- UnityPoint Health (Cedar Falls, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud , waste and abuse. Brings any questions or ... concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance. Qualifications Education: RPh or PharmD degree from a college of pharmacy… more
- UnityPoint Health (Anamosa, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud , waste and abuse. Brings any questions or ... concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance. Qualifications Minimum Requirements Identify items that are minimally required… more
- UnityPoint Health (Sioux City, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid ) regarding fraud , waste and abuse. Brings any questions or ... concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance. Qualifications Must be actively enrolled in high school or an equivalent program… more
- UnityPoint Health (West Des Moines, IA)
- …departmental compliance requirements for federally funded healthcare programs (eg, Medicare and Medicaid ) related to fraud , waste, and abuse. Promptly bring any ... questions or concerns regarding compliance to the attention of hospital administrative staff and take appropriate action on concerns reported by departmental staff Qualifications + MD or DO + Board Certified in Emergency Medicine, Internal Medicine, or Family… more
- CVS Health (Des Moines, IA)
- …the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... education opportunities for peers. + Extensive knowledge of medical documentation, fraud , abuse and penalties for documentation and coding violations based on… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …and coding in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially Medicare Part D + Experience in ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
- CVS Health (Des Moines, IA)
- …review findings. - Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. ... state and federal policies. - Identify potential billing errors, abuse, and fraud . - Identify opportunities for savings related to potential cases which may… more
- Access Dubuque (Dubuque, IA)
- …+ Provide compliance review of federal, state, Center for Medicare and Medicaid Services (CMS) and Department of Insurance (DOI) requirements. + Lead the ... compliance, such as or CCEP, CHC, CHC-F, or CHRC, or a Certified Fraud Examiner (CFE) certification, or successful completion of a graduate certification program in… more
- CVS Health (Des Moines, IA)
- …findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state ... state and federal policies, and identify potential billing errors, abuse, and fraud . + Identify opportunities for savings related to potential cases that may… more