staff on the topics of ... of passionate medical equipment management experts who proudly serve hospitals and healthcare facilities to ensure quality medical equipment is in the right place… more
- Lundbeck (Alexandria, LA)
- …issues (IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. **Pharmaceutical Environment/ Compliance ** - Ability to apply knowledge of pharmaceutical and ... regulatory environment, including accountability and adherence to Lundbeck policies...years pharmaceutical, biopharmaceutical, biologics, medical device sales or related healthcare sales experience + Must demonstrate the intellectual capacity… more
- Highmark Health (Baton Rouge, LA)
- …and oversees the execution of that vision. A strong understanding of the healthcare industry is essential to inform product strategy and ensure alignment with market ... needs and regulatory requirements. The ideal candidate will possess experience across...+ 1 year of Advanced domain experience Preferred + Healthcare Industry experience **LICENSES or CERTIFICATIONS** Required + None… more
- Healthfirst (LA)
- …shifting gears comfortably and without upset when things are uncertain. ** Compliance & Regulatory Responsibilities: NA** **License/Certification: NA** WE ARE ... and management capabilities have been clearly demonstrated, preferably in the healthcare industry. + ITIL experience or certification + Excellent negotiation skills… more
- Banner Health (LA)
- …to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of ... coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and...plans. 6. Maintains a current knowledge in all coding regulatory updates, and in all software used for coding,… more
- Banner Health (LA)
- …areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office ... to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of… more
- Carrington (Baton Rouge, LA)
- …issues. Develop and implement procedures that enhance operational effectiveness and compliance across title-related functions. Perform all duties in accordance with ... initiatives through project work related to reporting, change management, compliance , quality assurance/quality control, and vendor/third-party communications. + Oversight… more
- Banner Health (LA)
- …areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office ... to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of… more
- Walmart (Monroe, LA)
- …: Enthusiasm for participating in community activities, outreach, and events. + ** Regulatory Compliance ** : Commitment to following HIPAA and PHI guidelines. ... and accurately dispensing prescription orders. + Counsel customers regarding healthcare and prescription medication needs. + Administer immunizations and other… more