- Prime Healthcare (Port Huron, MI)
- …core human resources areas including affirmative action, acquisition projects, legal compliance with applicable state and federal guidelines. Qualifications ... Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of… more
- CVS Health (Hartford, CT)
- …jurisdictions. The analyst collaborates closely with investigative teams, legal, compliance , and operational departments to maintain transparency and accountability ... **Required Qualifications** + 5+ years of experience in healthcare investigations, compliance , or data analysis (or equivalent professional experience) + Strong… more
- System One (Tulsa, OK)
- …the organization's control environment by conducting risk-based audits, evaluating compliance , and supporting the development of audit strategies. The ideal ... organization. + Evaluate the effectiveness of internal controls, policies, and compliance with regulations. + Prepare detailed audit reports with findings,… more
- Erickson Living (Catonsville, 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...What you will need: + Training must meet current Medicare and state requirements. + Must possess a valid… more
- New York State Civil Service (Schenectady, 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
- Sharp HealthCare (San Diego, CA)
- …case management, utilization management, and discharge planning, as specified by Sharp, federal , state, and private insurance guidelines. + Core principlesThe RN CM ... utilizing established criterion sets.The RN CM I has accountability for maintaining compliance contractual and regulatory compliance with medical groups as… more
- 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