- Elevance Health (Lake Mary, FL)
- …and provider information. + Administers credentialing and re-credentialing to ensure compliance with regulatory, accreditation and various managed care plan policies ... re-credentialing of applications. + Tracks credentialing and re-credentialing to ensure compliance with time sensitive materials. + Maintains all pharmacy site… more
- AdventHealth (Hinsdale, IL)
- …patient notifications are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare Outpatient Observation ... policies and procedures and ensures quality patient care and regulatory compliance . Actively participates in outstanding customer service and accepts responsibility… more
- AdventHealth (Bolingbrook, IL)
- …patient notifications are provided and documented in a timely manner for compliance : Important Medicare Letters (IML), Medicare Outpatient Observation ... policies and procedures and ensures quality patient care and regulatory compliance . Actively participates in outstanding customer service and accepts responsibility… more
- Kelsey-Seybold Clinic (Houston, TX)
- …physician in the form of a written pathology report. + Maintains compliance with departmental key performic indicators such as turnaround time and peer ... meetings. + Maintains strictest confidentiality. + Complies with all State, Federal , professional regulations as well as company and departmental rules, polices,… more
- The County of Los Angeles (Los Angeles, CA)
- …with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining to Medicare and Medi-Cal ... of the requirements, and procedures to be implemented for compliance , as needed. + As a unit supervisor at...as a technical resource person to subordinate staff concerning Federal regulations pertaining to Medicare and Medi-Cal… more
- The County of Los Angeles (Los Angeles, CA)
- …II: Two years of consultative experience in the surveillance of health facilities for compliance with State, Federal , and local regulations. - OR - Option III: ... a detailed descriptionof consultative experience in the surveillance of health facilities for compliance with State, Federal , and local regulations. If you do… more
- The County of Los Angeles (Los Angeles, CA)
- …supervisory** or consultative experience in the surveillance of health facilities for compliance with State, Federal , and local regulations. LICENSE: A valid ... your administrative* experience in the surveillance of health facilities for compliance with State, Federal , and local regulations. *Administrative experience… more
- The County of Los Angeles (Los Angeles, CA)
- …with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining to Medicare and Medi-Cal ... criteria, and for certification of approved hospital days reimbursable under the Medicare and MediCal programs. Essential Job Functions + Plans, develops, and… more
- CVS Health (Woonsocket, RI)
- …regulations, including HIPAA, Medicare , Medicaid, the False Claims Act, and the Federal Anti-Kickback Statute + You have a commitment to high standards in your ... including HIPAA, Medicare , Medicaid, the False Claims Act, and the Federal Anti-Kickback Statute + Experiences with PBMs + You have expertise in negotiating… more
- Kelsey-Seybold Clinic (Webster, TX)
- …and to improve the efficiency and effectiveness of resources + Ensure compliance with legal, regulatory, and clinical policies and procedures **Essential Duties and ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more