- 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
- State of Michigan (MI)
- …surveys. The purpose of these surveys is to determine initial and ongoing compliance of federal certified providers with applicable portions of the Code ... and certification activities on behalf of the Centers for Medicare and Medicaid Services (CMS). The health care surveyor...of Federal Regulations (CFR) and may be conducted by an… more
- Silicon Valley Power (Santa Clara, CA)
- …Engineering Technician, who assigns tasks and reviews work to ensure compliance with instructions and established engineering standards. Below is a briefing ... capital improvement program. The division also coordinates with the Federal Emergency Management Agency on the City's Community Rating...formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20%… more
- Kelsey-Seybold Clinic (Shenandoah, TX)
- …providers to assist in the management of psychosocial problems interfering with compliance and other treatment regimens. The therapist will conduct evaluations and ... and is in-network with major insurance plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated with… more
- Aveanna Healthcare (Buffalo, NY)
- …Responsibilities include supervising staff, coordinating patient care, maintaining compliance , and supporting clinical excellence. Key Responsibilities: Care & ... and performance management + Support a positive and growth-oriented team environment Compliance & Quality + Ensure regulatory and accreditation compliance (eg,… more
- Humana (Honolulu, HI)
- …time with demonstrated advanced communication and interpersonal skills. This is a very compliance driven and highly visible program at Humana. The nature of the work ... concurrently navigating multiple computer applications. Due to the auto dialer process and compliance needs of the business there is limited day to day flexibility… more
- Ochsner Health (Pensacola, FL)
- …OR additional combination of formal education, training, and applicable experience with Medicare Advantage. **Work Experience** Required - 3 years of experience in ... Microsoft Excel, Word, PowerPoint, Outlook, and SalesForce. + Value-based care, medicare advantage, data analysis, project management. + Ability to efficiently… more
- Virtua Health (Westampton, NJ)
- …office communications to direct reports as appropriate. Is compliant with Federal , state and local regulatory guidelines. Job Responsibilities: Financial / Revenue ... reconciliation, tracking referrals, and other receivable/collection tasks. Assist physician compliance with chart completion, charge entry, PAQ's/ inboxes. Identifies… more
- Gentiva (Castle Rock, CO)
- …supervision, and evaluation. + Ensure compliance with state and federal regulations, Medicare guidelines, and company policies. + Foster collaboration ... Care Program. The Director ensures high standards of patient care, compliance with regulatory requirements, and operational and financial success while leading… more