- Adelante (Phoenix, AZ)
- …quality metrics + Maintain knowledge of updated changes in The WIC and Adelante Healthcare regulations + Participate in Quality Assurance audit + Prepare WIC for ... WIC Quality Assurance Specialist Job Details Job Location Adelante Healthcare Center Support Office - Phoenix, AZ Description POSITION SUMMARY The WIC Quality… more
- State of Colorado (Denver, CO)
- …role. If any step pay increases are available, your HRBP will work with you to audit your step pay/time-in-series upon an offer. If you are not a current State of ... statutes and regulations applicable to a wide variety of healthcare facilities and services in Colorado, including hospitals, clinics,...process may request a review by the State Personnel Director . As an applicant directly affected by the results… more
- Fallon Health (Worcester, MA)
- …us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Senior Director of Risk Adjustment is responsible for the execution and oversight of risk ... in government & state sponsored risk adjustment program operations, the Senior Director of Risk Adjustment Solutions will provide Fallon Health with leadership and… more
- Immigration and Customs Enforcement (Houston, TX)
- …Operations (ERO), ICE Health Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services (DAD-CSU). This is a supervisory position. This position ... and quality of work performed or to protect the quality of life or healthcare services. Applying a range and depth of knowledge acquired specifically through an… more
- Mount Sinai Health System (New York, NY)
- …clinical care and medical billing and reimbursement. This position will report to the Senior Director CDM of the Mount Sinai Health System This role will serve as a ... blend of clinical expertise and financial acumen to ensure compliance with healthcare regulations and collaborate with staff to resolve issues and provide education.… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- Ready to help us transform healthcare ? Bring your true colors to blue. About the Role: The Professional Auditor is responsible for post-pay review to verify the ... in accordance with the Plans' provider agreements and the National Healthcare guidelines. The Professional Auditor helps improve clinical outcomes and quality… more
- WMCHealth (Valhalla, NY)
- …up and maintained. + Software & Data Management + Maintain, test, and audit split-billing software and associated data feeds, ensuring accuracy and compliance. + ... + Auditing & Compliance Oversight + Develop and maintain a 340B audit compliance program, executing self-audits and implementing corrective action plans. + Conduct… more
- Virtua Health (Mount Laurel, NJ)
- …codes assigned by VMG coding staff and providing timely feedback to staff and director . Overseeing the annual external audit process for all clinicians that bill ... the entire coding team (modules, scenarios, tip sheets, etc.). External Coding Audit Response: Conducts Trains new coders to utilize the medical record, clinical,… more
- Project Renewal, Inc. (New York, NY)
- …Part 2, FQHC, Article 28 and other applicable standards and promote compliance with healthcare regulations. + Work with the Director of Legal Affairs and ... practices, and works closely with leadership to maintain regulatory compliance in healthcare and related human services. The Senior Manager, Compliance reports to… more
- Immigration and Customs Enforcement (Washington, DC)
- …and quality of work performed or to protect the quality of life or healthcare services, as evidenced by the following: a. Knowledge of nursing care scope of ... policy or accreditation standards. iv. Assisting in the orientation of new healthcare and nursing personnel to guidelines, requirements, and the specifics of the… more