- Humana (Lansing, MI)
- …proposing enhancements, and driving innovation across planning processes. + Ensure compliance with data privacy, security, and governance standards (eg, GDPR, HIPAA, ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Marshfield Clinic (Iron Mountain, MI)
- …MI/WI directs overall day-today operations of retail pharmacy and assures compliance with all hospital, local, state, and federal regulatory standards. Provides ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more
- McLaren Health Care (Flint, MI)
- …Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana ... PPO, TPA, PHO and Managed Care functions (eg accounting/finance,reinsurance,EDI,casemanagement,marketing,medicaldelivery,regulatory compliance , claims processing, eligibility, contracting and risk arrangements and… more
- Baylor Scott & White Health (Lansing, MI)
- …and performance metrics to improve appeal success rates, ensure regulatory compliance and optimize reimbursement outcomes. Will lead external resources through ... leadership, and senior medical staff including denials from all payers, Medicare /Medicaid audit activities and key contract enforcement activities. + Collaborates… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- CVS Health (Lansing, MI)
- …models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social ... at interdisciplinary case conferences * Utilizes case management processes in compliance with regulatory and company policies and procedures. * Utilizes motivational… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- Prime Healthcare (Port Huron, MI)
- …Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of ... Approval(R) for Hospital Accreditation by demonstrating continuous compliance with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime… more
- Marshfield Clinic (Iron Mountain, MI)
- …been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately ... notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.**… more
- Prime Healthcare (Port Huron, MI)
- …Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of ... Approval(R) for Hospital Accreditation by demonstrating continuous compliance with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime… more