- Actalent (Orlando, FL)
- …clinical trial protocols to determine the appropriate billing of services in compliance with Medicare regulations and institutional policies. This role ensures ... 4+ years of experience in clinical research billing, coverage analysis, or healthcare compliance . + Strong knowledge of Medicare regulations and clinical trial… more
- Ankura (New York, NY)
- …statistical methods; prescription drug claims submission and payment; pharmacy benefit administration; Medicare Part D compliance ; and the preparation of expert ... the issues associated with complex disputes, investigations, regulatory and compliance , and technology services. Our practice professionals have a thorough… more
- Jackson County Medical Care Facility (Jackson, MI)
- …administration. + Proven experience managing payroll systems and ensuring wage compliance . + Strong knowledge of Medicaid/ Medicare reimbursement, healthcare ... Ensure accurate and timely payroll administration for 300+ employees, including compliance with wage rules, attendance integration, and adjustments. + Provide… more
- CenterWell (Santa Fe, NM)
- …to obtain details necessary for prioritization (eg member experience improvements, compliance impacts, client goals, etc.) + Create project intake and prioritization ... veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to… more
- Aveanna Healthcare (Pell City, AL)
- …care providers in a respectful, professional and courteous manner. + Maintains compliance with Medicare Conditions of Participation, Joint Commission standards, ... of patient care provided by Hospice Aides, Licensed Practical Nurses; ensuring compliance with the established plan of care and completing required documentation of… more
- Walmart (Orlando, FL)
- …on policy changes and new regulations researching information to accurately process Medicare orders to ensure compliance and interpreting and documenting ... maintaining a safe and clean work environment Complies with Medicare and Medicaid policies and procedures by implementing and...and promotes the highest standards of integrity ethics and compliance models the Walmart values to support and foster… more
- Robert Half Office Team (Torrance, CA)
- …handle the credentialing needs for a group of healthcare providers, ensuring compliance with Medicare and commercial insurance requirements. This position also ... * Manage and maintain credentialing documentation for healthcare providers, ensuring compliance with Medicare and commercial insurance requirements. * Prepare… more
- BrightSpring Health Services (Tempe, AZ)
- …present comprehensive drug utilization evaluations which analyze medicationutilization data for compliance with Medicare CoPs and opportunities to reduce ... in the hospice industry. Specializing in providinghospice pharmacy services since the Medicare benefit started in the 1980s, OnePoint Patient Carehas grown to become… more
- Geisinger (Pittston, PA)
- …group visits. + Orders literature as required. + Ensures departmental and CMS compliance by following policies and procedures. + Utilizes scripts as required to ... ensure consistent call handling. + Participates in outbound initiatives when required. + Participates in retention campaigns when required. + Handles walk in prospects. + Meets or exceed predetermined membership and enrollment goals and appointment setting… more
- Molina Healthcare (IA)
- …to meet critical needs + Escalates gaps and barriers in implementation and compliance to AVP, VP and senior management + Consultative role, develops business case ... methodologies for programs, develops and coordinates implementation of business strategy + Collaborates and facilitates activities with other units at corporate and Molina Plans. **JOB QUALIFICATIONS** **Required Education** Bachelor's degree or equivalent… more