- Gilead Sciences, Inc. (Foster City, CA)
- …managing Gilead's day-to-day administration and processing of all Managed Care Commercial/ Medicare Part D contract payments, in support of the contract development ... subject matter expert to ensure proper data validation, verification of contract compliance , rebate processing, and payment analysis to protect Gilead from revenue… more
- UnityPoint Health (West Des Moines, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or ... Maintain eligibility to bill for government payers (ie, not on the Medicaid/ Medicare exclusion list.) . Document services accurately and timely patient progress with… more
- Molina Healthcare (Cincinnati, OH)
- …oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has ... decision-making accountability for ensuring compliance with complex regulatory requirements, protecting the integrity of...for all lines of business. + Ensures all state, federal and Molina regulations, Policies/Procedures and SOPs are implemented… more
- WellSpan Health (York, PA)
- …guidelines to optimize reimbursement for the system while ensuring compliance with applicable laws and regulations. **Duties and Responsibilities** **Essential ... action steps and works collaboratively with the department when coding and/or compliance issues are found. + Identifies denial trends, billing errors, and determines… more
- Ochsner Health (Luling, LA)
- …with health care systems and public programs such as those funded by Medicare , Medicaid, Medicare Advantage and commercial insurance plans. + Excellent ... or this description amended at any time. Remains knowledgeable on current federal , state and local laws, accreditation standards or regulatory agency requirements… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... within an assigned territory. Monitor provider business operations to ensure compliance with FCHP's documented standards, policy and procedures and government… more
- UCLA Health (Los Angeles, CA)
- …system. You'll ensure that hospital charges are processed promptly, accurately, and in compliance with Centers of Medicare & Medicaid Services (CMS), Medi-Cal, ... capture processes. + Manages and conducts special project reviews. + Maintain compliance with CMS, Medi-Cal, and health plan billing regulations. + Analyze complex… more
- Ochsner Health (Slidell, LA)
- …knowledge of managed care and public programs such as those funded by Medicare , Medicaid, Medicare Advantage, and commercial insurance plans. + Proficiency in ... or this description amended at any time. Remains knowledgeable on current federal , state and local laws, accreditation standards or regulatory agency requirements… more
- Silicon Valley Power (Santa Clara, CA)
- …technical staff and management to discuss and strategize plant operations, ensuring compliance with local, state, and federal regulations pertaining to safety ... status or any other consideration made unlawful under any federal , state or local laws. The City of Santa...formula - employee pays 7.00% of gross pay + Medicare and Social Security (FICA) + Employee pays 6.20%… more
- CareOregon (Portland, OR)
- …care costs and increase provider/care team satisfaction. Housecall Providers has saved Medicare millions of dollars, while providing better care to our patients, ... as roughly 10,000 baby boomers a day enter the Medicare system. If you receive an offer of employment...review, and drug screen (including THC/Marijuana). CareOregon is a federal contractor and must comply with all federal… more