- CareFirst (Baltimore, MD)
- …This position may request to extend that knowledge across other Commercial, Medicare and Medicaid plans as needed. This may also include assistance with ... to include industry, regional, and internal benchmarks as needed. Research Federal , state and local reimbursement trends and mandates to prepare reimbursement… more
- Walgreens (Salt Lake City, UT)
- …Provides direction to ensure that pharmacy department procedures and practices are in compliance with federal and state regulations and guidelines. Also ensures ... or effectively recommend the same. Utilizes Constructive Discipline policy to ensure compliance with state and federal laws by pharmacy department personnel.… more
- HCA Healthcare (San Antonio, TX)
- …and delivery of quality interdisciplinary home health care services. Will ensure compliance to federal /state standards and clinical best practices. **What you ... you will need:** Two years of experience within a licensed and certified ( Medicare ) home health agency requiredCompetent in Federal ( Medicare ) and… more
- Corewell Health (Grand Rapids, MI)
- …healthcare outcomes for members within the dual-eligible population. This role ensures compliance with state and federal regulations and fosters cross-functional ... LTSS. It also ensures that LTSS operations align with the integration of Medicare and Medicaid benefits under Michigan's HIDE SNP model, meeting CMS and MDHHS… more
- HCA Healthcare (Nashville, TN)
- …and delivery of quality interdisciplinary home health care services. Will ensure compliance to federal /state standards and clinical best practices. What you ... and certified ( Medicare ) home health agency required + Competent in Federal ( Medicare ) and Local standards including Conditions of Participation and Local… more
- Fallon Health (Worcester, MA)
- …criteria and medical necessity determinations. The Appeal Nurse is responsible for ensuring compliance with all applicable state and federal laws and regulations ... to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)-… more
- Walgreens (Memphis, TN)
- …with federal and state regulations and guidelines. Also ensures compliance with internal regulatory bodies and contracts with payers and pharmaceutical ... of claims to government- sponsored health care programs, including Medicare , Medicaid, and all other third-party payers, as well...recommend the same. Utilizes Constructive Discipline policy to ensure compliance with state and federal laws by… more
- Sanofi Group (Morristown, NJ)
- …Manufacturer's Price ("Non-FAMP"), Federal Ceiling Price ("FCP"), other Federal contract compliance obligations, Public Health Service ("PHS")/340B pricing, ... responsible for executing all government pricing calculations in full compliance with all Medicaid, Medicare and VA...calculations in full compliance with all Medicaid, Medicare and VA Healthcare Act regulations. + Ensure timely… more
- Sunrise Senior Living (Haverford, PA)
- …Living, "to champion the quality of life for all seniors" in accordance with federal , state and local standards and Sunrise Senior Living policies to promote the ... follows Resident Centered Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. + Participates in the Care… more
- Sunrise Senior Living (Charlottesville, VA)
- …services to our guests/residents in the skilled nursing center in accordance with federal , state, and local standards and Sunrise Senior Living policies in promotion ... + Reviews and assists in case management of both Medicare & non- Medicare guests/residents. + Ensures interdisciplinary...Partners with community team to ensure community is in compliance with OSHA requirements and promotion of Risk Management… more