- Humana (Columbia, SC)
- …comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing solutions + ... PSI applications + Experience interacting with a State Medicaid or Federal government agency + Intermediate Microsoft Access skills **Additional Information** This… more
- Erickson Living (Silver Spring, MD)
- …settings across the Erickson Senior Living community continuum of care + Following Medicare , state and federal regulations, APTA, and company policies and ... procedures and ensure departmental understanding and compliance in the areas of care provision, documentation, billing reimbursement, resident rights, customer… more
- CVS Health (Tallahassee, FL)
- …oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare -Medicaid Plan) * Develop and lead clinical strategy and objectives for ... Member Outreach, Care Management, National Quality Management, Utilization Management, Compliance , and other departments to integrate social, behavioral, and… more
- Johns Hopkins University (Bethesda, MD)
- …and service documentation in accordance with JHU and payer guidelines. + Maintaining compliance with all federal , state, and institutional policies related to ... full duration of the engagement + Completion of the federal I-9 form and confirmation of US work authorization...at Suburban Hospital + Eligibility to participate in: + Medicare and Medicaid programs + Managed care arrangements affiliated… more
- Penn Medicine (Lancaster, PA)
- …of supervisory or oversight experience + A healthcare provider in good standing with Medicare , Medicaid, and other federal and state health insurance programs + ... standards and procedures for the retail pharmacies all locations . Ensures compliance with established departmental policies and procedures, State and Federal … more
- Humana (Springfield, IL)
- …to control trends. + Develop audit plans and tools for teams to ensure compliance with state contracts on performance metrics and to ensure member needs are met. ... to take the Interagency Language Rating (ILR) test as provided by the Federal Government. **WAH Internet Statement** To ensure Home or Hybrid Home/Office employees'… more
- Humana (Springfield, IL)
- …the Department of Public Health (IDPH) + Adheres to and complies with federal and state laws and programmatic requirements + Collaborates with Provider relations ... represents Humana at public forums and engagement opportunities + Maintains compliance with BH-related Contract requirements and attends oversight committee meetings… more
- New York State Civil Service (Rochester, NY)
- …resolve safety and security hazards and risks, deter criminal activity, and ensure compliance with local, State, and federal laws, rules, and regulations.In ... Conducts quarterly reviews of Agency properties as assigned by supervisor to ensure compliance with NYS Uniform and/or Life Safety code, and Agency rules and… more
- CommonSpirit Health (Englewood, CO)
- …Departmental Directors and CFOs Assists with the submission of reserve information for compliance with Dignity Health Policy and Procedure Assists in the review of ... new reimbursement/revenue cycle strategies for the purpose of ensuring compliance and promotion of best practices Supports annual internal/external financial audits… more
- Erickson Living (Silver Spring, MD)
- …to meet customer needs across the community continuum of care. + Following Federal , State, and all Payer guidelines, ASHA requirements, and company policies and ... procedures. Ensuring departmental understanding and compliance in the areas of care provision, documentation, billing...care. What you will need: + Must meet current Medicare and state requirements + Must possess a valid… more