- Commonwealth Care Alliance (Boston, MA)
- …and the Appeals and Grievances team in a number of ways to ensure compliance on activities related to member complaints in the organization and improve the member ... facilitate timely resolution of all grievances and appeals and ensures compliance with regulations. Additionally, this position is responsible for timely… more
- Sodus Rehab & Nursing Center (Gowanda, NY)
- …that the highest quality of care is delivered to residents while maintaining compliance with all state, federal, and local regulations. You will be responsible for ... managing staff, financial operations, and regulatory compliance to maintain a safe and supportive environment for residents and employees. Job Type: Full-time… more
- Humana (Frankfort, KY)
- …issues, and ensure high availability of the Anaplan environment. + Ensure compliance with internal and external security standards and best practices for cloud ... into business processes. + Strong understanding of cloud security and compliance practices. + Excellent analytical, problem-solving, and communication skills. +… more
- ChenMed (Richmond, VA)
- …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 center and market leadership to ensure compliance with guidelines along with participating in risk and quality management programs,… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …and equipment sufficient to identify and resolve problems and assure compliance with appropriate requirements. Knowledge of the types of surveillance needed ... & regulations to plan and conduct the surveys of laboratories; assure compliance of CAP and Joint Commission standards; develop & recommend regulations, criteria,… more
- Cleveland Clinic (Warrensville Heights, OH)
- …policies and procedures required by local, state, or federal law and assist with compliance or credentialing bodies (ACR, MQSA, Medicare , Medicaid, FDA, etc.). + ... Assist with instrument calibration and record to ensure compliance with quality assurance requirements. + Ensure and maintain...the area in a state of inspection readiness and compliance (ie JCAHO, ODH, etc.) + Remain knowledgeable in… more
- Mobomo, LLC (Washington, DC)
- …expert supporting the Department of Health and Human Services (HHS) Office of Medicare Hearings and Appeals (OMHA) in the development of a new SharePoint Online ... disruption to business operations, while maintaining data integrity, regulatory compliance , and information security throughout the project lifecycle. Key… more
- KPH Healthcare Services, Inc. (Camden, NY)
- …multidisciplinary team for the best patient/customer outcomes, education, instruction and compliance of patients. The LPN delivers care to patients/customers as ... oximeters + Nurse/Clinician will play an active role in compliance to meet insurance guidelines while promoting a healthy...or assistance with areas of + Stays current on Medicare guidelines for billing and dispensing as well as… more
- Catholic Health Initiatives (Chattanooga, TN)
- …to identify performance/process improvement opportunities. + Monitors compliance with applicable internal/external legal and regulatory agreements, ... standards and requirements; takes appropriate steps to address and resolve non- compliance issues within position scope of authority. + Establishes and maintains… more
- Robert Half Accountemps (Nashua, NH)
- …assign medical record numbers (MRNs) and verify medical necessity to ensure compliance with regulations. * Deliver clear instructions to patients, collect insurance ... * Utilize software tools to identify potential non-payment issues for Medicare patients, distribute required forms, and provide necessary documentation. * Conduct… more