- BlueCross BlueShield of North Carolina (NC)
- …for completion of complex actuarial or analytical projects, ensuring timeliness, compliance , and quality of work + Provide proactive and strategic thought ... 9 years of relevant actuarial experience. **Bonus Points** + Experience in Medicare Advantage Risk Adjustment highly preferred **What You'll Get** + The opportunity… more
- CVS Health (Austin, TX)
- …company by reviewing information and completing timely and accurate documentation of all Medicare Part D requests, in compliance with Medicare guidelines, ... As an RPh Advisor you will be directly supporting Medicare Part D members and providers with requests related...and ensuring accurate decisions that comply with compendia and Medicare guidance and timelines. This is a great opportunity… more
- Insight Global (Virginia Beach, VA)
- …- Coordinate interdisciplinary group (IDG) meetings and ensure timely documentation for Medicare /Medicaid compliance . - Provide education and support to patients ... and families, ensuring compassionate and culturally sensitive care. - Maintain accurate EMR documentation and prepare care summaries for physicians. We are a company committed to creating diverse and inclusive environments where people can bring their full,… more
- Ankura (Chicago, IL)
- …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
- State of Colorado (Denver, CO)
- …while monitoring expiration timelines and tracking documentation for regulatory compliance , including Medicare /Medicaid requirements. + Assists with procurement ... CMS, requires oversight of sterilization schedules, service documentation, and compliance tracking with regulatory standards (eg, AAMI, AORN, Joint Commission,… 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
- Walmart (Orlando, FL)
- …orders keeping uptodate with regulations researching information to accurately process Medicare orders to ensure compliance with appropriate regulations and ... labeling prescriptions and preparing packages and distributing medicationsComplies with Medicare and Medicaid policies and procedures by implementing and adhering… 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
- Aveanna Healthcare (Greenville, 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
- CVS Health (Hartford, CT)
- …to ensure consistency and interoperability across systems. + * Ensure compliance with enterprise security, privacy, and regulatory standards (eg, HIPAA, SOC2). ... Required Qualifications + * 10+ years of experience in software architecture, engineering, or technical leadership roles. + * Proven success designing and deploying cloud-native systems across multiple platforms and teams. + * Strong understanding of marketing… more