- Alameda Health System (Oakland, CA)
- …Highland General Hospital + Disaster Command Center + Full Time - Day + Management + 69.06- 115.04/Hour + Req #:42232-31311 + FTE:1 + Posted:May 30, 2025 **Summary** ... **Alameda Health System offers outstanding benefits that include:** + 100% employer...those from The Joint Commission and the Centers for Medicare and Medicaid Services. Working collaboratively with hospital administrators,… more
- Grant Thornton (San Jose, CA)
- …bodies such as the Office of Inspector General (OIG) and the Centers for Medicare and Medicaid Services ( CMS ). + Experience with Sarbanes-Oxley Section 404 ... include: + Review operational, financial, and technology processes to provide management with a comprehensive assessment of business risks, internal controls, and… more
- Molina Healthcare (Long Beach, CA)
- …contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability ... staff to determine; for example, non-compliance with Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer… more
- Sutter Health (San Francisco, CA)
- …in an integrated delivery system : including but not limited to: Centers for Medicare and Medicaid Services (GR) Grouper ( CMS ), Title 22, CHA Consent Manual, ... Med Center - Mission Bernal **Position Overview:** Coordinates the utilization management , resource management , discharge planning, post-acute care referrals and… more
- Sutter Health (San Francisco, CA)
- …family experience, initiates corrective action as appropriate. Complies with Center for Medicare & Medicaid Services ( CMS ) Condition of Participation and Sutter ... physicians and staff throughout the organization. Collaboration across legal and risk management services is required on a frequent basis for complex medical legal… more
- LA Care Health Plan (Los Angeles, CA)
- …Managed Health Care (DMHC), Department of Health Care Services (DHCS), Centers for Medicare and Medicaid Services ( CMS ), and other federal and state guidelines. ... and auditing compliance risks. Equivalency: Completion of the LA Care Management Certificate Training Program may substitute for the supervisory/ management … more
- Alameda Health System (Oakland, CA)
- …courses with post-tests or other validation methods for all staff utilizing Elsevier Learning Management System (LMS) E-Learning system . Acts as the AHS LMS ... + FTE:1 + Posted:May 14, 2025 Summary **Alameda Health System offers outstanding benefits that include:** + 100% employer...Board of Registered Nursing (BRN), The Joint Commission and CMS (Centers for Medicare and Medicaid Services)… more
- LA Care Health Plan (Los Angeles, CA)
- …PPs, and capitated hospitals. Serves as primary contact and liaison for Centers for Medicare and Medicaid Services ( CMS ) claim audit section of LA Care ... quarterly and annual basis Performs financial analyses or vendor's management for LA Care vendors on the quarterly and...updated Policy and Procedure is reviewed and approved by management prior to submission. Supports the formalization of key… more
- University of Southern California (Los Angeles, CA)
- …with health data, including large administrative healthcare claims data from Medicare or private health insurance plans. Experience with HCPCs, ICD9/ICD10 and ... become a trusted resource for Congress, federal agencies (including CMS , FDA, CBO, and NIH), and organizations such as...School is anchored by four departments: Public Policy and Management , Health Policy and Management , Wilbur H.… more
- Banner Health (CA)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services ( CMS ), Office of the Inspector General (OIG) and the ... (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Certification… more