- City of New York (New York, NY)
- …ON CIVIL SERVICE EXAM # 9061. The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs, for the City of New York. ... in a diverse range of operational and policy-oriented research, analysis and reporting on behalf of the Medical Assistance Program (MAP) with continuing related… more
- 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