- 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
- 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
- AmeriHealth Caritas (Baton Rouge, LA)
- …individual practices and integrated delivery systems. This role involves ensuring compliance with state and federal regulations, conducting provider orientations ... to Claims Operations, Medical Management, Credentialing, Legal, Analytics departments, Compliance , Sales, and Marketing. + Creates agreements that meet internal… more
- CommonSpirit Health Mountain Region (Burlington, CO)
- …cycle management + Charge master review and updates + Development of, and compliance with, financial policies and procedures + Contractual allowances and bad debt ... hospital and its operating units. + Maintain a thorough working knowledge of federal , state, and payer-specific payment methodologies + Maintain a high level of… more
- Cedars-Sinai (Los Angeles, CA)
- …to identify risks, develop and implement business continuity strategies, and ensure compliance with healthcare regulations. What's this role all about? + Develops, ... May assist in coordination and liaison with community, city, county, state, and federal agencies involved with disaster response and continuity, such as FEMA, Red… more
- Trinity Health (Maywood, IL)
- …inter- and intradepartmental meetings, committees, and task forces as required. PHARMACY COMPLIANCE : Ensure compliance to all state/ federal regulatory ... (TJC), Illinois Department of Public Health (IDPH), The Centers for Medicare & Medicaid Services (CMS), and other licensing/accrediting agencies. PHARMACY SYSTEMS:… more
- Marshfield Clinic (Marshfield, WI)
- …facilities by utilizing established policies, guidelines and protocols to ensure compliance with requirements of regulatory agencies. Must complete the Respiratory ... actions in case of an emergency. + Knowledge of federal , state and local healthcare related laws and regulations;...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
- Atlantic Health System (Morristown, NJ)
- …immunohistochemical, immunofluorescence, special stains, and frozen section studies. + Ensures compliance with all local, federal , CLIA and CAP regulations ... highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its...& Auto, Identity Theft and Legal Insurance Note: In Compliance with the NJ Pay Transparency Act (effective Sunday,… more