- J&J Family of Companies (Detroit, MI)
- …access and affordability solutions across multiple payer types and plans (ie, Medicare , Medicaid Managed Care, Commercial). + Execute business in accordance with the ... highest ethical, legal, and compliance standards, including timely and successful completion of all...payer approval processes and business acumen. + Understanding of Medicare , Medicaid, and private payer initiatives affecting reimbursement of… more
- UPMC (Pittsburgh, PA)
- …provide for seamless coordination between physical, behavioral and support services. Ensures compliance with all state and federal regulations and guidelines in ... for Medical Assistance! Additionally, CHC is also for individuals that qualify for Medicare , Medicaid, or require a nursing facility level of care. The CHC Service… more
- Gentiva (Pittsburgh, PA)
- …+ Direct overall hospice branch operations, ensuring compliance with state, federal , and accreditation standards (CMS, Medicare , Joint Commission, etc.) + ... health, or healthcare operations leadership + Strong understanding of hospice regulations, compliance , and Medicare conditions of participation + Proven ability… more
- J&J Family of Companies (Dallas, TX)
- …access and affordability solutions across multiple payer types and plans (ie, Medicare , Medicaid Managed Care, Commercial). . Execute business in accordance with the ... highest ethical, legal, and compliance standards, including timely and successful completion of all...payer approval processes and business acumen. . Understanding of Medicare , Medicaid, and private payer initiatives affecting reimbursement of… more
- AdventHealth (Altamonte Springs, FL)
- …providers. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms and provides appropriate ... Finance/Accounting, physician practices and AH Physician Enterprise in order to ensure compliance and awareness of negotiated contract terms and rates.** **The value… more
- CenterWell (Port Orange, FL)
- …local primary care "on-call" program of Conviva as needed. . Assures personal compliance with licensing, certification, and accrediting bodies. . Spend 100% of your ... two to five years directly applicable experience preferred . Experience managing Medicare Advantage panel of patients with understanding of Best Practice in… more
- J&J Family of Companies (Denver, CO)
- …access and affordability solutions across multiple payer types and plans (ie, Medicare , Medicaid Managed Care, Commercial). + Execute business in accordance with the ... highest ethical, legal, and compliance standards, including timely and successful completion of all...payer approval processes and business acumen. + Understanding of Medicare , Medicaid, and private payer initiatives affecting reimbursement of… more
- Fallon Health (Lowell, MA)
- …product regulatory requirements and Program policies and processes o Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing ... 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
- Dignity Health (Redding, CA)
- …maximum reimbursement from Medicare and third-party payers. + Ensures departmental compliance with all applicable local, state, federal and The Joint ... a positive fiscal stature by ensuring maximum reimbursement from Medi-Cal, Medicare , and third-party payors. The Director is accountable for strategic and… more
- Humana (Jackson, MS)
- …and procedures during on-site and electronic outreach activities, ensuring compliance with all customer support performance standards. Outreach activities will ... Ability to interpret and understand policy and/or government contracts (IE TRICARE, Medicare , Medicaid, CMS etc ). **Additional Information** **Work Style** : Remote… more