- The County of Los Angeles (Los Angeles, CA)
- …performance and works with contracted services personnel to ensure compliance . Develops and implements efficient/productive cleaning methods, protocols, policies, ... and specifications and identifies and reports observed design deficiencies. Ensures compliance with all building, construction and safety codes affecting the… more
- Novant Health (Charlotte, NC)
- …communication and interpersonal skills. + Knowledge of healthcare regulations and compliance standards. + Expert knowledge of Medicare /Medicaid regulations, ... support services. This leader will be pivotal in driving quality, compliance , and efficiency using transformative technology throughout the mid- revenue cycle.… more
- University of Miami (Miami, FL)
- …that are defined by internal parameters to meet the mandates by state and federal programs, inclusive of the Centers for Medicare and Medicaid Services. ... Clinical Engineering. This role is responsible for ensuring data integrity, compliance with healthcare standards, and continuous process improvements within the… more
- State of Colorado (Denver, CO)
- …licensure and certification programs that are responsible for regulatory activities related to Medicare and Medicaid federal and state certification, as well as ... and processing licensure and certification actions, or similar applications, while ensuring compliance with state and federal regulations. OR EXPERIENCE &… more
- Ventura County (Ventura, CA)
- …program goals and objectives; + Ensures provisions of man-dated services are in compliance with federal and state statutes, rules, and regulations; + ... and procedural requirements for the clinic system; + Supports compliance , including federal , state, and local rules,...and practices of ambulatory clinics, third party payers including Medicare and Medical, federal and state regulations… more
- Humana (Cheyenne, WY)
- …reviewing criteria to ensure appropriateness of care preferred + Previous Medicare experience a plus + Milliman MCG experience preferred **Additional Information** ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Providence, RI)
- …+ **Prior experience in a healthcare or insurance setting** + **Knowledge of Medicare Advantage** + **Grievance and Appeals experience** + **Experience working in a ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Springfield, IL)
- …care experience. + Certified Case Manager (CCM). + Prior experience with Medicare & Medicaid recipients. + Experience with health promotion, coaching and wellness. ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Austin, TX)
- …team dedicated to advancing predictive modeling and analytics in support of our Medicare and Medicaid business. The HQRI team plays a pivotal role within Humana, ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- BJC HealthCare (Ballwin, MO)
- …attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal , state, and accreditation agencies. ... guidelines, must be able to understand, articulate and enforce hospital compliance with Medicare Secondary Payer (MSP), & HIPAA Privacy Standards. This position… more