- WellSpan Health (York, PA)
- …initial applicants and those due for recredentialing with the National Practitioner Data Bank. - Adheres to all policies and procedures regarding mandated queries ... and reporting mechanisms. - Maintains close communication with provider, practice...in CAQH. - Runs reports and complete Medicare and Medicaid revalidations for WellSpan Medical Group (WSMG) & Hospital… more
- New York State Civil Service (Albany, NY)
- …processes and creating training materials;* Experience with tracking, analyzing, summarizing, and reporting data * Ability to lead* Excellent written and verbal ... delivery of health and human services to NYS residents in areas such as: Medicaid , SNAP, Public Assistance, HEAP, and Child Care. Reporting to the IES Resource… more
- UnityPoint Health (Anamosa, IA)
- …on committees. + Assists with performance improvement and the collection, compilation and reporting of data as directed. Basic UPH Performance Criteria + ... 174931 Overview As a member of the interdisciplinary team, contributes professional emergency/non-emergency paramedic knowledge and skills in the provision and… more
- Stanford Health Care (Palo Alto, CA)
- …and reporting purposes. + Appeal Letter Drafting: Independently compose professional and comprehensive appeal letters to payors after a detailed review of ... on an employee's demonstrated and applied knowledge, skills and abilities and professional behaviors. Clinical Government Audit Analyst and Appeal Specialist II is… more
- MVP Health Care (Rochester, NY)
- …personnel. + Keep abreast of Federal and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare, Medicaid , and any corporate ... of five years of insurance claims investigation experience; or five years of professional investigation experience with law enforcement agencies, or seven years of … more
- Intermountain Health (Denver, CO)
- **Job Description:** The Finance Manager is a skilled professional in financial management and analysis with a comprehensive knowledge of the financial operations at ... partnering with high-level executives for enterprise-level functional areas. + Provides regulatory reporting or support as needed locally or at the enterprise level.… more
- AdventHealth (Altamonte Springs, FL)
- …and public- reporting trends such as Centers for Medicare and Medicaid Services (CMS) Value-Based Purchasing, Agency for Healthcare Research and Quality (AHRQ) ... not limited to Clinical Value Transformation, Performance Improvement, Clinical Data Analytics, Regulatory (ACHA, CMS, DNV), Quality Systems, Infection Prevention,… more
- LA Care Health Plan (Los Angeles, CA)
- …and Abuse (FWA) program, ensuring compliance with Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS), and state/federal ... to ensure confidentiality, integrity, and fairness. Ensure timely and accurate reporting of SIU/FWA activity to external agencies to meet regulatory requirements.… more
- BronxCare Health System (Bronx, NY)
- …activities of the assigned department. Contribution and participation includes data collection, analysis, implementation of and compliance with risk management ... (a) Safety and Security Policies, (b) Risk Management: Incident and Occurrence Reporting , (c) Infection Control Policies and Procedures and (d) Patient and Customer… more
- Humana (Honolulu, HI)
- …The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and ... operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and… more