- State of Colorado (Pueblo, CO)
- …clinical direction/supervision of nursing staff, QA/PI activities and to ensure compliance in all areas, and interdisciplinary collaboration. This position is ... to ensure all nursing assignments and duties are completed and in compliance with CMHHIP policies and psychiatric and medical nursing standards, licensure… more
- Waystar (Louisville, KY)
- …of continuous learning, innovation, and excellence within the team. Security & Compliance : Establish and enforce security policies and practices for both cloud and ... on-premises environments. Ensure compliance with industry standards and regulations. Performance Metrics: Develop...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- UnityPoint Health (Des Moines, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or ... schedule. Understand inpatient and outpatient specialty procedures. Responsible for compliance with precertification requirements. Seeks direction from provider regarding… more
- Providence (Portland, OR)
- …of risk adjustment strategies, ensuring alignment with business objectives. + ** Compliance Leadership:** Manage all compliance activities and programs, serving ... Develop strategies for provider education and outreach, enhancing coding compliance standards. + **Regulatory Management:** Supervise all changes related to… more
- UnityPoint Health (Des Moines, IA)
- …of agency compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or ... + Practices and reflects knowledge of HIPAA and other federal /state regulatory agencies guiding our organization. + Completes all...concerns regarding compliance to the immediate attention of the Corporate … more
- BrightSpring Health Services (Gainesville, FL)
- …to family and patients/clients with escalated issues. Monitors quality control, compliance , and overall performance of the unit. Responsibilities + Coordinates with ... meetings + Demonstrates fiscal accountability by monitoring operations to ensure compliance with Company policies and procedures, state licensure and regulations,… more
- Molina Healthcare (Ramapo, NY)
- …with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal , state and local regulations. Provider ... satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the… more
- Banner Health (Glendale, AZ)
- …of the organization to achieve objectives, such as Annual Initiatives, Centers for Medicare and Medicaid Services (CMS) and The Joint Commission (tJC) standards of ... from patient safety, harm reduction, clinical performance, peer review and compliance with regulatory and accrediting agencies. This is accomplished by utilizing… more
- Molina Healthcare (Detroit, MI)
- …with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal , state and local regulations. Provider ... satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the… more
- Healthfirst (NY)
- …and terminations. + Collaborate with internal teams (eg, sales, customer service, compliance ) to ensure seamless management of members. + Monitor ,report, and ... ensures core Enrollment and Billing activities are managed in compliance with State and CMS guidelines and to ensure...and Knowledge of NY lines of business such as Medicare NY, Medicaid, Child Health Plus, QHP, EP, HARP… more