- RWJBarnabas Health (Lakewood, NJ)
- …and storage of specimens, and ensures complete and correct documentation for Medicare /Medicaid patients as required by federal law and corporate compliance ... with, participate in periodic education/training regarding, and comply with, RWJBH-Corporate Compliance Program, Code of Conduct, and other corporate compliance … more
- Humana (Albany, NY)
- …risk indicators, and risk heat maps. + Partner closely with internal audit, compliance , legal, operational risk, IT and business partners to ensure a coordinated and ... + Bachelor's Degree + Minimum 15 years of progressive risk management or compliance experience within the healthcare industry; minimum of 10 years of leadership… more
- UnityPoint Health (Des Moines, IA)
- …department compliance requirements for federally funded healthcare programs (eg Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or ... concerns regarding compliance to the immediate attention of hospital administrative staff....action on concerns reported by department staff related to compliance . . This position may be assigned a specific… more
- Sanofi Group (Morristown, NJ)
- …strategies, and all aspects of account management for and in compliance with various government agencies/contracts, including the calculation and remittance of ... field communications, reporting requirements (both internal and external) of prebooks/shipping/ compliance reports, and performance while ensuring compliance with… more
- Humana (Lansing, MI)
- …with Humana's Michigan Medicaid plan related to claims. + Ensure compliance with Michigan's Managed Care Contractual requirements for provider relations, such ... hospitals, nursing facilities, and/or HCBS and LTSS providers). + Monitor compliance and provide targeted support with EVV (Electronic Visit Verification)… more
- Baylor Scott & White Health (Dallas, TX)
- …and safety programs in their hospital(s). This critical leadership role ensures compliance with relevant regulatory bodies, with a particular emphasis on The Joint ... process to ensure successful accreditation and licensing. Monitor and drive compliance with The Joint Commission (TJC), National Fire Protection Association (NFPA),… more
- ChenMed (Oak Lawn, IL)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... work closely with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and quality management… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …shaping risk adjustment strategies, delivering executional excellence, ensuring regulatory compliance , and leveraging analytics to improve the accuracy and ... adjustment strategies to facilitate accurate and complete coding, reporting, and regulatory compliance with CMS, HHS, and state guidelines. Leads efforts to ensure… more
- UnityPoint Health (Cedar Rapids, IA)
- …department compliance requirements for federally funded healthcare programs (eg, Medicare and Medicaid) regarding fraud, waste, and abuse. Brings any questions ... or concerns regarding compliance to the immediate attention of hospital and ASC...action on concerns reported by department staff related to compliance . Qualifications Education: * Must have high dipolma. Experience:… more
- Insight Global (Indianapolis, IN)
- …data, and ensure accuracy in reporting processes to support organizational compliance and financial transparency. Key Responsibilities Lead or review complex cost ... reports for the hospital and Home Office, ensuring accuracy and compliance . Coordinate the completion of Medicaid DSH Eligibility and HSL surveys. Review and analyze… more