- 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
- Humana (Louisville, KY)
- …transformation, and delivery are optimized for quality measurement, reporting, and compliance with CMS standards. **Location:** Strong preference for Kentucky based ... volume and quality + Act as the primary liaison between business stakeholders, compliance teams, data engineers, production support and the CMS HEDIS rules engine… more
- WestCare Foundation (Dandridge, TN)
- …claim submission, ensuring that all necessary information is obtained and recorded. + Compliance : Ensure all billing activities comply with federal , state, and ... managing provider credentialing and re-credentialing with payers, and ensuring compliance with relevant regulations and payer requirements. This role works… more
- University of Washington (Seattle, WA)
- …effectively and efficiently in a group environment. + Working knowledge of the Medicare Clinical Trials Policy and other Federal , State and institutional ... clinical researchers, bringing important new therapies to our patients in compliance with evolving regulatory requirements. **POSITION SUMMARY** The Clinical Trials… more
- Cabinet Peaks Medical Center (Libby, MT)
- …performance problems quickly and per policies, rewards and recognizes staff accomplishments. Compliance : Stays abreast of and ensures compliance with all CPMC ... policies & procedures, laws, regulatory requirements, Medicare Conditions of Participation, etc. Develops and maintains current department policies and procedures,… more