- HCA Healthcare (Greenwood Village, CO)
- …coordination, and delivery of quality interdisciplinary Hospice care services, assuring compliance to federal /state standards and clinical best practices. **What ... you will need:** Minimum two years' experience within a licensed and certified ( Medicare ) hospice agency Competent in Federal ( Medicare ) and Local… more
- Elderwood (Ticonderoga, NY)
- …The ADON shall assess residents, perform audit measures and follow state, local and federal regulations and best practices within his or her scope of practice. This ... Act requirements, facility philosophy, and operational policies while maintaining compliance with other government agency laws and regulations. Communicates and… more
- Carle Health (Peoria, IL)
- …completing authorization requests for medications or placement. Responsible for supporting federal and state regulatory compliance through the distribution and ... incoming calls from the nursing facilities Responsible for maintaining Medicare regulatory compliance with the delivery of...a veteran, and basis of disability or any other federal , state or local protected class. Carle Health participates… more
- Molina Healthcare (GA)
- …with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal , state and local regulations. Provider ... for internal staff, external providers, and other stakeholders. * Ensures compliance with applicable company/plan business requirements including state/ federal … more
- Kelly Services (Sioux Falls, SD)
- …regions regarding reimbursement matters/issues, general compliance , and charge master compliance relative to Medicare cost reporting + Collaborate with ... of Reimbursement + Supervise 2-3 Cost Reimbursement Analysts + Complete the monthly Medicare 3rd Party Settlement calculation for all hospitals + Assist in the… more
- CenterWell (San Antonio, TX)
- …local primary care "on-call" program of Conviva as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your ... is a part of our Tuberculosis (TB) screening program. **Preferred Qualifications:** + Medicare Provider Number + Medicaid Provider Number + Minimum of two to five… more
- Humana (Atlanta, GA)
- …the sales process in all sales-oriented activities, including marketing, advertising, compliance , sales promotions, and training to achieve revenue targets. Begins ... Bachelor's degree and 5+ years of experience in the Medicare industry with a focus on management/leadership + Experience...Interagency Language Rating (ILR) test as provided by the Federal Government. Travel: While this is a remote position,… more
- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... related field required + Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required + Minimum… more
- Molina Healthcare (Orlando, FL)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay… more
- The Cigna Group (St. Louis, MO)
- …will ensure their capabilities are compliant with the Center for Medicare and Medicaid Services (CMS) regulations, lead implementation of enhancements, provide ... with all cross-functional areas of the organization + Understand and ensure compliance to CMS guidance and regulations + Influence account teams, clients, and… more