- Stony Brook University (Commack, NY)
- …management of all Managed Care contracts for the health system, ensuring compliance with contractual obligations, State and Federal regulations, and alignment ... (JOC) meetings, contract settlement discussions, and reimbursement escalations. + Ensure compliance with Medicare and Medicaid reimbursement methodologies and… more
- CareFirst (Baltimore, MD)
- …and takes action to implement enhancements to maximize outcomes, growth and compliance with accreditation, State and Federal regulatory requirements. Coordinates ... evaluates and reports on health plan's performance related to NCQA accreditation, compliance with State and Federal regulatory requirements, and other… more
- Humana (Santa Fe, NM)
- …efficiency. Ensure robust database security, backup, recovery, and regulatory compliance in alignment with Humana's standards. Monitor database performance, ... Terraform. Familiarity with cloud security, access management, and regulatory compliance best practices. Excellent communication and documentation skills. Is eager… more
- Molina Healthcare (Hartford, CT)
- …with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal , state and local regulatory requirements. ... for ensuring Health Plan Operating metrics consistently meet and/or exceed all compliance requirements as well as key performance targets and associated service… more
- UnityPoint Health (Cedar Rapids, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or ... intranet site. . Maintain regular and consistent attendance at work. . Maintain compliance with OSHA, Safety and Risk Management guidelines. . Maintain compliance… more
- Hospice of Michigan (Clinton Township, MI)
- …record (EHR), and coordinating with internal and external stakeholders to maintain compliance with hospice regulatory standards. The assistant serves as a vital link ... the EHR and communication platforms to ensure timely task resolution and compliance with documentation standards. + Monitors necessary reports to meet regulatory… more
- Humana (Springfield, IL)
- …statistical records and the activities of various departments to ensure compliance with the organization's policies, procedures and standards. The Director, Internal ... for planning, executing, and overseeing audit activities to ensure compliance with internal policies, regulatory requirements, and industry standards. The… more
- CommonSpirit Health (Phoenix, AZ)
- …+ Excellent written and verbal communication skills + Working knowledge of state and federal programs such as Medicaid and Medicare + Working knowledge of ... Payers; coordinating directly with internal & external stakeholders to ensure contract compliance on a regional and market level; ensuring that managed care… more
- Providence (Irvine, CA)
- …+ Prepare and review business associate agreements, guiding clients on HIPAA compliance and navigating state and federal privacy statutes regulations. + ... timely responses to client needs while upholding high standards of legal support and compliance . **What You'll Do** + Advise business clients on compliance with… more
- UnityPoint Health (Vinton, IA)
- …intranet site. + Maintain regular and consistent attendance at work. + Maintain compliance with CLIA, OSHA, Safety and Risk Management guidelines. + Maintain ... compliance with Personnel policies and procedures. + Monitor environmental...reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal /state regulatory agencies guiding healthcare. + Completes all annual… more