- Dana-Farber Cancer Institute (Brookline, MA)
- …New England states (ME, NH, VT, MA, RI, CT)** Reporting to the Director of Billing Compliance, the Senior Billing Compliance Reviewer ensures the integrity, ... the annual Billing Compliance work plan. They will monitor federal and state regulatory requirements and industry developments and work to determine applicability… more
- Tufts Medicine (Lowell, MA)
- …services and operations . Ensures compliance and consistency with agency policy, State and federal home health regulations. Responsible for the management of cost ... organizations + Evaluate staff understanding of documentation and compliance with regulations ( Medicaid , Medicare, DPH, OSHA, JCAHO, State and Federal) with QA… more
- Humana (Boston, MA)
- …including executives, HR, and external partners + Partners with the Associate Director to represent the program in executive forums, to define and provide ... reports, fostering collaboration, accountability, and alignment with organizational goals. ** Operations & Vendor Management** **:** + Respond to inquiries from… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …New England states (ME, NH, VT, MA, RI, CT)** Reporting to the Director of Billing Compliance, the Billing Compliance Reviewer plans and executes risk-based audits, ... and professional billing practices to ensure compliance with federal and state regulations, payer requirements, national coding guidelines, and internal policies.… more
- Fallon Health (Worcester, MA)
- …with requests from Internal Audit with Model Audit requests + Assist the Director of accounting Operations with ad hoc projects **Qualifications** **Education:** ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
- Commonwealth Care Alliance (Boston, MA)
- …satisfaction and member access to care. Reporting to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + ... subject matter expert of the team + Managed Care experience (preferably Medicare/ Medicaid ) + Experience in health plan provider relations + Experience with… more
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