- ChenMed (Miami, FL)
- …include analyzing and advising on the Stark Law, Anti-Kickback Law and other federal and state healthcare compliance matters, and drafting complex agreements and ... with contractual terms and conditions required + Understanding of Medicare Advantage risk-based primary care and applicable laws and...advise on the Stark Law, Anti-Kickback Law and other federal and state healthcare compliance matters, and… more
- Carle Health (West Peoria, IL)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or ... reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal /state regulatory agencies guiding healthcare. Completes all annual education...concerns regarding compliance to the immediate attention of hospital administrative staff.… more
- Whidbey General Hospital (Coupeville, WA)
- …to adhering to the highest ethical standards and recognizes the importance of full compliance with all applicable state and federal laws. The Compliance ... external review requirements to maintain operations and reimbursement including Medicare /Medicaid requirements, JCAHO accreditation, Rural Health Clinic standards/certification. Works… more
- AdventHealth (Altamonte Springs, FL)
- …of performance. The Corporate Quality Auditor will adhere to AdventHealth Corporate Compliance standards, as well as rules and regulations of all applicable local, ... state, and federal agencies and accrediting bodies. **The value you will...quality audits to the HIM/Coding leadership + Reports any compliance and/or risk issues to the compliance … more
- Humana (Juneau, AK)
- …and ERISA self-funded employee welfare benefit plans. + Provide legal guidance on federal and state regulatory compliance . + Advise on risk exposure, mitigation ... of matters related to PBM and pharmacy services, including regulatory compliance ; contract drafting, negotiation, and management; and risk management. This position… more
- National Health Care Associates (Naugatuck, CT)
- …for services provided. You will ensure the highest level of revenue integrity and compliance to all state and federal regulations for MDS completion and coding ... conventions. **Key Responsibilities:** + Lead and oversee the MDS program, ensuring compliance and accuracy in assessments + Determine Patient Driven Payment Method… more
- Humana (Albany, NY)
- …and ensure the organization's risk management practices are compliant with federal , state, industry and COSO requirements. + Enhance integrated risk reporting ... risk indicators, and risk heat maps. + Partner closely with internal audit, compliance , legal, operational risk, IT and business partners to ensure a coordinated and… more
- Aveanna Healthcare (Huntsville, AL)
- …Aveanna branch. Additionally, this individual is responsible for initiating and maintaining compliance with all Federal and State regulations governing Home ... program improvement + Consistently meet reporting deadlines + Branch compliance with federal and state regulations +...health + General Healthcare experience As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Trinity Health (Livonia, MI)
- …of contract terms and ensures alignment with processes. + Monitors all Medicare and Medicaid websites, other payer websites and newsletters regarding medical ... policies and changes impacting charging, compliance , coding and billing. Supervises the process to apply...as assigned. + Maintains a working knowledge of applicable Federal , State and local laws and regulations, Trinity Health's… more
- Sodexo (San Diego, CA)
- …healthcare system. This pivotal role requires a deep understanding of complex federal and state regulations, including **The Joint Commission (TJC)** and **Centers ... for Medicare & Medicaid Services (CMS)** standards. If you're a...a proactive leader with a strong background in regulatory compliance and a commitment to excellence in food service… more