- BAYADA Home Health Care (Glen Burnie, MD)
- …You'll Do as Director:** + Provide leadership and strategic direction to ensure compliance with Medicare regulations and state/ federal laws governing home ... candidate will have a strong background in healthcare administration, regulatory compliance ( Medicare Conditions of Participation), clinical coordination, and… more
- CGI Technologies and Solutions, Inc. (Baltimore, MD)
- …cybersecurity best practices Desired qualifications/non-essential skills required: * Experience with Federal Government, Center for Medicare and Medicaid (CMS) ... Baltimore **Position ID:** J0525-2240 **Employment Type:** Full Time US - CGI Federal roles - What we do matters (https://youtu.be/cT09CQZNzt4) By playing this video… more
- Humana (Louisville, KY)
- …to develop forecasting and targeted improvement in healthcare quality with our Medicare population. This role will product development, lead execution of tactics, ... of programs and their impact to results on the Medicare CAHPS and Health Outcomes Survey. This role will...trends, proactively adjusting strategy to maintain competitive advantage and compliance . **Use your skills to make an impact** **Required… more
- Humana (Miami Beach, FL)
- …Identifies through a screening process for potential eligibility for state and federal benefits. + Ensures member is progressing towards desired outcomes by ... needs and hours could include weekends/holidays. + During the Medicare Annual Election Period, September to December, must be...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (San Juan, PR)
- …service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Humana (Orlando, FL)
- …to the development, implementation, and management of the company's Medicare /Medicaid Five-Star Quality Rating System. The Senior Stars Improvement, Clinical ... Organizations (MSOs) and organizational leaders to impact Centers for Medicare & Medicaid Services (CMS) Star Rating categories -...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- MetroLink (Los Angeles, CA)
- … federal , state, regional, and local funding + Responsible for assuring compliance with federal and state regulations and guidelines through timely execution ... Regional Rail Authority is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, the SCRRA...by SCRRA, which exceeds $50,000, be added to your Federal , State, and Medicare taxable earnings for… more
- CVS Health (Phoenix, AZ)
- …division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance Audit Programs, review pharmacy submitted Medicare ... or pharmacy claim processing systems. -Familiarity with current CMS Medicare Part-D compliance regulations. -Advanced level of...will be considered for employment in accordance with all federal , state and local laws. We are an equal… more
- Trinity Health (Ann Arbor, MI)
- …directs process improvement changes related to assigned areas. + Implements measures to ensure compliance with Medicare , Federal Wage & Hour, OSHA and other ... equipment related to testing, considering return on investment + Assures compliance with billing/reimbursement for all payers. + Interviews, hires, develops,… more
- CareOregon (Portland, OR)
- … Medicare and/or Medicaid enrollments according to applicable state, federal , and internal CareOregon guidelines. + Investigate other health insurance coverage ... status to assist with coordination of benefits. + Ensure compliance with timely processing of eligibility, enrollment records, and/or member notification. + Identify… more