- University of Southern California (Los Angeles, CA)
- …profession. The school uniquely spans the entire spectrum of pharmaceutical development and clinical care - from drug discovery to regulatory approaches that ... The Senior SAS Research Programmer will serve as lead programmer and technical specialist on research projects that use administrative healthcare claims data. SAS is… more
- Beth Israel Lahey Health (Winchester, MA)
- …that it can be. This role also supports all Highland Management Clinical Program Projects, including the Out-of-IPA Referral Program, the Out-of-IPA Admissions ... opportunities that are identified to the Highland Management Provider Relations Specialist . + Researches patient information via internet and Epic such as… more
- HCA Healthcare (Trinity, FL)
- …complies with Medical Staff standards, The Joint Commission, legal and all regulatory and accrediting agency standards. .You will interpret, explain and follow all ... regulatory guidelines, including medical staff bylaws, fair hearing plan,...Professional Medical Staff Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) with the National Association Medical Staff Services… more
- Houston Methodist (Sugar Land, TX)
- …compliance with ethical and legal business practices and accreditation/ regulatory /government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Performs management ... and ensures staff maintain certifications that demonstrates competency per regulatory guidelines. **SERVICE ESSENTIAL FUNCTIONS** + Plans and organizes day-to-day… more
- Molina Healthcare (Savannah, GA)
- …audits, and ensures all components of audit activities comply with contractual, regulatory , and accreditation requirements. * Conducts detailed and focused audits on ... contracts for the relevant area. * Remains current on applicable regulatory , contractual and accreditation requirements and standards; interprets regulatory ,… more
- Bozeman Health (Bozeman, MT)
- …services subject to policies, budgets, objectives and directives mandated by regulatory agencies, DNV and the hospital administrative team. Supervises and ... direct supervision of staff as needed, financial management, purchasing, regulatory agencies compliance, and quality monitoring, reporting and improvement. Develops… more
- University of Rochester (Albany, NY)
- …evaluates information from primary sources to ensure compliance with accreditation and regulatory standards to validate the accuracy of applications for one or more ... for privileges when applicable, ensuring compliance with criteria outlined in clinical privilege descriptions. + Monitors the initial and reappointment process for… more
- HCA Healthcare (Nashville, TN)
- …**Job Summary** As a Senior Manager - Coding and Billing on the Regulatory Compliance team, you will be instrumental in providing expert billing and coding ... will be adept at reviewing and communicating current and anticipated future regulatory provisions, evaluating contract terms and rate sheets related to billing and… more
- Diversicare Healthcare Services & Diversicare Ther (Birmingham, AL)
- …regarding changes in condition and discharge planning. + Collaborate with the clinical team to develop and execute care plans. + Coordinate discharge planning ... alongside the care coordination team. + Serve as a skilled care documentation specialist , ensuring accurate and timely completion of Medicare and Managed Care … more
- CVS Health (Columbia, SC)
- …purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and ... Diagnosis codes must be appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal...compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory… more
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