- Guthrie (Vestal, NY)
- …Home Health NY. 2. Oversees all functions of the Agency to ensure compliance with all required regulations. Maintains a high level of professional competence by ... reviews. 7. Functions under the direction of the SR. Director of post‐acute care services. 8. Assumes responsibility for...Assumes responsibility for the day to day functioning of Medicare certified home health agency. 9. Must have excellent… more
- Texas Health Resources (Flower Mound, TX)
- ** Director - Perioperative Services** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified ... evidence based practice standards. Actively incorporate measures to obtain compliance with regulatory and accreditation standards and requirements. Identify and… more
- Molina Healthcare (Bowling Green, KY)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Plans, organizes, ... and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and… more
- Commonwealth Care Alliance (Boston, MA)
- …oversight, and efficiency of UM processes and functions. * Ensures compliance with all contract requirements, state and federal regulatory requirements and ... or behavioral health care delivery Required Knowledge, Skills & Abilities: * Medicare and Medicaid managed care experience * Demonstrated knowledge of federal and… more
- CVS Health (Boston, MA)
- …Examples include ensuring data standards are synchronized across Medicaid and Medicare platforms, ensuring duals workflows are support across systems, ensuring duals ... and Key Performance Indicators are met, mange ad-hoc requests, and ensure compliance with regulatory requirements. + Demonstrate an ability to lead through influence… more
- Sanford Health (Sioux Falls, SD)
- …complaints, and grievance processes across all product lines, including ACA, Commercial, Medicare Advantage, Medicaid, DSNP, and ISNP. This role ensures adherence to ... the end-to-end appeals and grievances process for all product lines, ensuring compliance with federal and state requirements. Oversee the intake, review, resolution,… more
- Robert Half Finance & Accounting (Nashville, TN)
- …environment. This role is integral in ensuring accurate payroll processing, compliance with regulatory standards, and effective system management. The successful ... and system uploads. * Manage payroll interfaces, including benefit uploads and compliance with regulations such as government pension reporting. * Administer and… more
- Bristol Myers Squibb (Tampa, FL)
- …of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and compliance ... BP true-up, BP modeling of contingent/portfolio agreements, legal requests, SOX compliance , deal analytics, contract performance analytics and ad hoc data analytics… more
- Banner Health (Phoenix, AZ)
- …of the organization to achieve objectives such as Annual Initiatives, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (JC) standards of ... patient safety, harm reduction, clinical performance opportunities, peer review and compliance with regulatory and accrediting agencies. Serves as a resource and/or… more
- Geisinger (Danville, PA)
- …and scalable processes that support timely provider onboarding, maintain payer compliance , and enable accelerated revenue capture across the academic medical center ... closely with Human Resources, Medical Staff Services, Revenue Management, Legal/ Compliance , and Clinical Operations to ensure a streamlined provider lifecycle… more